HIV Counseling and Testing During the Postnatal Period
Women who have not been tested for HIV before or during labor should be offered rapid or expedited testing
during the immediate postpartum period or their newborns should undergo rapid or expedited HIV testing
with maternal consent (unless state law allows testing without consent).1,5,6,14 Use of rapid or expedited HIV
assays or expedited EIA for prompt identification of HIV-exposed infants is essential because neonatal ARV
prophylaxis should be initiated as soon as possible after birth—ideally no more than 12 hours later—to be
effective for the prevention of perinatal transmission. When an initial HIV test is positive in mother or infant,
initiation of infant ARV prophylaxis and counseling against initiation of breastfeeding is strongly
recommended pending results of confirmatory HIV tests.6 If confirmatory tests are negative and acute HIV
infection is excluded, infant ARV prophylaxis can be discontinued. In the absence of ongoing maternal HIV
exposure, breastfeeding can be initiated. Mechanisms should be developed to facilitate HIV screening for
infants who have been abandoned and are in the custody of the state.
HIV Counseling and Testing During the Postnatal Period
Women who have not been tested for HIV before or during labor should be offered rapid or expedited testing
during the immediate postpartum period or their newborns should undergo rapid or expedited HIV testing
with maternal consent (unless state law allows testing without consent).1,5,6,14 Use of rapid or expedited HIV
assays or expedited EIA for prompt identification of HIV-exposed infants is essential because neonatal ARV
prophylaxis should be initiated as soon as possible after birth—ideally no more than 12 hours later—to be
effective for the prevention of perinatal transmission. When an initial HIV test is positive in mother or infant,
initiation of infant ARV prophylaxis and counseling against initiation of breastfeeding is strongly
recommended pending results of confirmatory HIV tests.6 If confirmatory tests are negative and acute HIV
infection is excluded, infant ARV prophylaxis can be discontinued. In the absence of ongoing maternal HIV
exposure, breastfeeding can be initiated. Mechanisms should be developed to facilitate HIV screening for
infants who have been abandoned and are in the custody of the state.
การแปล กรุณารอสักครู่..