Abstract
A retrospective study was conducted at our institution of all patients who delivered
between May 2016 and April 2017. A change of practice had been instituted, which involved
obstetricians testing for Neisseria gonorrhoeae and Chlamydia trachomatis universally in the first and third trimesters. Medical records were reviewed for
N. gonorrhoeae and C. trachomatis results and for risk factors traditionally associated with sexually transmitted infections
(STIs). A substantial proportion of patients (10.7%) had not undergone screening during
pregnancy. We also identified third-trimester cases of infection in asymptomatic patients
who had no traditional risk factors STI acquisition, which raised the question of
optimal timing for STI screening during pregnancy.
Résumé
Une étude rétrospective a été menée dans notre établissement auprès de toutes les
patientes ayant accouché entre mai 2016 et avril 2017. Un changement de pratique a
été instauré, lequel impliquait pour les obstétriciens d’effectuer un dépistage systématique
de Neisseria gonorrhoeae et de Chlamydia trachomatis aux premier et troisième trimestres. Les dossiers médicaux ont été examinés pour
recenser les résultats de dépistage de N. gonorrhoeae et de C. trachomatis et repérer les facteurs de risque traditionnellement associés aux infections transmissibles
sexuellement (ITS). Une importante proportion de patientes (10,7 %) n’avaient pas
subi de dépistage pendant la grossesse. Nous avons également noté des cas d’infection
au troisième trimestre chez des patientes asymptomatiques n’ayant pas les facteurs
de risque classiques pour contracter une ITS, ce qui a soulevé la question du moment
optimal pour le dépistage des ITS pendant la grossesse.
Keywords
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Article info
Publication history
Published online: May 19, 2022
Accepted:
April 27,
2022
Received:
January 12,
2022
Footnotes
Disclosures: The authors declare they have nothing to disclose.
All authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
