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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Theron, Gerhard B. Shapiro, David E. Van Dyke, Russell Cababasay, Mae P. Louw, Jeanne Watts, D. Heather Smith, Elizabeth Bulterys, Marc Maupin, Robert
Spatial Coverage	South Africa
Description	Country affiliation: South Africa Author Affiliation: Theron GB ( Department 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.
File Format	HTM / HTML
ISSN	00207292
e-ISSN	18793479
DOI	10.1016/j.ijgo.2010.10.011
Journal	International Journal of Gynecology & Obstetrics
Issue Number	1
Volume Number	113
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-04-01
Publisher Place	Ireland
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Prospective Studies Nevirapine Discipline Obstetrics Pregnancy Complications, Infectious Postpartum Period Feasibility Studies Patient Acceptance Of Health Care Time Factors Diagnosis Complications Hospitals, District Drug Therapy Midwifery Hiv Infections Hiv Seropositivity Randomized Controlled Trial Therapeutic Use Pregnancy Mass Screening Anti-hiv Agents Adolescent Discipline Gynecology Cluster Analysis
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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