American Journal of Obstetrics & Gynecology
Volume 197, Issue 3, Supplement , Pages S72-S82 , September 2007

Rapid human immunodeficiency virus-1 testing on labor and delivery in 17 US hospitals: the MIRIAD experience

  • Denise J. Jamieson, MD, MPH

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
    • Corresponding Author InformationReprints: Denise J. Jamieson, MD, MPH, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop K-34, Atlanta, GA 30341
    • ,
  • Mardge H. Cohen, MD

      Affiliations

    • CORE Center, Stroger (formerly Cook County) Hospital, Chicago, IL
    • ,
  • Robert Maupin, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, New Orleans, LA
    • ,
  • Steven Nesheim, MD

      Affiliations

    • Department of Pediatrics, Emory University School of Medicine, Atlanta, GA
    • ,
  • Susan P. Danner, BA

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Margaret A. Lampe, RN, MPH

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Mary Jo O’Sullivan, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Miami School of Medicine, Miami, FL
    • ,
  • Mayris P. Webber, DrPH

      Affiliations

    • Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY
    • ,
  • Jeffrey Wiener, MS

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Rosalind J. Carter, PhD

      Affiliations

    • Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY
    • Medical and Health Research Association of New York City, New York, NY
    • ,
  • Yvette Rivero, BA

      Affiliations

    • Department of Obstetrics and Gynecology, University of Miami School of Medicine, Miami, FL
    • ,
  • Mary Glenn Fowler, MD, MPH

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • Johns Hopkins Medical School, Department of Pathology, onsite Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
    • ,
  • Marc Bulterys, MD, PhD

      Affiliations

    • Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
    • CDC Global AIDS Program, Lusaka, Zambia.

  • Image Result

    Flow chart of MIRIAD participants, 2001-2005

    Jamieson. Rapid HIV testing on labor and delivery. AJOG 2007.

    Flow chart of MIRIAD participants, 2001-2005

    Jamieson. Rapid HIV testing on labor and delivery. AJOG 2007.

  • Image Result

    Proportion of eligible women accepting participation in MIRIAD (2001-2005), by time of day and day of the week

    Acceptance is lowest on Friday evenings (χ2 P value = .0015).

    Jamieson. Rapid HIV testing o

    Proportion of eligible women accepting participation in MIRIAD (2001-2005), by time of day and day of the week

    Acceptance is lowest on Friday evenings (χ2 P value = .0015).

    Jamieson. Rapid HIV testing on labor and delivery. AJOG 2007.

  • Image Result
    Testing timeline* for peripartum MIRIAD participants, 2001-2005*Events on labor and delivery, from the woman’s arrival until she is informed of the test results are described in unshaded boxes and ord

    Testing timeline* for peripartum MIRIAD participants, 2001-2005

    *Events on labor and delivery, from the woman’s arrival until she is informed of the test results are described in unshaded boxes and ordered chronologically. Median times between events are reported in the shaded boxes. The proportion of women who deliver before, after, and between events is noted in the shaded circles; all circles for point-of-care and lab-based testing add to 100%.

    Jamieson. Rapid HIV testing on labor and delivery. AJOG 2007.

 This research was supported by the National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, under cooperative agreements U64/217724, 417719, 517715, 617734, and 479935.

 The views expressed herein are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. Use of trade names is for identification purposes only and does not constitute endorsement by the Centers for Disease Control and Prevention or the Department of Health and Human Services.

PII: S0002-9378(07)00433-4

doi: 10.1016/j.ajog.2007.03.067

American Journal of Obstetrics & Gynecology
Volume 197, Issue 3, Supplement , Pages S72-S82 , September 2007

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