To the Editor.
—Recent studies of childbearing women in New York City indicate seroprevalence rates of human immunodeficiency virus (HIV) antibody (Ab) between 1.64% and 2.35%.1,2 These results provide the first comprehensive look at HIV infection in parturients from a population with a high incidence of acquired immunodeficiency syndrome and raise important questions regarding counseling and HIV-Ab testing programs for pregnant women.3We recently completed a study, approved by the institutional review board, to determine the seroprevalence of HIV-Ab in obstetric patients delivered at an inner-city, tertiary-care hospital in Philadelphia. The Hospital of the University of Pennsylvania is a 700-bed facility that provides medical care for a large minority population. There are 3500 deliveries a year at the hospital, approximately 10% of which are to women who are at risk of HIV infection. Current policy provides for voluntary testing for obstetric patients who identify themselves as being at
Armson BA, Mennuti MT, Talbot GH. HIV Infection in Parturients. JAMA. 1988;259(24):3560-3561. doi:10.1001/jama.1988.03720240022023