HIV Testing During Pregnancy: Why and When It Is Done

Raise the question at the first visit

Tell your antenatal team about previous HIV tests, any later exposures and medicines you take. CDC recommends HIV screening in every pregnancy. In Malaysia, follow the screening and repeat-testing plan given by your maternity team rather than using an overseas schedule as your personal plan.

Ask whether another test is needed

Repeat testing may be appropriate when exposure continues or other circumstances change. A previous negative report should be dated and interpreted alongside the current pregnancy and exposure history. Ask which test will be used and when its result will be explained.

Do not delay after a reactive result

Inform the antenatal team promptly about a reactive screening result so they can coordinate assessment, confirmation and care. A home kit should not replace antenatal screening or delay attendance. The team can also advise on birth planning and infant feeding according to the circumstances.

Remember other antenatal screening

Ask which infections are included in your blood tests and whether additional STI screening is appropriate. Bring reports from different clinics together so important information is not missed. A written list of tests and follow-up appointments can make care easier to coordinate.

Common questions

Can someone with HIV have a healthy baby?

Effective care can greatly reduce transmission risk. Discuss treatment and pregnancy planning with the specialist and antenatal teams.

Should I stop HIV or prevention medicine if pregnant?

Do not change prescribed medicines yourself. Tell the clinician promptly so they can review the plan.