Ready or Not—Intrapartum Prevention of Perinatal HIV Transmission in Illinois
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Objectives: The overall readiness of Illinois birthing hospitals to comply with the 2003 Illinois HIV Perinatal Prevention Act and prevent perinatal HIV transmission, and the hospital characteristics that predict readiness were examined. Methods: Nurse Managers of all 137 Illinois birthing hospitals were surveyed regarding current labor and delivery (L&D) practices for HIV status identification, documentation, testing and zidovudine (AZT) availability in March 2004. Bivariate and multivariable regression analysis was performed. Results: All 137 hospitals returned the surveys. Almost forty seven percent of Illinois birthing hospitals had adequate maternal HIV status documentation on arrival in L&D, 72.3% documented prenatal HIV results in the L&D chart, 65.7% documented prenatal HIV in the newborn chart, 38.7% ordered HIV tests on L&D if no prenatal HIV status was available, and 61.3% had AZT available. Only 17 hospitals (12.4%) met requirements for overall readiness to prevent perinatal HIV transmission. Sixteen hospitals (11.6%) met a minimal level of readiness (prenatal HIV status documentation and AZT availability). Conclusions: Despite passage of legislation to increase perinatal HIV testing and reduce transmission, Illinois birthing hospitals had an overall low level of readiness to implement the intrapartum interventions that are an essential part of eradicating pediatric HIV infection. Perinatal reduction protocols and implementation guidelines would improve the overall readiness of Illinois birthing hospitals to prevent perinatal HIV transmission.
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- Ready or Not—Intrapartum Prevention of Perinatal HIV Transmission in Illinois
Maternal and Child Health Journal
Volume 11, Issue 5 , pp 485-493
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- Perinatal HIV prevention
- Birthing hospitals
- Perinatal HIV legislation
- Perinatal HIV testing
- Industry Sectors
- Author Affiliations
- 1. Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- 2. Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- 3. University of Illinois School of Public Health, Community Health Sciences, Maternal and Child Health Division, Chicago, IL, USA
- 4. Cook County Bureau of Health Services, Chicago, IL, USA
- 5. Pediatric AIDS Chicago Prevention Initiative, Chicago, IL, USA
- 6. CORE Center and Departments of Medicine, Stroger (formerly Cook County) Hospital and Rush Medical College, Chicago, IL, USA