Prevalence of HIV among childbearing women and women having termination of pregnancy : multidisciplinary steering group study

OBJECTIVE: To determine the prevalence of HIV among pregnant women, in particular those whose behaviour or that of their partners put them at "low risk" of infection.

DESIGN: Voluntary named or anonymous HIV testing of pregnant women during 21 months (November 1988 to July 1990).

SUBJECTS AND SETTING: All women who planned to continue their pregnancy and attended clinics serving the antenatal populations of Edinburgh and Dundee. All women admitted for termination of pregnancy to gynaecology wards serving the pregnant populations of Dundee and outlying rural areas.

MAIN OUTCOME MEASURES: Period prevalence of HIV antibody positivity.

RESULTS: 91% of antenatal clinic attenders and 97% of women having termination of pregnancy agreed to HIV testing on a named or anonymous basis. HIV period prevalences for antenatal clinic attenders and women having termination of pregnancy tested in Dundee were 0.13% and 0.85% respectively, and for antenatal clinic attenders tested in Edinburgh 0.26%. For those at "low risk" rates for antenatal clinic attenders and women having termination of pregnancy in Dundee were 0.11% and 0.13%, and for antenatal clinic attenders in Edinburgh 0.02%. In Dundee HIV prevalence among women having a termination of pregnancy (0.85%) was significantly greater than that among antenatal clinic attenders (0.13%).

CONCLUSIONS: HIV infection is undoubtedly occurring among women at "low risk," and it is clear that a policy of selective testing of those at only "high risk" is inadequate for pregnant women living in areas of high prevalence such as Edinburgh and Dundee. Moreover, when studying pregnant populations in such areas there is the need to include those having a termination of pregnancy.

Medienart:

Artikel

Erscheinungsjahr:

1992

Erschienen:

1992

Enthalten in:

Zur Gesamtaufnahme - volume:304

Enthalten in:

BMJ (Clinical research ed.) - 304(1992), 6834 vom: 25. Apr., Seite 1082-5

Sprache:

Englisch

Beteiligte Personen:

Goldberg, D J [VerfasserIn]
MacKinnon, H [VerfasserIn]
Smith, R [VerfasserIn]
Patel, N B [VerfasserIn]
Scrimgeour, J B [VerfasserIn]
Inglis, J M [VerfasserIn]
Peutherer, J F [VerfasserIn]
Urquhart, G E [VerfasserIn]
Emslie, J A [VerfasserIn]
Covell, R G [VerfasserIn]

Themen:

Abortion, Induced
Behavior
Data Collection
Decision Making
Delivery Of Health Care
Developed Countries
Diseases
Drug Usage
Europe
Examinations And Diagnoses
Family Planning
Fertility Control, Postconception
Health
Health Services
Hiv Infections
Journal Article
Laboratory Examinations And Diagnoses
Maternal Health Services
Maternal-child Health Services
Measurement
Northern Europe
Population At Risk
Pregnancy
Pregnancy Outcomes
Prevalence
Primary Health Care
Reproduction
Research Methodology
Research Support, Non-U.S. Gov't
Scotland
Sex Behavior
United Kingdom
Viral Diseases

Anmerkungen:

Date Completed 23.06.1992

Date Revised 01.05.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM015683133