TY  - CHAP
M1  - Book, Section
TI  - Syphilis, Gonorrhea, & Chlamydia Trachomatis Infection in Pregnancy
A1  - Rogers, Vanessa L.
A1  - Roberts, Scott W.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
PY  - 2022
T2  - Current Medical Diagnosis & Treatment 2022
AB  - These  STDs  have  significant  consequences  for  mother  and  child  (see  also  Chapters  33  and  34).  Untreated  syphilis  in  pregnancy  can  cause  late  abortion,  stillbirth,  transplacental  infection,  and  congenital  syphilis.  Gonorrhea  can  produce  large-joint  arthritis  by  hematogenous  spread  as  well  as  ophthalmia  neonatorum.  Maternal  chlamydial  infections  are  largely  asymptomatic  but  are  manifested  in  the  newborn  by  inclusion  conjunctivitis  and,  at  age  2–4  months,  by  pneumonia.  The  diagnosis  of  each  can  be  reliably  made  by  appropriate  laboratory  tests.  All  women  should  be  tested  for  syphilis  and  C  trachomatis  as  part  of  their  routine  prenatal  care.  Repeat  testing  is  dependent  on  risk  factors,  prevalence,  and  state  laws.  A  pregnant  patient  treated  for  C  trachomatis  should  have  a  test  of  cure  3–4  weeks  later  and  then  3  months  after  that  because  of  high  reinfection  rates.  Women  at  risk  should  be  tested  for  gonorrhea.  The  sexual  partners  of  women  with  STDs  should  be  identified  and  treated  also  if  possible;  the  local  health  department  can  assist  with  this  process.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/25
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1184182329
ER  -