STI in pregnancy

Introduction

Intrauterine or perinatally transmitted STDs can have severely debilitating effects on pregnant women, their partners,and their fetuses. All pregnant women and their sex partners should be asked about STDs, counseled about the possibility of perinatal infections, and provided access to screening and treatment, if needed.

Prevalence of different STI in Pregnancy

• Syphilis- 0.5–1.6%
• Gonorrhoea 2.4–3.3%
• Herpes simplex virus-16.5- 32%
• Chlamydia trachomatis-2-30%
• Bacterial vaginosis-1.7-48.5% 
• Trichomoniasis- 6.8–20.4%
• Candidiasis-19.0%
• Genital warts-5.2 to 65%

Pathogenesis

Effects of Pregnancy in STI

Effects of STI in pregnancy

Diseases Characterized by Genital, Anal, or Perianal Ulcers

• Syphilis
• Genital Herpes
• Lymphogranuloma Venereum
• Chancroid
• Donovanosis

Diseases Characterized by Urethritis and Cervicitis

• Gonorrhoea
• Ophthalmia neonatorum
• Disseminated Gonococcal Infection and Gonococcal Scalp Abscesses 
• Chlamydia

Diseases Characterized by Vaginal Discharge

• Bacterial vaginosis
• Trichomoniasis
• Candidiasis

Disease characterized by growth in genital area

• Genital warts