Final answer:
The recommended course of action for an HIV-positive mother in labor is to continue antiretroviral therapy, consider elective cesarean section, administer neonatal prophylaxis with antiretroviral drugs, and avoid breastfeeding.
Step-by-step explanation:
The recommended course of action for an HIV-positive mother in labor is to:
- Continue antiretroviral therapy
- Consider elective cesarean section
- Administer neonatal prophylaxis with antiretroviral drugs
- Avoid breastfeeding
Antiretroviral therapy (ART) should not be discontinued during labor, as it helps reduce the risk of mother-to-child transmission of HIV. Elective cesarean section is recommended for HIV-positive mothers to further reduce the risk of transmission during childbirth. Neonatal prophylaxis with antiretroviral drugs is necessary to further decrease the risk of transmission to the newborn. Breastfeeding is contraindicated for HIV-positive mothers due to the risk of transmission through breast milk.