Women with perinatal HIV, pragmatic prescribing, pregnancy and preparations – Dr. Caroline Foster Welcome to your Women with perinatal HIV, pragmatic prescribing, pregnancy and preparations - Dr. Caroline Foster 1. The following options may improve ART adherence in young women? Click all that are correct a. Gastrostomy insertion b. Financial incentives c. Long acting ART preparations d. Peer support e. Simplification through Virtual Clinic 2. A 15 year old adolescent girl who attends the HIV clinic informs you in confidence that she is sexually active with her boyfriend. She also informs you that her parents are unaware of this. What would you do? Select one answera. Send her for family planning advice at the local clinicb. Explore her understanding of the risks and consequences of HIV transmission, offer support for contraceptive advice, maintain her confidentialityc. Tell her that you are obliged to inform her parents about her sexual activity and her boyfriend about her HIVd. Say that you respect her confidentiality and give her a bag of condoms 3. Which of the following statements is correct regarding contraception for young women on boosted protease inhibitor based ART? Select on answer that is truea. The oral contraception pill is preferredb. The contraceptive implant is contra-indicatedc. Should not receive the Depot contraceptive if ART includes tenofovird. Should only use condoms as an additional contraception encourages unprotected sexe. Intra-uterine devices are contra-indicated 4. Pregnancy in young women with perinatal HIV. Select one that is true.a. First pregnancy typically occurs at an older age than their uninfected peersb. Rates of viral suppression at delivery are higher than their behaviourally infected peersc. CD4 counts are higher than their behaviourally infected peersd. Data supports the use of long acting ARTe. The majority of infants are uninfected 5. Regarding suppressive Art and the statement U=U. Select all that are true a. Applies to anal, oral and vaginal sex b. Viral load cut off is <50 copies/ml c. Has reduced HIV incidence d. May improve ART adherence e. Should be discussed with all teenagers living with HIV Time is Up!