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Does uptake of antenatal HIV testing depend on the individual midwife? Cross sectional study

^a Department of Sexual Health, King's Healthcare, London SE5 9RS, ^b Academic Unit, Department of Genitourinary Medicine, King's College School of Medicine and Dentistry, London SE5 9RS, ^c Department of Women's Health, King's Healthcare, London SE5 9RS

Correspondence to: Dr Welch

	Introduction

The risk of vertical transmission of HIV infection can be reduced by at least two thirds with perinatal interventions, including antiretroviral treatment and abstention from breastfeeding.¹ The Department of Health recommends offering HIV testing to all pregnant women in areas of high seroprevalence,² but uptake and detection rates remain low, with wide variation between centres.³ In 1994-5 only 16% (65/401) of pregnant women infected with HIV in London and south east England were recognised before the birth.⁴ As uptake varies with factors such as the ethnic group of the midwife,⁵ we examined the effect of the midwives' characteristics and site and duration of pretest discussion on uptake of testing in an area of high seroprevalence.⁴

	Subjects and methods

An antenatal HIV testing . . . [Full text of this article]

	Results

	Comment

	Acknowledgements

	Notes

	References

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