Pregnancy: 15% of women not screened for chlamydia, gonorrhea

  • Vainder M & al.
  • J Obstet Gynaecol Can
  • 2 Apr 2019

  • International Clinical Digest
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Takeaway

  • Despite prenatal care recommendations, screening for gonorrhea, chlamydia does not appear to be universal among pregnant women and may vary between provider groups.

Why this matters

  • As per CDC guidelines, screen high-risk pregnant women for chlamydia, gonorrhea.
  • Ensure familiarity with prenatal screening timelines.

Key results

  • 1220/1314 women included.
  • 15.3% (186) were not tested for gonorrhea, chlamydia during pregnancy.
  • No common patient characteristics appeared to drive screen likelihood.
  • Midwives, family practitioners screened 93.8%, 91.4% of the time, respectively; general obstetricians 88.5% vs maternal-fetal medicine specialists (64.8%; P<.001>
  • Chlamydia was detected in 1.1% (11/1036) of screened women; no cases of gonorrhea were found. 

Study design

  • Retrospective chart review to determine gonorrhea, chlamydia prevalence, screening rates in pregnant, Canadian women.
  • Funding: None disclosed.

Limitations

  • Potential uncaptured infections; underestimated screening rate.
  • Nongeneralizable to other centers.
  • Underpowered to evaluate failure to screen consequences.