       Document 0921
 DOCN  M9620921
 TI    Voluntary, named testing for HIV in a community based antenatal clinic:
       a pilot study.
 DT    9602
 AU    Chrystie IL; Wolfe CD; Kennedy J; Zander L; Tilzey A; Banatvala JE;
       Department of Virology, United Medical and Dental Schools of; Guy's
       Hospital, London.
 SO    BMJ. 1995 Oct 7;311(7010):928-31. Unique Identifier : AIDSLINE
       MED/96011317
 AB    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.
 DE    Attitude of Health Personnel  Community Health Services  Counseling
       Female  Human  HIV Infections/*DIAGNOSIS  London  Mass Screening
       Midwifery  Patient Acceptance of Health Care  Pilot Projects  Practice
       Guidelines  Pregnancy  Pregnancy Complications, Infectious/*DIAGNOSIS
       Prenatal Care/*STANDARDS  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

