Table 2. Antiretroviral medication regimens in included studies.
Regimen | Purpose: PMTCT Prophylaxis* | Purpose: Treatment for the Mother | Notes |
Single-dose nevirapine (sdNVP) | One intrapartum dose taken at thebeginning of a woman’s labor | N/A | Introduced in 2000, this regimen is no longer recommended by WHO unless as part of combination PMTCT (Option A) |
Option A | For pregnant women living with HIV with CD4>350 | For pregnant women with CD4 cells <350 or clinical Stage 3–4 disease | |
(a) Antepartum: Antenatal zidovudine(AZT) twice daily starting as early as14 weeks gestation | Triple antiretroviral medications (ARVs) often combined within a single pill (a “fixed dose combination”) that is taken twice daily, starting as soon asdiagnosed and continued for life | ||
(b) Intrapartum: at onsent of labor, sdNVP and AZT every 3 hours and lamivudine (3TC) every 12 hours until delivery | |||
(c) Postpartum: twice daily AZT/3TC for 7 days | |||
Option B | Triple ARVs starting as early as 14 weeks gestation and continuedintrapartum and throughchildbirth if not breastfeedingor until 1 week after cessation of breastfeeding | Triple ARVs starting assoon as diagnosed,continued for life | Under WHO’s 2010 PMTCT ARV guidance, countries have the option to choose between two prophylaxis regimens for pregnant women living with HIV: Option A and Option B. |
Option B+ | Triple ARVs starting as soon asdiagnosed, continued for life | Triple ARVs starting assoon as diagnosed,continued for life | Option B+ was conceived and implemented in Malawi in 2011. In April 2012, WHO released a programmatic update in which it urged countries to consider Option B and B+ |
*PMTCT prophylaxis refers to the use of ARV drugs solely for the purpose of reducing the risk of vertical transmission when a woman is not on standard ART for therapeutic reasons.