<prompt> Indication for LSCS in an HIV infected pregnant lady:Viral load is 1000 copies HIV - RNAmLViral load is 1000 copies HIV- RNA mLViral load is 2000 copies HIV - RNA mLViral load is 50 - 70 copies of HIV - RNA mL  <response>: WHO has recommended that, Tenofovir disoproxil fumarate TDF lamivudine 3TC or emtricitabine, FTC eirenz EFV 600 mg as the preferred first- line antiretroviral therapy A regimen for adults and adolescents. WHO recommended dolutegravir DTG as an alternative option to EFV for first-line A . Cesarean Vs Normal Delivery:There is no paicular benefit of doing a cesarean to reduce the Mother TO Child Transmission. Cesarean section is recommended when the viral load is heavy 1000 copies for obstetric and other medical indications but not for HIV per se. Similar recommendations come fromNACO: Caesarean section is not recommended for prevention of mother-to-child-transmission and only if there is an Obstetric indication for the same. Please note, In resource-limited settings ,with absence of ARV drugs or in the case of a high viral load, WHO does not recommend cesarean section. 