2023
DOI: 10.1097/aog.0000000000005086
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Universal Repeat Screening for Human Immunodeficiency Virus in the Third Trimester of Pregnancy

Abstract: OBJECTIVE: To assess the cost effectiveness of universal repeat screening for human immunodeficiency virus (HIV) infection in the third trimester of pregnancy. METHODS: A decision-analytic model was constructed to compare two strategies: screening for HIV infection in the first trimester alone compared with the addition of repeat screening in the third trimester. Probabilities, costs, and utilities were derived from the literature and varied in sensitiv… Show more

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Cited by 2 publications
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“…Our findings confirm the benefit of repeat third-trimester HIV testing, which not only reduces the rate of unknown maternal HIV during pregnancy but is also known to be highly costeffective. 19,20 Women diagnosed with HIV during pregnancy also represent a population that may be unaware of their sexual partners' HIV status and personal risks for HIV. 21 To achieve national PMTCT and EHE goals, providers need to actively engage women of reproductive age in sexual health discussions and education during all patient encounters, offer partner HIV testing and pre-exposure prophylaxis.…”
Section: Discussionmentioning
confidence: 99%
“…Our findings confirm the benefit of repeat third-trimester HIV testing, which not only reduces the rate of unknown maternal HIV during pregnancy but is also known to be highly costeffective. 19,20 Women diagnosed with HIV during pregnancy also represent a population that may be unaware of their sexual partners' HIV status and personal risks for HIV. 21 To achieve national PMTCT and EHE goals, providers need to actively engage women of reproductive age in sexual health discussions and education during all patient encounters, offer partner HIV testing and pre-exposure prophylaxis.…”
Section: Discussionmentioning
confidence: 99%