From: UK national clinical audit: management of pregnancies in women with HIV
Does your service have a dedicated HIV in pregnancy MDT? | ||
Yes | 111 (99%) | |
No | 1 (1%) | |
Does this MDT include: | ||
An HIV physician | 112 (100%) | |
An obstetrician | 111 (99%) | |
A paediatrician | 110 (98%) | |
An HIV midwife | 29 (26%) | |
An HIV clinical nurse specialist | 21 (19%) | |
Following a new HIV diagnosis during antenatal screening, how quickly would you expect a women to be seen in the HIV clinic? | ||
Same/next day | 40 (36%) | |
2 – 3 days | 23 (21%) | |
Within a week | 29 (26%) | |
1 - 2 weeks | 19 (17%) | |
Not answered | 1 (1%) | |
Do you have a policy for the use of ART in pregnancy? | ||
Yes | 109 (97%) | |
No | 2 (2%) | |
No response | 1 (1%) | |
Would you use raltegravir in a women presenting after 28 weeks gestation with a VL > 100,000 copies/mL? | ||
Use routinely | 56 (50%) | |
May use | 43 (38%) | |
No policy/has not arisen | 11 (10%) | |
Would not use | 1 (1%) | |
Not sure | 1 (1%) | |
What arrangement do you have in place for urgent HIV testing for women presenting in labour, with ruptured membranes of requiring delivery with no result? | ||
Arrangement for urgent lab test | 95 (85%) | |
Point of care testing in all delivery units | 15 (13%) | |
Urgent lab test not available | 1 (1%) | |
Not sure | 1 (1%) | |
Have you experienced problems with urgent HIV testing? | ||
Problems experienced | 10 (9%) | |
Provided without problems | 40 (36%) | |
Need not arisen | 55 (49%) | |
How long does it take to obtain an urgent HIV laboratory test result? | ||
>2 h in working hours | 21 (19%) | |
>2 h outside of working hours | 56 (50%) | |
Do you have a policy on mode of delivery in HIV? | ||
Yes | 107 (96%) | |
No | 2 (2%) | |
Not sure/not answered | 3 (3%) | |
What mode of delivery would you recommend for those on ART with a VL <50 copies/mL at >36 weeks, and no relevant obstetric factors? | ||
Planned vaginal delivery | 95 (85%) | |
Maternal choice | 9 (8%) | |
Pre-labour caesarean section | 3 (3%) | |
Other/not answered | 5 (5%) |