title: Voluntary, named testing for HIV in a community based antenatal clinic: a pilot study.
abstract: Despite the increasing advantages of identifying HIV infection in pregnant women, only some 12% of HIV positive women attending antenatal clinics in London have been identified by named testing. As virtually all antenatal care will be community based within the next two to three years, we assessed the problems of introducing named HIV testing during pregnancy into the primary care setting. Planning the service took a considerable time and required the production of educational material for both staff and pregnant women and some reorganisation of procedures. Over a one year period an uptake of 44% was noted. Several problems were encountered including an average of 21 minutes needed to give information on AIDS and HIV, an adverse effect on the midwife-mother relationship, and anxiety (affecting both women and midwives). Possible solutions to this difficult problem are discussed.
authors.affiliation: Department of Virology, United Medical and Dental Schools of Guy's Hospital, London.
authors.forename: I L
authors.initials: IL
authors.lastname: Chrystie
authors.forename: C D
authors.initials: CD
authors.lastname: Wolfe
authors.forename: J
authors.initials: J
authors.lastname: Kennedy
authors.forename: L
authors.initials: L
authors.lastname: Zander
authors.forename: A
authors.initials: A
authors.lastname: Tilzey
authors.forename: J E
authors.initials: JE
authors.lastname: Banatvala
mesh_terms: D001291:Attitude of Health Personnel; D003153:Community Health Services; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D033181:Information Dissemination; D008131:London; D008403:Mass Screening; D008880:Midwifery; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D037841:Pregnant People; D011295:Prenatal Care / Q000592:standards*; D035141:Voluntary Programs