Case Studies. Revised from the The Francois Xavier Bagnoud Center New York / New Jersey AIDS Education & Training Center and The Center for Continuing and Outreach Education at the University of Medicine and Dentistry of New Jersey.
Revised from the The Francois Xavier Bagnoud Center New York / New Jersey AIDS Education & Training Center and The Center for Continuing and Outreach Education at the University of Medicine and Dentistry of New Jersey.
HIV Infection and Pregnancy: Prevention and Care, Faculty Training Program.
John and Sally, a couple in their early 20s, arrive on labor and delivery, Sally is in early labor with her first baby. They have been married for about 18 months and have been together for 3 years.
She does not have a documented prenatal HIV test. Her nurse asks her about HIV testing during pregnancy, Sally replies that she declined testing because she doesn’t think she needs an HIV test, John is the only man she has been with.
Susan L was seen on L&D for a UTI at 30 weeks gestation, her prenatal records were not available, a rapid HIV test was done on arrival after counseling and consent was obtained by her nurse. The nurse found the test to be positive after 20 minutes.
Counseling about a preliminary positive HIV test
One hour after arrival to L&D, Angela G’s Rapid HIV test comes back positive. She tested negative early in her pregnancy but the test was repeated on admission to L&D because she reported that her husband was “back to using IV drugs”. She is in active labor and needs an epideral.
Joan, G8P3, HIV+ for 3 years, is admitted with ruptured membranes and labor. No prenatal care. Lost 2 children to HIV. Urine + for cocaine, GB strep+ (urine, cervix), other STDs negative. CD4+ 845.