One Test. Two Lives.
The One Test. Two Lives. campaign from the Centers for Disease Control and Prevention (CDC) focuses on ensuring that all women are tested for HIV early in their pregnancy and provides obstetric providers new tools to help ensure all patients get tested for HIV early in their pregnancy.
One Test. Two Lives. provides quick access to a variety of resources for providers, and materials for their patients, to help encourage universal voluntary prenatal testing for HIV.
Perinatal transmission accounts for 91% of all AIDS cases among children in the United States. Antiretroviral therapy during pregnancy can reduce the transmission rate to 2% or less. The transmission rate is 25% without treatment.
The mission of the One Test. Two Lives. campaign is to help prevent transmission of HIV from mother to child and promote optimal maternal health.
Locate an HIV Test Site Near You
Steve Nesheim, MD work on "Eliminating Mother-to-Child Transmission"
During the two-plus decades that pediatrician and epidemiologist Steven R. Nesheim, MD, has worked to lower the incidence of mother-to-child transmission of HIV, progress has often occurred at a fast pace. But as elimination of perinatal HIV transmission comes closer into view, progress is likely to shift to a slower, steadier pace.
American College of Obstetricians and Gynecologists (ACOG)
- ACOG Committee Opinion No. 234: Scheduled Cesarean Deliver and the Prevention of Vertical Transmission of HIV Infection (May 2000)
- ACOG Committee Opinion No. 418, Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations (Sept 2008)
The following documents relevant to HIV testing in pregnancy are available for download from CDC:
- MMWR: Revised Recommendations for HIV Screening of Pregnant Women
- Fact Sheet: Routine Prenatal Testing: The Opt-Out Approach Q&A
- Guidance Document: Rapid HIV Antibody Testing During Labor and Delivery for Women of Unknown HIV Status: A Practical Guide and Model Protocol
Several committee opinions/statements are also available for download, including:
- Recommendation Statement: Screening for HIV from the U.S. Preventive Services Task Force
- ACNM Position Statement on Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS)
You can also access a wealth of information on perinatal HIV transmission including information on testing, treatment, and referrals. Click here to download One Test. Two Lives. materials for you and your patients.
For Additional Information, Contact:
CDC National Prevention Information Network (NPIN)
Obstetrical Professional Associations:
The American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) also recommend routine HIV testing in pregnancy. Contact information for each of these organizations is below.
American College of Obstetricians and Gynecologists
American College of Nurse-Midwives