Re: HIV positive pregnancies
From: ainsron@msn.com
Wed May 9 20:04:18 2001
Its a California state law also, as offering AFP testing.
>It is an Indiana state law that HIV testing must be offered to all pregnant
>patients.
>Dan
>
>-----Original Message-----
>From: ainsron@msn.com [mailto:ainsron@msn.com]
>Sent: Wednesday, May 09, 2001 10:14 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: HIV positive pregnancies
>
>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
>
--
Ronald E. Ainsworth, MD
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