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Re: HIV positive pregnanciesFrom: ainsron@msn.comWed May 9 10:04:53 2001
I offer/encourage all ob patients to have HIV testing done and have it as a "routine" order on my prenatal panel. About 95% of patients agree to do it after I explain the reasons for it. I'm in a rural area in Northern CA and fortunately to date I've only had one HIV positive patient. Interestingly, she turned up within the first six months after I began offering routine HIV testing ~5-6 years ago and had nothing in her history that was high risk. She was covered by private insurance that paid of her meds, which were managed by an infectious disease consultant. At that time, I think AZT was the only drug she was given and it was given throughout her pregnancy. > >Can I ask all of you to let me know what the policy is in your areas - >practices or hospitals - about antiretrovirals for pregnant women who >are HIV positive. Do you start AZT & 3TC >a) in the pregnancy, at diagnosis, >b) at 36 weeks, >c) only in labour; >and are these drugs supplied free? > >If you do something different from the above, please tell me what. >Are all pregnant women encouraged to have HIV testing done? Do they all >get pretest counselling or are they given the opt-out option? > >Thanks, >Steve > >-- > >Dr.S.H. Raymond >Head of Department of O & G >Empangeni Hospital >South Africa 3880 >Phone: (+27) 35-7721111 >Fax: (+27) 35-7922596 >
-- Ronald E. Ainsworth, MD
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