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Related Experiment Videos

Initial and repeated screening for gonorrhea during pregnancy.

Joseph M Miller1, Robert T Maupin, Renee E Mestad

  • 1Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. jmille@lsuhsc.edu

Sexually Transmitted Diseases
|September 16, 2003
PubMed
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Late pregnancy rescreening for gonorrhea is recommended for high-risk individuals. A second test at 34 weeks identified 2.5% of women who were initially negative, supporting its value.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Public Health

Background:

  • Late pregnancy screening for gonorrhea is recommended for at-risk populations.
  • Limited data exist to support the efficacy of late pregnancy rescreening for gonorrhea.
  • This study addresses the lack of evidence regarding the value of repeat gonorrhea testing in late pregnancy.

Purpose of the Study:

  • To evaluate the clinical utility of a late-pregnancy gonorrhea screening test.
  • To determine the yield of a second gonorrhea test in pregnant individuals with a negative initial prenatal screen.
  • To assess the impact of repeat screening on identifying infections missed in early prenatal care.

Main Methods:

  • Retrospective review of clinic records over a 29-month period.

Related Experiment Videos

  • Utilized DNA direct assay for gonorrhea detection.
  • Included patients screened initially and at 34 weeks gestation.

    • Main Results:

    • 38 out of 751 women (5.1%) tested positive for gonorrhea on initial screening.
    • 19 women (2.5%) tested positive only on the second screening at 34 weeks.
    • One patient had positive results on both initial and late-pregnancy screenings.

    Conclusions:

    • Repeating gonorrhea screening at 34 weeks gestation is clinically warranted in high-prevalence populations.
    • Late-pregnancy screening identifies a significant number of infections not detected in early prenatal care.
    • This supports current recommendations for targeted rescreening in pregnant individuals.