Rapid HIV Tests for Women Late in Pregnancy and During Labor

Study Overview
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Brief Summary
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This study will look at how well the OraQuick HIV 1/2 Antibody rapid test works and how women accept being tested for HIV late in pregnancy and during labor. For women with positive test results, the study will look at whether or not these women accept anti-HIV drugs and which drugs they receive.

Detailed Description
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A simple HIV test design and easily interpretable, fast results are logistical advantages in clinical settings such as the labor and delivery unit. A fast test result means that a woman can make important choices about her and her baby's medical care before she delivers her baby. If a woman finds out she has HIV, she can decide to take antiretroviral drugs before delivery to decrease the risk of passing HIV to her baby. These advantages are also important for women with little or no prenatal care who present for care late in pregnancy, but may not be inclined to return for a standard test result or adhere to subsequent prenatal visits. Eligible women who elect to participate in this study will be enrolled in either the Late Presenter Group (women who are not in active labor, and for whom delivery is not imminent) or the Peripartum Group (women who are in active labor with anticipation of delivery within 24 hours). Step I for all women will include rapid HIV testing with OraQuick HIV 1/2 and standard testing with enzyme-linked immunosorbant assay (EIA) or Western blot. Women with a positive HIV test and their infants will be offered preventative antiretroviral therapy and enrollment into Step II. Step II will include clinical evaluations, laboratory evaluations, and an adherence assessment for the women and their infants. Women in the Late Presenter Group who participate in Step II will have one prenatal visit, a visit at labor and delivery, and three postpartum visits. Women in the Peripartum Group who participate in Step II will have three postpartum visits. All infants in Step II will have five study visits through 24 weeks of age. All antiretroviral drugs will be obtained by prescription and will not be provided through this study.

Official Title
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Mother-Infant Rapid Intervention at Delivery (MIRIAD)

Conditions
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HIV Infections

Participation Criteria
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Eligibility Criteria
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INCLUSION CRITERIA Late Presenter Group: Unknown HIV serostatus >= 34 weeks gestation Peripartum Group: Unknown HIV serostatus >= 24 weeks gestation In active labor or delivery expected within 24 hours Infants: Maternal Step I enrollment Positive maternal OraQuick and/or EIA/Western blot result EXCLUSION CRITERIA Late Presenter Group: Previous or current antiretroviral therapy for treatment of HIV infection In active labor Evidence of ruptured membranes Peripartum Group: Previous or current antiretroviral therapy for treatment of HIV infection

Ages Eligible for Study
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Minimum Age: 13 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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AIDS Serodiagnosis, Pregnancy Complications, Infectious, Anti-HIV Agents, Disease Transmission, Vertical