gynecology and obstetrics
Risk Factors for Complications During Pregnancy
Sexually Transmitted Infections (STIs)
(See also Overview of Sexually Transmitted Infections and Screening for sexually transmitted infections should be done during pregnancy to make treatment possible and to prevent adverse effects of intrauterine or perinatal transmitted infections to the fetus or neonate. Routine prenatal care includes screening tests for HIV infection, hepatitis B, and syphilis and, if < 25 years, for chlamydial infection and gonorrhea at the first prenatal visit. Syphilis testing is repeated during pregnancy and at delivery if risk continues ( STIs reference ). Pregnant women who have any of these infections are treated with antimicrobials. Congenital Syphilis in utero can cause fetal death, congenital malformations, and severe disability. Without treatment, risk of Transmission from woman to offspring is about 30% prepartum and about 25% intrapartum. Antiretroviral treatment of the pregnant woman before and during pregnancy and of the neonate within 6 to 12 hours of birth During pregnancy, hepatitis, bacterial vaginosis, gonorrhea, and genital chlamydial infection increase risk of Preterm Labor and Treatment of bacterial vaginosis, gonorrhea, or chlamydial infection may prolong the interval from rupture of the membranes to delivery and may improve fetal outcome by decreasing fetal inflammation. 1.Workowski KA. , Laura H. Bachmann LH, Chan PA: Sexually transmitted infections treatment guidelines, 2021.MMWR Recomm Rep70 (4):1–187, 2021. doi: http://dx.doi.org/10.15585/mmwr.rr7004a1external icon 