in the maternity record is still not sufficient. ... From 2007 it could be documented in the mother passport that advice on the HIV test was given. From 2015, the entry in the maternity record was supplemented by the option: "HIV test carried out yes / no". The test result is still missing in the maternity record. There is also no documentation in the maternity record regarding the HIV viral load, which is decisive for the mode of delivery. This situation leads to chaos and cost increases in the delivery room. The midwives, who are already at the limit due to personnel savings, are burdened here with acutely researching missing data. HIV viral load determinations that are hastily brought about and are associated with additional costs usually only come into effect when the children have long been born. Since we have recorded significant increase in inquiries from the delivery rooms on this problem via our hotline since 2015 in the course of migration, there is an urgent need for action.
The possibility of documentation in the maternity card must be essential from an infectiological point of view in 2018/2019 Be more extensive than is currently the case with the listed infections rubella, syphilis, chlamydia, hepatitis and HIV. Today's mother passports are cluttered with laboratory stickers of different clarifications. ... The GBA is asked to implement adequate documentation in the maternity record.
Dr. med. Matthias Beichert , 68165 Mannheim
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