Q.

A 31-year-old, HIV-positive woman, gravida 3, para 2, at 32-weeks' gestation comes to the physician for a prenatal visit. Her prenatal course is significant for the fact that she has taken zidovudine throughout the pregnancy. Otherwise, her prenatal course has been unremarkable. She has no history of mental illness. She states that she has been weighing the benefits and risks of cesarean delivery in preventing transmission of the virus to her baby. After much deliberation, she has decided that she does not want a cesarean delivery and would like to attempt a vaginal delivery. Which of the following is the most appropriate next step in management?

A. Contact psychiatry to evaluate the patient
B. Contact the hospital lawyers to get a court order for cesarean delivery
C. Perform cesarean delivery at 38 weeks
D. Perform cesarean delivery once the patient is in labor
E. Respect the patient's decision and perform the vaginal delivery
Answer» e. Respect the patient's decision and perform the vaginal delivery
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