Changes in the State's Newborn HIV Screening Program - Starting August 1, 1999
Dear Prenatal Care Provider:
This letter announces important new changes in the State's newborn HIV screening program. Starting August 1, 1999, hospital maternity staff are required to approach all women in labor who do not have an HIV test result from prenatal care and offer them expedited HIV testing with preliminary results available as soon as possible, but no later than 48 hours. This mirrors the existing requirements for hepatitis B surface antigen testing.
This new program of HIV testing in the delivery setting is intended to achieve the goal of universal prenatal HIV counseling and testing, which is the standard of prenatal care in New York. In 1997-98, 53% of women delivering in New York were reported to have been HIV tested during that pregnancy. The proportion of HIV positive women delivering is higher, about 82% were reported to have been tested for HIV during that pregnancy or previously; those women tested previously may have correctly known their HIV status. However, as many as 200 HIV positive women delivering still may not have known their HIV status, an unacceptable missed opportunity to prevent mother-to-infant
HIV transmission. Recent data showing that initiating
Achieving HIV testing of all women in prenatal care is vital. It can begin by providing all new prenatal patients
with a standard brochure on HIV and pregnancy, for example, the enclosed handout "
Key Messages for Pregnant Women About HIV" is available free from the Health Department.
HIV test results should be forwarded to the delivery hospital when other relevant medical information is sent. You
can use the same procedures as for the transfer of other prenatal medical records; a special HIV release is not
required for disclosure to medical providers when necessary for care. A list of available training courses and
materials for prenatal counseling and testing are available by calling 518-474-9866. The tools to prevent transmission of HIV from mother to child are at hand. The most important step is to achieve
universal HIV counseling and testing of women during prenatal care. We urge you to incorporate this standard of
medical care into your practice now, if you have not already done so. Sincerely, Antonia C. Novello, M.D., M.P.H. Louis Z. Cooper, M.D. John W. Choate, M.D. Steven B. Tamarin, M.D. John A. Ostuni, M.D. References:
Commissioner
New York State Health Department
Chairperson
American Academy of Pediatrics,
District II New York State
Chair
American College of Obstetricians
Gynecologists, District II
President
New York State Academy of Family Physicians
President
Medical Society of the State of New York