Prenatal And Routine Postnatal Hiv Screening - 1820 Words

I. Introduction Human Immunodeficiency Virus (HIV) diagnoses are increasing among women in the United States; as a result there is an increase in newborns born with HIV via vertical transmission, accounting for nearly all pediatric AIDS cases in the US. Between 1999 and 2000, about 370 HIV infected infants were born, 40% of which were born to mothers who were unaware of their HIV status before delivery. Without antiretroviral therapy or other forms of intervention, 25% of infected pregnant women will transmit the virus to their child during pregnancy, labor or delivery, or after delivery. In recent years, systematic reviews and peer reviewed studies have suggested that mandatory screening for HIV in pregnant women is a cost-effective†¦show more content†¦The study found that with the prenatal screening program, requiring pregnant women be screened for HIV, more women would be tested (about 1.1 million), identifying 527 HIV infected pregnant women and prevent 150 mother-infan t transmission of HIV annually. This program would increase life years by 3,311 among newborns and cost an estimated $8,900 per life year gained, or $195,700 per case of HIV avoided. The new born screening program, requiring all newborn infants be screened, would result in 3.9 million infants tested annually and would prevent 266 cases of newborn HIV infection. This method would identify 1,061 HIV infected women who gave birth and increase life years by 5,878. The annual cost of the program is an estimated $40.9 million, or $7,000 per life year gained, and $153,000 per prevented HIV cases. The benefits of the newborn screening program decrease if pregnant women agree to participate in the prenatal program; however, it is argued that newborn screening is a non-consensual method of screening pregnant women (Zaric, G., Bayoumi, A., Brandeau, M., Owens, D. 2000). Similar to Zaric’s study, Josephine A. Mauskopf conducted a study on the impact of HIV treatment in pregnant women an d their newborns. Cost was defined and estimated as Zaric defined cost and the conclusions were