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HIV Screening and False-Positive Results
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To the Editor: In his Commentary, Dr Gostin1 reviewed efforts to reduce the administrative and legislative barriers to human immunodeficiency virus (HIV) testing and increase momentum toward a public health model for HIV testing. The Centers for Disease Control and Prevention (CDC),2 the American College of Obstetricians and Gynecologists,3 and the American Academy of Pediatrics3 endorse universal prenatal screening using opt-out testing as well as rapid screening for women in labor who do not have documented results regardless of risk status or local prevalence.
While the benefits of screening are clear, newly identified persons with HIV may experience "anxiety, depression, social stigmatization, changes in relationships with sexual partners and discrimination."4 There are limited data regarding the potential psychological harms in receiving false-positive results intrapartum, but a woman's perception of her childbirth and her relationship with her newborn, partner, and clinician may be permanently affected.
It is important to consider the . . . [Full Text of this Article]
Debra Guinn, MD
dguinn@whallc.com
Maternal Fetal Medicine
Northwest Perinatal Center
Portland, Ore
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