Stokes Suzy H M, McMaster Paddy, Ismail Khaled M K
University Hospital of North Staffordshire, Stoke-on-Trent, UK.
Arch Dis Child. 2007 Jun;92(6):505-8. doi: 10.1136/adc.2006.106070. Epub 2007 Feb 9.
To determine the uptake of current antenatal HIV testing, the prevalence of risk factors for HIV in pregnant women and the acceptability of the rapid point-of-care HIV test (RPOCT) among pregnant women and their midwives.
A retrospective review of 717 notes to determine current HIV screening practices and a cross-sectional survey using a self-completed questionnaire for pregnant women and midwives.
The antenatal clinic (ANC) and postnatal wards (PNW) at a university teaching hospital in the West Midlands.
486 women attending the ANC or admitted to the PNW during a fortnight in May-June 2006. 72 midwives on the delivery ward completed a second questionnaire.
The questionnaire showed that 90.4% of those offered the standard HIV test accepted it, with 7.2% having at least one risk factor for HIV. Over half of the decliners perceived themselves as not at risk. 85.2% would accept the rapid test, including 35.6% of the decliners. 92.8% of midwives agreed/strongly agreed the RPOCT has a role on the delivery ward and 97.2% would be happy to offer the test with appropriate training and guidance.
Midwives deem the RPOCT to be appropriate for a variety of perinatal settings. It is also acceptable to a clinically significant proportion of those who decline the standard test (21 of 59) and therefore has the potential to increase screening and detection rates. Hence, by allowing early diagnosis and the initiation of antenatal interventions, it could reduce the rate of mother-to-child transmission (MTCT) in the UK.
确定当前产前HIV检测的接受情况、孕妇中HIV危险因素的流行率以及孕妇及其助产士对即时快速HIV检测（RPOCT）的接受程度。
对717份病历进行回顾性分析以确定当前的HIV筛查做法，并使用针对孕妇和助产士的自填问卷进行横断面调查。
西米德兰兹郡一家大学教学医院的产前诊所（ANC）和产后病房（PNW）。
2006年5月至6月的两周内，486名到ANC就诊或入住PNW的妇女。产房的72名助产士完成了第二份问卷。
问卷显示，接受标准HIV检测的人中90.4%接受了检测，7.2%至少有一项HIV危险因素。超过一半拒绝检测的人认为自己没有风险。85.2%的人会接受快速检测，其中包括35.6%拒绝检测的人。92.8%的助产士同意/强烈同意RPOCT在产房有作用，97.2%的人愿意在接受适当培训和指导后提供该检测。
助产士认为RPOCT适用于各种围产期环境。对于拒绝标准检测的人中具有临床意义的一部分人（59人中的21人）来说，它也是可以接受的，因此有可能提高筛查和检测率。因此，通过实现早期诊断并启动产前干预措施，它可以降低英国的母婴传播（MTCT）率。
