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Am J Obstet Gynecol. 2012 Feb;206(2):158.e1-158.e11. doi: 10.1016/j.ajog.2011.08.027. Epub 2011 Sep 8.

Prevention of mother-to-child transmission of infections during pregnancy: implementation of recommended interventions, United States, 2003-2004.

Author information

1
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA. ekoumans@cdc.gov

Abstract

OBJECTIVE:

The objective of the study was to describe prenatal screening, positive test rates, and the administration of indicated interventions for hepatitis B, rubella, syphilis, group B streptococcus (GBS), chlamydia, and gonorrhea in the United States using 2 population-based surveys.

STUDY DESIGN:

Both surveys abstracted demographic, prenatal, and delivery data from a representative sample of delivering women in 10 states. Analyses accounted for the complex sampling design.

RESULTS:

Among the 7691 and 19,791 women in the 2 studies, screened proportions before delivery were more than 90% for hepatitis B and rubella, 80% for syphilis, 72-85% for GBS, and less than 80% for chlamydia and gonorrhea. Inadequate prenatal care was the strongest factor associated with no screening. Administration of interventions indicated by positive test results was variable but generally low.

CONCLUSION:

Improved prenatal screening and administration of indicated treatments or interventions, particularly for syphilis, GBS, chlamydia, and gonorrhea, will further protect newborns from infection.

PMID:
22030318
PMCID:
PMC4707941
DOI:
10.1016/j.ajog.2011.08.027
[Indexed for MEDLINE]
Free PMC Article
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