American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 159.e1-159.e6 , February 2010

Examining the effectiveness of an opt-in approach to prenatal human immunodeficiency virus screening

Presented at the University HealthSystem Consortium 2007 Quality and Safety Fall Forum, Palm Desert, CA, Oct. 10-12, 2007.

  • Christopher V. Almario, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA
  • ,
  • Eric J. Moskowitz, MD, MBA

      Affiliations

    • Jefferson School of Population Health, Philadelphia, PA
  • ,
  • Jeanette Koran, RN, BSN

      Affiliations

    • Jefferson School of Population Health, Philadelphia, PA
  • ,
  • Bettina Berman, RN, BS

      Affiliations

    • Jefferson School of Population Health, Philadelphia, PA
  • ,
  • Valerie P. Pracilio, BS

      Affiliations

    • Jefferson School of Population Health, Philadelphia, PA
  • ,
  • Albert Crawford, PhD, MBA, MSIS

      Affiliations

    • Jefferson School of Population Health, Philadelphia, PA
  • ,
  • Jason K. Baxter, MD, MSCP

      Affiliations

    • Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA

Received 17 March 2009 ,Revised 18 July 2009 ,Accepted 10 September 2009.

References 

  1. Connor EM, Sperling RS, Gelber R, et al. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment: pediatric AIDS clinical trials group protocol 076 study group. N Engl J Med. 1994;331:1173–1180
  2. Cooper ER, Charurat M, Mofenson L, et al. Combination antiretroviral strategies for the treatment of pregnant HIV-1-infected women and prevention of perinatal HIV-1 transmission. J Acquir Immune Defic Syndr. 2002;29:484–494
  3. Centers for Disease Control and Prevention (CDC). Epidemiology of HIV/AIDS–United States, 1981-2005. MMWR Morb Mortal Wkly Rep. 2006;55:589–592
  4. Centers for Disease Control and Prevention (CDC). Achievements in public health: reduction in perinatal transmission of HIV infection–United States, 1985-2005. MMWR Morb Mortal Wkly Rep. 2006;55:592–597
  5. Branson BM, Handsfield HH, Lampe MA, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006;55:1–17
  6. American College of Obstetrics and Gynecology Committee on Obstetric Practice. ACOG committee opinion no. 418: prenatal and perinatal human immunodeficiency virus testing; expanded recommendations. Obstet Gynecol. 2008;112:739–742
  7. Henry J Kaiser Family Foundation. HIV testing for mothers and newborns, February 2008. http://www.statehealthfacts.org/comparetable.jsp?ind=563&cat=11Accessed March 9, 2009
  8. National HIV/AIDS Clinicians' Consultation Center. State HIV testing laws compendium. http://www.nccc.ucsf.edu/StateLaws/State%20Laws/Pennsylvania.pdfAccessed March 9, 2009
  9. AIDS Activity Coordinating Office Surveillance Unit of the Philadelphia Department of Public Health. Philadelphia HIV/AIDS epidemiological update 2007: cases reported through June 2008. http://www.phila.gov/Health/units/aaco/pdfs/Final_Dec2007.pdfAccessed June 5, 2009
  10. AIDS Activity Coordinating Office Surveillance Unit of the Philadelphia Department of Public Health. Philadelphia HIV/AIDS epidemiological update: cases reported through June 2007. http://www.phila.gov/Health/units/aaco/pdfs/DEC06-Final.pdfAccessed June 5, 2009
  11. Breese P, Burman W, Shlay J, Guinn D. The effectiveness of a verbal opt-out system for human immunodeficiency virus screening during pregnancy. Obstet Gynecol. 2004;104:134–137
  12. Jayaraman GC, Preiksaitis JK, Larke B. Mandatory reporting of HIV infection and opt-out prenatal screening for HIV infection: effect on testing rates. CMAJ. 2003;168:679–682
  13. Royce RA, Walter EB, Fernandez MI, et al. Barriers to universal prenatal HIV testing in 4 US locations in 1997. Am J Public Health. 2001;91:727–733
  14. Jha S, Gee H, Coomarasamy A. Women's attitudes to HIV screening in pregnancy in an area of low prevalence. BJOG. 2003;110:145–148
  15. Centers for Disease Control and Prevention (CDC). HIV testing among pregnant women–United States and Canada, 1998-2001. MMWR Morb Mortal Wkly Rep. 2002;51:1013–1016
  16. Yudin MH, Moravac C, Shah RR. Influence of an “opt-out” test strategy and patient factors on human immunodeficiency virus screening in pregnancy. Obstet Gynecol. 2007;110:81–86
  17. Stringer EM, Stringer JS, Cliver SP, Goldenberg RL, Goepfert AR. Evaluation of a new testing policy for human immunodeficiency virus to improve screening rates. Obstet Gynecol. 2001;98:1104–1108
  18. Lewis R, O'Brien JM, Ray DT, Sibai BM. The impact of initiating a human immunodeficiency virus screening program in an urban obstetric population. Am J Obstet Gynecol. 1995;173:1329–1333
  19. Barbacci M, Repke JT, Chaisson RE. Routine prenatal screening for HIV infection. Lancet. 1991;337:709–711
  20. Landesman S, Minkoff H, Holman S, McCalla S, Sijin O. Serosurvey of human immunodeficiency virus infection in parturients: implications for human immunodeficiency virus testing programs of pregnant women. JAMA. 1987;258:2701–2703
  21. O'Campo P, de Boer M, Faden R, Kass N, Gielen A, Barbacci M. Confirmation of self-report of HIV testing among a cohort of pregnant women. J Clin Epidemiol. 1997;50:57–61
  22. Fernandez MI, Wilson TE, Ethier KA, Walter EB, Gay CL, Moore J. Acceptance of HIV testing during prenatal care: perinatal guidelines evaluation project. Public Health Rep. 2000;115:460–468
  23. Carusi D, Learman LA, Posner SF. Human immunodeficiency virus test refusal in pregnancy: a challenge to voluntary testing. Obstet Gynecol. 1998;91:540–545

 Cite this article as: Almario CV, Moskowitz EJ, Koran J, et al. Examining the effectiveness of an opt-in approach to prenatal human immunodeficiency virus screening. Am J Obstet Gynecol 2010;202:159.e1-6.

 Reprints not available from the authors.

PII: S0002-9378(09)01015-1

doi: 10.1016/j.ajog.2009.09.008

American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 159.e1-159.e6 , February 2010