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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Rapid intrapartum or postpartum HIV testing at a midwife obstetric unit and a district hospital in South Africa
International Journal of Gynecology and Obstetrics, Volume 113, No. 1, Year 2011
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Description
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. © 2010 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Theron, Gerhard Barnard
South Africa, Tygerberg
Tygerberg Hospital
South Africa, Tygerberg
Faculty of Health Sciences
Shapiro, David E.
United States, Boston
Center for Biostatistics in Aids Research
van Dyke, Russell B.
United States, New Orleans
Tulane University Health Sciences Center
Cababasay, Mae P.
United States, Boston
Center for Biostatistics in Aids Research
Louw, Jeanne
South Africa, Tygerberg
Tygerberg Hospital
Watts, Diane Heather
United States, Bethesda
National Institutes of Health Nih
Smith, Elizabeth
United States, Bethesda
National Institutes of Health Nih
Bulterys, Marc G.
United States, Atlanta
Centers for Disease Control and Prevention
Maupin, Robert T.
United States, New Orleans
Louisiana State University
Statistics
Citations: 10
Authors: 9
Affiliations: 7
Identifiers
Doi:
10.1016/j.ijgo.2010.10.011
ISSN:
00207292
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
South Africa
Participants Gender
Female