Pregnancy, HIV and hypertension. How will you manage this patient?

Dr Verom Yala. GP and entomologist

 37 year-old HIV patient on first-line regimen (Efavirens600mg +emtricitabine 200mg+ Tenofovir 300mg) and hypertensive on enalapril 20mg+hydrochlorothiazide 12.5mg and amlodipine 10 mg. She is G4P2 (had an ectopic pregnancy in December 2018) consulted for nausea and tiredness LMP?02-2019 and pregnancy test done was positive. Beta-HCG 122806 confirmed a pregnancy 6-8 weeks and other tests done (see images above ).Q. How will you approach this patient?