Prenatal Human Immunodeficiency Virus Testing and Patient Management by Obstetricians in a HighSeroprevalence Community

摘要

Objective:In order to determine the practice habits of obstetricians concerning frequency of prenatalhuman immunodeficiency virus (HIV) testing and management strategies for HIV-seropositive obstetric patients, we conducted a telephone survey of practicing obstetricians over a 3-month period.Methods:In the New Orleans metropolitan area, 71/104 (68%) obstetricians participated and completed the survey.Results:Of these obstetricians, 43/71 (60.6%) test all new obstetric patients for HIV; 64/71(84.5%) routinely ask the patients about risk factors for infection; and 28/71 (39.4%) have actually cared foran HIV-positive patient in their practice. Those obstetricians who routinely tested for HIVwere more likely to have personally managed an infected patient and more likely to ask about riskfactors. The number of obstetricians who would manage infected patients without consultativeassistance was 8/71 (11%).Conclusions:We concluded that obstetricians in this community have largely accepted routinelyoffered prenatal testing and risk assessment, but they have assumed a relatively small role in riskreduction counseling and treatment.