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The benefits of testing pregnant women for HIV are clear, but uptake of
testing in Britain remains low. In Edinburgh, Simpson et al (p 1660)
assessed the inclusion of HIV testing as one of the routine blood tests
at time of booking, with an easy mechanism for refusal. Of the 924 pregnant women invited to take part, 88% agreed to be tested; those
who declined did not seem to do so because of high risk status. A
questionnaire completed by 99% of all the pregnant women suggested
that 88% favoured routine testing for HIV. Compared with participants
in an opt-in study conducted previously, the women were less
anxious and more knowledgeable about prevention of HIV transmission.