Document 2419 DOCN M94A2419 TI Ante & post natal HIV screening in Bombay-India. DT 9412 AU Merchant RH; Gilada IS; Mahajan RP; Agarwal JG; Mehta AC; Wadia Maternity Hospital, Parel, Bombay. SO Int Conf AIDS. 1994 Aug 7-12;10(1):309 (abstract no. PC0165). Unique Identifier : AIDSLINE ICA10/94370156 AB OBJECTIVE: To determine incidence of HIV antibodies in the antenatal population in a large urban city in India and clinically & serologically evaluate infants born to those women who tested HIV positive. METHODS: Over a 13 month period ending 1994 January, 13,977 pregnant women were screened for the presence of HIV antibodies at the Wadia Maternity Hospital, Bombay, India. Blood was tested by Rapid Elavia mixt screening test for HIV1 and HIV2 antibodies (Sanofi Diagnostics Pasteur-France & Genetic Systems Corp USA) by ELISA technique. Infants born to HIV positive mothers are being clinically assessed at the 3 monthly intervals and will be tested at 6, 12 & 18 months for the presence of HIV antibodies. RESULTS: 97 women (.69%) tested positive at the first visit, while only 58 came for follow up serotesting, of which 43 have delivered to date. All cord blood samples tested (n = 40) were positive for HIV antibodies. 52 sexual partners of these 58 women were available for testing and 51 tested seropositive. 4 of these 58 women tested serologically positive for syphilis, while only one was a commercial sex worker. Of 43 who delivered, 39 were live born with mean birth weight of 2500 gm and mean gestation of 38.2 weeks. No infant had congenital malformation. CONCLUSION: To date no infant followed up clinically upto 6 months post delivery has exhibited clinical evidences to suggest active HIV infection. All 12 infants serotested so far at 6 months age have tested positive for HIV antibodies. Given the large number of deliveries in India (20-22 million per annum), and a prevalence rate of approximately 0.7% in the urban population, this disorder poses a major problem in the future. DE *AIDS Serodiagnosis Female Human HIV Infections/DIAGNOSIS/TRANSMISSION *HIV Seropositivity Infant, Newborn *Neonatal Screening Pregnancy Pregnancy Complications, Infectious/*DIAGNOSIS MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).