Apregnant adolescent already diagnosed as hiv-positive with a viral load of more than 1,000 copies/ml is currently in her 38th week of gestation. which is the best method of delivery in this situation?

There are choices for this question namely:

1 Cesarean section
2 Vaginal delivery with forceps extraction
3 Vaginal delivery with vacuum extraction
4 Fetal scalp electrode

The correct answer is "cesarean section". In cesarean section, we are preventing the vertical transfer of the virus from the mother to the baby by bypassing the vaginal mucosa (which has secretions, potentially with high viral load). Fetal scalp electrode, on the other hand, is not a method of delivery.