Segal A I
Am J Obstet Gynecol. 1996 Jun;174(6):1750-5; discussion 1755-6. doi: 10.1016/s0002-9378(96)70206-5.
Our purpose was to determine physician attitudes regarding voluntary versus mandatory status of human immunodeficiency virus testing in pregnant women.
A questionnaire was sent to a sampling of the membership in District IX of The American College of Obstetricians and Gynecologists. Members were queried about experience with pregnant patients who were human immunodeficiency virus positive. Practice characteristics were sampled, as were experiences with antiviral agents in pregnant women.
Physician attitudes were influenced by their type of medical practice environment. Bioethical considerations were further influenced by data reflecting zidovudine use in pregnant women. Two thirds of respondents favored mandatory human immunodeficiency virus testing of all pregnant patients. More than 90% favored public health reporting of all human immunodeficiency virus-positive patients. One quarter of respondents were not current on California human immunodeficiency virus codes. A persistent percentage do not offer human immunodeficiency virus counseling or testing.
Considerable physician support exists for mandating human immunodeficiency virus testing in all pregnant patients as the primary means of decreasing maternal-fetal human immunodeficiency virus transmission and the considerable resulting costs.
我们的目的是确定医生对于孕妇人类免疫缺陷病毒检测自愿与强制状态的态度。
向美国妇产科医师学会第九区的会员样本发放了一份调查问卷。询问会员有关感染人类免疫缺陷病毒的孕妇患者的经验。对执业特征进行了抽样调查，同时也调查了孕妇使用抗病毒药物的经验。
医生的态度受其医疗执业环境类型的影响。生物伦理考量进一步受到反映孕妇使用齐多夫定的数据的影响。三分之二的受访者赞成对所有孕妇患者进行强制性人类免疫缺陷病毒检测。超过90%的受访者赞成对所有人类免疫缺陷病毒呈阳性的患者进行公共卫生报告。四分之一的受访者不了解加利福尼亚州的人类免疫缺陷病毒法规。持续有一定比例的医生不提供人类免疫缺陷病毒咨询或检测。
相当多的医生支持对所有孕妇患者进行强制性人类免疫缺陷病毒检测，将其作为减少母婴人类免疫缺陷病毒传播及由此产生的大量费用的主要手段。
