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Int J Gynaecol Obstet. 2011 Apr;113(1):44-9. doi: 10.1016/j.ijgo.2010.10.011. Epub 2011 Jan 19.

Rapid intrapartum or postpartum HIV testing at a midwife obstetric unit and a district hospital in South Africa.

Author information

  • 1Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Stellenbosch University and Tygerberg Hospital, Stellenbosch, South Africa. gbth@sun.ac.za

Abstract

OBJECTIVE:

To compare the prepartum and postpartum feasibility and acceptance of voluntary counseling and rapid testing (VCT) among women with unknown HIV status in South Africa.

METHODS:

Eligible women were randomized according to the calendar week of presentation to receive VCT either while in labor or after delivery.

RESULTS:

Of 7238 women approached, 542 (7.5%) were eligible, 343 (63%) were enrolled, and 45 (13%) were found to be HIV infected. The proportions of eligible women who accepted VCT were 66.8% (161 of 241) in the intrapartum arm and 60.5% (182 of 301) in the postpartum arm, and the difference of 6.3% (95% CI, -1.8% to 14.5%) was not significant. The median times (44 and 45 minutes) required to conduct VCT were also similar in the 2 arms. In the intrapartum arm, all women in true labor received their test results before delivery and all those found to be HIV positive accepted prophylaxis with nevirapine before delivery.

CONCLUSIONS:

Rapid testing in labor wards for women with an unknown HIV status is feasible and well accepted, and allows for a more timely antiretroviral prophylaxis than postpartum testing.

Copyright © 2010 International Federation of Gynecology and Obstetrics. All rights reserved.

PMID:
21251654
[PubMed - indexed for MEDLINE]
PMCID:
PMC3087603
Free PMC Article
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