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As far as her pregnancy, if Paula doesn’t take her HAART  medications religiously, she risks having a baby who is HIV positive. I  am concerned about how she is going to care for a baby with her  multiple medical issues. On the practical side, I wonder how she will  physically care for this child. She has a semi-paralyzed right hand and  walks with a limp. Additionally, when her foot ulcers flare up, she can  barely put pressure on her feet. Newborns take a lot of time and energy,  and I am not sure she has the capacity to handle the needs of an  infant—let alone a toddler. I have not made any formal recommendations  to Paula regarding whether to continue the pregnancy, but I have told  Paula that, if she does decide to have the child, she must take her  HAART medications every day. I explained that this is vital to her  health and the health of her unborn child.

  Dialogue 2 Doctor As far as her pregnancy, if Paula doesn’t take her HAART  medications religiously, she risks having a baby who is HIV positive. I  am concerned about how she is going to care for a baby with her  multiple medical issues. On the practical side, I wonder how she will  physically care for this […]