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• W2479035323 abstract "Abstract Since testing for HIV became possible in 1985, the testing of pregnant women has been primarily voluntary, “opt-in,” but there have been repeated predictions that with the development of more reliable testing and more effective therapy, testing should become routine with “opt-out” provisions, or even mandatory. This chapter asks—in the light of new technologies for rapid testing such as OraQuick and the capacity to reduce maternal/fetal transmission rates to less than 2%—whether that time is now. Illustrating the argument with cases from the United States, Kenya, Peru, and an undocumented Mexican worker in the United States, this chapter shows that when testing is accompanied by assured multi-drug continuing treatment for HIV for the mother, the argument for mandatory testing of pregnant women is strong, but that it is problematic where testing is accompanied by adverse events such as spousal abuse, or by inadequate intrapartum or followup treatment—the latter a circumstance common where aggressive AIDS testing programs are being introduced in many areas of the world. The difference is not a “double standard,” but reflects the presence of conflicts between the health interests of the mother and the fetus—conflicts that would be abrogated by the assurance of therapy. In light of these conflicts where they still occur, as in much of the world, careful processes of informed consent are appropriate, rather than mandatory or “opt-out” testing." @default.
• W2479035323 created "2016-08-23" @default.
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• W2479035323 date "2009-01-08" @default.
• W2479035323 modified "2023-09-26" @default.
• W2479035323 title "Should Rapid Tests for Hiv Infection Now Be Mandatory During Pregnancy or In Labor?" @default.
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