Prenatal Human Immunodeficiency Virus Testing and Patient Management by Obstetricians in a High Seroprevalence Community
1994

Prenatal HIV Testing Practices Among Obstetricians

Sample size: 71 publication Evidence: moderate

Author Information

Author(s): William R. Robinson, Michael Fleischer

Primary Institution: Tulane University School of Medicine

Hypothesis

What are the practice habits of obstetricians regarding prenatal HIV testing and management strategies for HIV-seropositive patients?

Conclusion

Obstetricians in this community have largely accepted routine prenatal HIV testing but play a limited role in risk reduction counseling and treatment.

Supporting Evidence

  • 60.6% of obstetricians test all new obstetric patients for HIV.
  • 84.5% routinely ask patients about risk factors for HIV infection.
  • 39.4% have cared for an HIV-positive patient.

Takeaway

Most doctors who deliver babies are now testing pregnant women for HIV, but they don't often help those who test positive.

Methodology

A telephone survey of practicing obstetricians in the New Orleans area was conducted over a 3-month period.

Potential Biases

Potential selection bias in the sample of obstetricians surveyed.

Limitations

The study may not represent obstetricians outside the New Orleans metropolitan area.

Participant Demographics

Approximately 90% were in private practice, with a majority being white and nearly 80% privately insured.

Statistical Information

P-Value

0.0005

Confidence Interval

95% CI 2.2-25.6

Statistical Significance

p<0.05

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