[lemma=rapid] [lemma=□]
[lemma=rapid] [lemma=hiv]
[lemma=rapid] [lemma=rapid]
The MIRIAD Project should assess ( 1 ) a 24-hour counseling and voluntary rapid HIV testing program among women in labor presenting with unknown HIV status ; ( 2 ) the feasibility of obtaining informed consent during labor ( or , if not feasible , soon after birth ) ; ( 3 ) reasons for lack of prenatal care among these women ; ( 4 ) the rapid implementation and assessment of antiretroviral therapy - - mono therapy or more intensive regimens - - given at labor and delivery or to the neonate ; ( 5 ) adherence to neonatal therapy ; and ( 6 ) subsequent receipt of antiretroviral treatment and other services for women identified as HIV infected . Late-registrant mothers presenting after 36 weeks of pregnancy with unknown HIV status should also be offered rapid HIV testing and antiretroviral therapy during late pregnancy , intrapartum and to the neonate . The availability of rapid HIV tests has resulted in earlier detection of HIV , which helps to reduce the number of infections from blood transfusions , identify individuals who can benefit from treatment more quickly , and prevent transmission of the virus from mothers to infants . Rapid testing for HIV during the peripartum period has the potential to improve clinical outcomes for both women and their infants but the question of how best to provide rapid HIV testing , how to perform urgent confirmatory testing in this setting , and how to best present women with risk / benefit information and treatment options needs systematic research . Results from these studies should facilitate recommendations and provide effectiveness and operational research data on rapid HIV testing and administration of antiretrovirals among late-registrant women presenting in delivery rooms with unknown HIV status .