• If the patient is already on anti-retroviral therapy for her own health then simply continue the same therapy.
• If the patient discovers she is HIV-positive as part of her prenatal care and is not on HAART, then check CD4 count and viral load:
- CD4 <350: Start HAART now.
- CD4 >350 and viral load is low: Use HAART during the 2nd and 3rd trimester only to prevent perinatal transmission.