Document 0620
 DOCN  M9480620
 TI    HIV testing and prevalence in pregnancy in Edinburgh.
 DT    9410
 AU    Johnstone FD; Brettle RP; Burns SM; Peutherer J; Mok JY; Robertson JR;
       Hamilton B; Tappin DM; Department of Obstetrics and Gynaecology,
       University of; Edinburgh, UK.
 SO    Int J STD AIDS. 1994 Mar-Apr;5(2):101-4. Unique Identifier : AIDSLINE
       MED/94305002
 AB    The objective was to study the changes in pregnancy HIV prevalence with
       time. Data were collected from multiple sources to provide a
       comprehensive record of all HIV seropositive pregnant women identified
       in the Edinburgh area (Scotland) until December 1992. There were 177
       pregnancies in 108 HIV seropositive identified women. Risk factors were
       injection drug use (79% of pregnancies) and a known HIV seropositive
       injection drug-using partner (16%). Prevalence has decreased for
       Edinburgh City women from 0.5% of all pregnancies in 1986 to 0.1% in
       1992; It was higher for induced abortion (0.6%) than for delivery
       (0.2%). HIV testing in pregnancy has declined. Comparison with unlinked
       anonymized testing showed that in 1990-1991, 20/22 seropositive women
       were known. In 1992, only 3 of 10 seropositive pregnancies were
       identified. The cohort initially infected by exposure to a 'drug
       related' risk factor between 1983 and 1985 may have increasingly
       finished childbearing, deliberately decided against pregnancy because of
       HIV status, and declined because of death, illness and emigration from
       the area, There may not have been major early tertiary heterosexual
       spread; however, data from 1992 suggest that this could now be impacting
       on pregnancy prevalence. Local testing policies have not adapted to this
       possible change.
 DE    Abortion, Induced/TRENDS  AIDS Serodiagnosis/*TRENDS  Cohort Studies
       Delivery/TRENDS  Female  Health Policy  Human  HIV
       Seropositivity/DIAGNOSIS/*EPIDEMIOLOGY  *HIV Seroprevalence  *Population
       Surveillance  Pregnancy  Pregnancy Complications,
       Infectious/DIAGNOSIS/*EPIDEMIOLOGY/  ETIOLOGY  Pregnancy Outcome  Risk
       Factors  Scotland/EPIDEMIOLOGY  Sex Behavior  Substance Abuse,
       Intravenous/COMPLICATIONS  Support, Non-U.S. Gov't  Time Factors  Urban
       Population  JOURNAL ARTICLE

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