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Arch Gynecol Obstet. 2013 Jul;288(1):29-32. doi: 10.1007/s00404-013-2744-9. Epub 2013 Feb 6.

Testing for HIV during pregnancy: 5 years after changing German pregnancy guidelines.

Author information

1
Department of Obstetrics, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.

Abstract

OBJECTIVE:

A known HIV status is the most important step in preventing mother-to-child transmission of HIV and screening for HIV is recommended by German prenatal guidelines. In our study, we wanted to ascertain the prevalence of HIV-testing in a pregnant inner-city cohort.

METHODS:

Prenatal records of 279 women were prospectively studied, and the testing confirmed with the prenatal care providers.

RESULTS:

82.4 % of the patients had been tested for HIV during pregnancy. The test was refused by 4.0 % of the women. Contrary to current guidelines, in more than half of the cases documentation of the test or the result was found in the women's prenatal care papers.

CONCLUSIONS:

Even though a large majority of pregnant women are screened for HIV, the rates of testing need to be increased. Education of patients and providers as well as changing to the "opt-out" approach used in other countries may prevent unnecessary mother-to-child transmission of HIV.

PMID:
23385348
DOI:
10.1007/s00404-013-2744-9
[Indexed for MEDLINE]

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