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31 sty 2024 · People who have not been tested for HIV during pregnancy or labor should be offered expedited testing during the immediate postpartum period. Postpartum HIV testing should be done using the antigen/antibody immunoassay to screen for established and acute HIV; results should be obtained in <1 hour.
Facilities should use a U.S. Food and Drug Administration-approved HIV screening test, with results available preferably within 1 hour and no longer than 12 hours; the most sensitive screening test available should be used to allow for detection of early or acute HIV.
Normal delivery should be offered to women with a plasma viral load of <50 HIV RNA copies/mL at 36 weeks, and in the absence of obstetric contraindications. Planned vaginal delivery should be supported, but if the viral load is ≥400 HIV RNA copies/mL at 36 weeks, a planned Caesarean section should be offered [5].
1 maj 2023 · The window period is time between HIV infection and the point when a test will give an accurate result for a certain percentage of samples. Different types of tests have different window periods. 4th generation antibody/antigen (Ab/Ag) tests: 45 days to detect 99% of samples.
Table 6.2 Recommended time points for HIV testing for pregnant and postpartum women. From: Chapter 6, Guidance for HIV testing services among priority populations. © World Health Organization 2024. Sales, rights and licensing. To purchase WHO publications, see https://www.who.int/publications/book-orders.
HIV-Related Laboratory Monitoring Schedule for Pregnant People With HIV. This table provides concensus opinion and recommendations regading drug interactions between Antiretroviral Agents and Hormonal Contraceptives with clinical comments.
31 sty 2024 · This section addresses HIV testing in pregnancy, during labor and delivery, and postpartum. The section also addresses HIV testing to identify HIV perinatal and postnatal exposure in infants. For guidance on diagnosis of HIV in infants and children, see Diagnosis of HIV in Infants and Children.
