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1996-03-09
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Document 0395
DOCN M9650395
TI [Frequency and mode of use of testing for HIV infection in women
hospitalized for childbirth]
DT 9605
AU Puro V; Romano S; De Santis MT; Aloisi MS; D'Ubaldo C; Girardi E;
Ippolito G; Centro di Riferimento AIDS, Ospedale L. Spallanzani, Roma.
SO Minerva Ginecol. 1995 Oct;47(10):439-45. Unique Identifier : AIDSLINE
MED/96158251
AB OBJECTIVE: To assess the use of HIV testing because of pregnancy.
DESIGN: Cross-sectional study. PATIENTS: Parturients admitted to the
obstetric divisions of a public hospital located in Rome (February-April
1994). INTERVENTION: Standardized interview during post test counseling.
OUT-COMES: Frequency and characteristics of HIV testing because of
pregnancy and women's know ledge on HIV sexual and vertical
transmission. RESULTS: Among the 506 women admitted all consented to be
tested and 3 were found HIV seropositive (0.6%). A total of 239 (47%)
unselected parturients were interviewed; the remaining differ only for a
lower rate of cesarean delivery (13% vs 54%). Of the interviewed, 140
(58%) had been already tested for HIV infection, 91 (38%) during the
current pregnancy according to gynaecologist's prescription (79.87%) and
without counseling (55.60%) or ascertained risk factors (82.90%); 40%
had been tested after the first trimester of pregnancy. Rate of vertical
transmission was estimated higher than 50% in 147 cases; 150 women knew
the window period but less than half estimated it correctly.
CONCLUSIONS: The study showed a unsatisfactory use of HIV testing
because of pregnancy and suggests the need for implementing in Italy
information campaigns targeted both to women and gynecologists.
DE Adult Cross-Sectional Studies English Abstract Female Hospitals,
Maternity Human HIV Infections/*DIAGNOSIS/DRUG THERAPY/TRANSMISSION
HIV Seropositivity/*EPIDEMIOLOGY Pregnancy Pregnancy Complications,
Infectious/*DIAGNOSIS/DRUG THERAPY/ VIROLOGY Rome/EPIDEMIOLOGY
Support, Non-U.S. Gov't Zidovudine/*THERAPEUTIC USE JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).