Uptake of HIV screening in an antenatal clinic

Aust N Z J Obstet Gynaecol. 2005 Oct;45(5):365-7. doi: 10.1111/j.1479-828X.2005.00447.x.

Abstract

Objective: To assess the uptake of HIV screening in pregnant women attending a tertiary hospital antenatal clinic.

Methods: An audit was undertaken in an antenatal clinic where HIV screening was routinely offered to all women following counselling. For the women offered HIV testing, note was taken whether the woman agreed to testing or refused, and if so, the reason for refusal.

Results: Sixty eight percent of women who were offered testing opted to have the test performed. Thirty two percent of women decided against testing, with half of these reporting a recent (negative) HIV test result.

Conclusions: Over 80% of pregnant women were willing to have HIV testing.

Implications: With the introduction of recommendations that all pregnant women be given the opportunity for HIV screening, a high participation rate can be expected from women who are offered testing, with the potential for minimisation of vertical transmission by identification of HIV positive women.

MeSH terms

  • AIDS Serodiagnosis
  • Adult
  • Ambulatory Care Facilities
  • Australia / epidemiology
  • Cohort Studies
  • Female
  • Gestational Age
  • HIV Infections / diagnosis*
  • HIV Infections / epidemiology
  • Humans
  • Incidence
  • Mass Screening*
  • Medical Audit
  • Patient Compliance / statistics & numerical data
  • Pregnancy
  • Pregnancy Complications, Infectious / prevention & control
  • Prenatal Care / methods*
  • Prenatal Diagnosis / methods
  • Risk Assessment
  • Treatment Refusal / statistics & numerical data