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20.1

HIV, syphilis and hepatitis B status ascertainment at maternity

Clinical HIV Guidelines, 5th Edition, 2022. Chapter 20, Management of labour and delivery.

Clinical description

maternity

  • Review HIV testing page in health passport on admission.
  • Provide new HIV test for all women, who are:

o Not already known to be HIV positive o Never tested or tested negative any time in the past, even if this result is from the last trimester. Maternal seroconversion during pregnancy is associated with high MTCT risk, so immediate HIV diagnosis and ART initiation are critical.

  • Provide syphilis and hepatitis B tests for women who were not tested during pregnancy.

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