Management of genital infections in pregnant women.
OBJECTIVE
To examine and evaluate ways of managing genital infections in pregnant women.


RESULTS
The need to screen for sexually transmitted diseases during pregnancy depends on the prevalence of the condition, its pathogenesis and the cost-benefit analysis for a population or risk group. For a few genital infections with severe impact on the outcome of the pregnancy, such as syphilis and gonorrhoea, a 'screen and treat' policy is almost always cost-effective.


CONCLUSIONS
Genital infections often remain unnoticed during pregnancy, as their signs and symptoms may be seen as part of the normal discomfort of pregnancy. Also it is sometimes not clear whether there are multiple partners or whether the partners have been treated, making re-infection after treatment highly likely. Partner tracing may be difficult, but the 'screen and treat' policy is usually the best solution.
Donders
Gilbert G G
GG
Department of Obstetrics and Gynecology, General Hospital Heilig Hart Tienen, and Gasthuisberg University Hospital, Katholieke Universiteit Leuven, Tienen, Belgium. Gilbert.donders@femicare.net
D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008403:Mass Screening; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000188:drug therapy*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000188:drug therapy*