- 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.
- 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.
- Retrospective chart review to determine gonorrhea, chlamydia prevalence, screening rates in pregnant, Canadian women.
- Funding: None disclosed.
- Potential uncaptured infections; underestimated screening rate.
- Nongeneralizable to other centers.
- Underpowered to evaluate failure to screen consequences.