Management of Sexually Transmitted Diseases during Pregnancy.
10.5124/jkma.2008.51.10.897
- Author:
Joong Shin PARK
1
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Korea. jsparkmd@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Sexually transmitted disease;
Pregnancy;
Screening test;
Management
- MeSH:
Antiretroviral Therapy, Highly Active;
Centers for Disease Control and Prevention (U.S.);
Chlamydia;
Condylomata Acuminata;
Female;
Fetus;
Gonorrhea;
Hepatitis B;
Hepatitis C;
HIV;
HIV Infections;
Humans;
Infant, Newborn;
Laryngeal Neoplasms;
Mass Screening;
Papilloma;
Penicillins;
Pregnancy;
Pregnant Women;
Prevalence;
Sexually Transmitted Diseases;
Syphilis;
Trichomonas;
Viruses
- From:Journal of the Korean Medical Association
2008;51(10):897-904
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sexually transmitted diseases (STDs) are not rare during pregnancy; however, they are usually asymptomatic and may be unrecognized. STDs in pregnancy can cause serious complications to both pregnant women and fetuses. Screening tests are recommended, because the treatment of these diseases can be curative in most cases, or at least effective in reducing complications. In this point of view, the Centers for Disease Control and Prevention recommends screening of all pregnant women for several STDs including human immunodeficiency virus (HIV) infection, hepatitis B, and syphilis, and screening selectively in high risk women for gonorrhea and hepatitis C. To reduce vertical transmissions, highly active antiretroviral therapy and timed Cesarean delivery is recommended in HIV-infected pregnant women. Penicillin is still a drug of choice for syphilis in pregnancy. In women who have active genital herpetic lesions at the time of labor, Cesarean delivery is indicated to protect neonates from perinatal transmissions. However, in women who have genital warts with human papilloma virus infection, Cesarean delivery is not recommended to prevent neonatal laryngeal papillomatosis. In women infected with gonorrhea, Chlamydia or Trichomonas, tests for HIV infection are recommended because of high prevalence of concomitant infections.
