Sexually transmitted diseases in pregnancy
- PMID: 6293753
Sexually transmitted diseases in pregnancy
Abstract
PIP: Numerous sexually transmitted diseases--syphilis, gonococcal infections, group B beta-hemolytic streptococcal infection, chlamydial infections, mycoplasmas, herpes simplex virus, cytomegalovirus infections, hepatitis B viral infections, fungal infection, trichomonas vaginalis, condylomata acuminata, and scabies--are of concern when they occur during pregnancy, either because of their potential adverse effects on the fetus or the chance of a modified reaction in the pregnant woman. This article discusses each of these venereal diseases in turn, providing information on diagnosis, prevention, and treatment. Pregnancy appears to have a benign effect on syphilis in the mother, but the fetus is likely to suffer from abortion, intrauterine death, intrauterine growth retardation, and congenital syphilis, underscoring the need for serologic testing of symptomatic pregnant women and treatment with penicillin. Neisseria gonorrhoea, still a prevalent sexually transmitted disease among women of childbearing age, is of considerable seriousness during pregnancy due to the risk of contamination of the newborn during passage through the birth canal. Infants delivered of women infected with chlamydia may develop a neonatal inclusion conjunctivitis, nasopharygitis, otitis media, or an afebrile pneumonia syndrome.
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