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Research Letter| Volume 43, ISSUE 4, P780-784, April 2021

A Survey of Practices in the United States Regarding Hepatitis C Screening in Pregnant Women

  • Author Footnotes
    1 Current affiliation: Residency Program, Ob/Gyn Specialists, Mountain Area Health Education Center, Asheville, North Carolina.
    Elizabeth A. Godar
    Footnotes
    1 Current affiliation: Residency Program, Ob/Gyn Specialists, Mountain Area Health Education Center, Asheville, North Carolina.
    Affiliations
    Division of Infectious Diseases, Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill, NC, USA
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  • Author Footnotes
    2 Current affiliation: Division of Pediatric Infectious Diseases, Ann and Robert L. Lurie Children's Hospital of Chicago, and the Department of Pediatrics, Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
    Ravi Jhaveri
    Correspondence
    Address correspondence to: Dr. Ravi Jhaveri, 225 E. Chicago Ave, Box 20, Chicago, IL 60611, USA.
    Footnotes
    2 Current affiliation: Division of Pediatric Infectious Diseases, Ann and Robert L. Lurie Children's Hospital of Chicago, and the Department of Pediatrics, Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
    Affiliations
    Division of Infectious Diseases, Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill, NC, USA
    Search for articles by this author
  • Author Footnotes
    1 Current affiliation: Residency Program, Ob/Gyn Specialists, Mountain Area Health Education Center, Asheville, North Carolina.
    2 Current affiliation: Division of Pediatric Infectious Diseases, Ann and Robert L. Lurie Children's Hospital of Chicago, and the Department of Pediatrics, Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.

      Highlights

      • Practicing Obstetricians use both risk-based and universal screening for Hepatitis C virus.
      • Professional guidance from OB/GYN, public health and infectious diseases societies are important factors is an important factor influencing what strategy they choose.
      • Now that universal screening for Hepatitis C is recommended for all adults, consensus guidelines should be created to endorse universal screening during pregnancy as an important step towards Hepatitis C eradication.

      Abstract

      Purpose

      Hepatitis C virus (HCV) cases have increased in the past decade, with many cases in pregnant patients. However, recommendations for HCV screening during pregnancy vary by professional organization.

      Methods

      Prenatal care providers were surveyed via e-mail about factors affecting choice of HCV screening.

      Findings

      A total of 86 completed surveys were received. Providers using risk-based screening valued guidance from obstetrics and gynecology societies and risk for vertical transmission. Providers using universal screening valued availability of curative treatment in addition to guidance from the Centers for Disease Control and Prevention/infectious diseases societies and obstetrics and gynecology societies.

      Implications

      The results highlight the need for consensus guidelines on HCV screening as a part of prenatal care.

      Key words

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