In a known HIV-positive mother, what is the correct statement regarding mode of delivery to reduce transmission?

Correct option is B

If mother’s viral load is well suppressed (<1000 copies/ml) on ART, vaginal delivery is safe. Elective LSCS is recommended if viral load >1000 copies/ml near term.
Explanation of options: (a) ✘ LSCS is not mandatory in all; depends on viral load. (b) ✔ Correct; LSCS is indicated when viral load >1000 copies/ml. (c) ✘ Vaginal delivery is safe with low viral load. (d) ✘ Mode of delivery does influence risk, especially at high viral load.