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Asymptomatic chlamydia during pregnancy.

E Abel1, L von Unwerth

  • 1College of Nursing, University of South Carolina, Columbia 29208.

Research in Nursing & Health
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

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Chlamydia is significantly more common than gonorrhea in low-income pregnant women. Current selective screening misses many chlamydia cases, highlighting the need for improved detection and treatment programs.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Public Health

Background:

  • Sexually transmitted infections (STIs) pose risks during pregnancy.
  • Chlamydia trachomatis and Neisseria gonorrhoeae are common STIs.
  • Screening protocols aim to detect and treat STIs to prevent complications.

Purpose of the Study:

  • To determine the incidence of chlamydia and gonorrhea in low-income pregnant women.
  • To evaluate the effectiveness of current selective screening practices for these infections.
  • To advocate for enhanced screening and intervention strategies.

Main Methods:

  • Data collected by certified nurse midwives during routine antepartum visits.
  • Screening for chlamydia and gonorrhea in a cohort of 111 low-income women.

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  • Statistical analysis to compare infection rates and assess screening gaps.

    • Main Results:

    • Chlamydia incidence was 22.5% (n=25), significantly higher than gonorrhea at 1.8% (n=2) (Z=4.7, p<0.01).
    • Selective screening practices would have missed 19 of 25 chlamydia-positive women.
    • A substantial gap exists between actual and potential detection rates.

    Conclusions:

    • Chlamydia is highly prevalent in this low-income pregnant population.
    • Current selective screening is inadequate for detecting chlamydia.
    • Early detection, treatment, and education are crucial to mitigate adverse outcomes for mother and child.