Abstract
To the Editor: Perinatal infections have been recognized as the chief cause of HIV disease in children for several years. The Centers for Disease Control in 19851 and the American College of Obstetricians and Gynecologists in 19872 have advocated prenatal HIV testing for women with self-identified risk factors for HIV infection. Subsequent studies have documented the failure of clinicians to elicit from patients the risk factors that can identify many pregnant women infected with HIV.3 , 4 This failure stems in part from women's desire not to disclose risky behavior. Programs that offer HIV testing only to women with acknowledged risk factors . . .