Section 699.200   HIV Counseling and Testing in Labor and Delivery

a)         A health care facility providing medical care for labor or delivery services to a pregnant woman and her newborn infant shall develop and follow written policies

and procedures concerning the delegation of  the responsibilities for carrying out the counseling and testing requirements of Subparts C and D of this Part. These policies and procedures shall be provided to the Department upon request. Delegation of responsibilities shall be in accordance with other personnel policies of the facility and the Act.

b)         Every health care professional or facility that cares for a pregnant woman during labor or delivery shall provide the woman with HIV counseling and offer rapid HIV testing, in accordance with Section 699.100(c) and (d) of this Part, if HIV test results are not already documented in the woman's medical record.  HIV testing shall be provided with the woman's written informed consent in accordance with Section 699.100(e) of this Part.  (Section 10 of the Act)

c)         No counseling or offer of testing is required if the woman's HIV status during the current pregnancy is already provided in her medical record. (Section 10 of the Act)

d)         The counseling and offer of testing shall be documented in the woman's labor and delivery medical record.  Any testing or test results shall be conducted in accordance with the AIDS Confidentiality Act and the HIV/AIDS Confidentiality and Testing Code and shall be documented in accordance with the AIDS Confidentiality Act and the HIV/AIDS Confidentiality and Testing Code in the woman's medical record. (Section 10 of the Act)

e)         In addition to the counseling information required in Section 699.100(d) of this Part, when disclosing a positive result of a rapid HIV test to a pregnant woman, health care professionals shall provide the woman with post-delivery follow-up referrals to physicians or facilities with experience in providing services to women with HIV.