       Document 0209
 DOCN  M95B0209
 TI    Antenatal testing for HIV antibody: problems of documentation and
       record.
 DT    9511
 AU    Dalzell F; Farkas AG; Hawken J; Hudson CN; Department of Obstetrics and
       Gynaecology, St Bartholomew's; Hospital (Homerton), London, UK.
 SO    AIDS Care. 1995;7(2):129-33. Unique Identifier : AIDSLINE MED/95345142
 AB    The objective of this study was to audit an ante-natal HIV screening
       programme by observing the congruence of documentation of consent
       between case notes and request forms; correlation of testing with prior
       agreement to be tested; and recording documentation that the test had
       been offered but declined in women who were not tested. The design was
       one of retrospective case note review of 538 women drawn from an inner
       city teaching hospital. There was documentation of invitation to undergo
       HIV testing in 415 (77%) cases. Test documentation was absent in 123
       (23%) cases which represent 37% of those for whom a test was not
       performed. HIV testing was performed in 205 (38%) cases. There was
       discrepancy between documentation of consent to testing on the
       laboratory request form and in the notes. Some blood specimens of women
       agreeing to be tested were apparently never received in the laboratory.
       Incomplete documentation and a low test uptake suggests a low
       acceptance. However, without adequate documentation it cannot be
       determined in those not tested whether the test was declined or whether
       the invitation was either never extended, or not implemented after
       acceptance. Audit of implementation and staff compliance should be
       established at the outset of any universal testing programme.
 DE    Female  Human  HIV Antibodies/*BLOOD  HIV Seropositivity/*IMMUNOLOGY
       *Informed Consent  Mass Screening  Medical Audit  *Medical Records
       Patient Acceptance of Health Care  Pregnancy  Pregnancy Complications,
       Infectious/*IMMUNOLOGY  *Prenatal Care  Retrospective Studies  Support,
       Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

