<prompt> Answer this question truthfullyWhat is the management approach for HIV-positive pregnant women during intrapartum period if their viral load is greater than or equal to 1000?  <response>: <reason> The management approach for HIV-positive pregnant women during intrapartum period if their viral load is greater than or equal to 1000 involves administering antiretroviral therapy ART and performing a cesarean section at 38 weeks of gestation. The mode of delivery can be either cesarean section or vaginal delivery depending on the individual case. 