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

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dc.contributor.authorTheron G.B.
dc.contributor.authorShapiro D.E.
dc.contributor.authorVan Dyke R.
dc.contributor.authorCababasay M.P.
dc.contributor.authorLouw J.
dc.contributor.authorWatts D.H.
dc.contributor.authorSmith E.
dc.contributor.authorBulterys M.
dc.contributor.authorMaupin R.
dc.date.accessioned2011-05-15T16:16:41Z
dc.date.available2011-05-15T16:16:41Z
dc.date.issued2011
dc.description.abstractObjective: 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. © 2010 International Federation of Gynecology and Obstetrics.
dc.description.versionArticle
dc.identifier.citationInternational Journal of Gynecology and Obstetrics
dc.identifier.citation113
dc.identifier.citation1
dc.identifier.issn00207292
dc.identifier.other10.1016/j.ijgo.2010.10.011
dc.identifier.urihttp://hdl.handle.net/10019.1/13889
dc.subjectnevirapine
dc.subjectzidovudine
dc.subjectadolescent
dc.subjectadult
dc.subjectarticle
dc.subjectcontrolled study
dc.subjectfeasibility study
dc.subjectfemale
dc.subjectHIV test
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectintrapartum care
dc.subjectlabor
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectnewborn
dc.subjectpatient attitude
dc.subjectpriority journal
dc.subjectprophylaxis
dc.subjectprospective study
dc.subjectpuerperium
dc.subjectSouth Africa
dc.subjectvirus transmission
dc.subjectvoluntary counseling and rapid testing
dc.titleRapid intrapartum or postpartum HIV testing at a midwife obstetric unit and a district hospital in South Africa
dc.typeArticle
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