7.1.2 When to start ART in pregnant and breastfeeding women

Consolidated ARV guidelines, June 2013

Rationale and supporting evidence: Transition from the 2010 guidelines to the 2013 guidelines

The new 2013 guidelines recommend that countries currently implementing Option A based on the 2010 guidelines (82) should transition, with appropriate planning, to initiating ART for all pregnant and breastfeeding women with HIV; the 2013 guidelines no longer recommend Option A.

Countries moving towards Option B and those currently implementing Option B should consider the advantages and disadvantages of implementing lifelong ART for all pregnant and breastfeeding women in their setting.