Article Text

Download PDFPDF
HIV and pregnancy in Bradford – making the protocol work
  1. S Nicholas,
  2. G Chudasama,
  3. V Beckett
  1. Bradford Royal Infirmary, Bradford, UK


Making protocols work – Bradford Royal Infirmary serves a multiethnic population in one of the most deprived areas of the UK. The annual delivery rate exceeds 6000, of which 0.2% are HIV positive. A local pathway, established in 2008, streamlines the care of a condition often shrouded in stigma. A simple title of ‘Goldstar patient’ instantly declares their status without prejudice and constant repetition to health professionals.

Improved maternal outcome – Rapid progress in our unit has banished the compulsory LSCS pre-2008 to allow those with an undetectable viraemia the option of a normal vaginal delivery. 50% of our HIV patients are identified in pregnancy, highlighting the need for a protocol in any unit irrespective of size or location. Women, who often return to countries without safe healthcare systems, can look to a future without the morbidity of major surgery. To date no baby has vertically acquired HIV. Educating the team – With intensive education and a logical protocol, Bradford has transformed its care of HIV in pregnancy. Professionals involved now understand what can be offered and how to access help and care, including ‘out-of-hours’ situations, limiting confusion and error.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.