Abstract
The purpose of this article is to review the current knowledge, and recommendations for screening infectious diseases during pregnancy to improve maternal, fetal and newborn health. We examined studies and public health policies published in English language to identify which tests and in which situations recommendations are being made. Universal prenatal screening with at least one test for syphilis, human immunodeficiency virus, and asymptomatic bacteriuria is largely recommended. Approaches for maternal screening for preventing perinatal transmission of the Hepatitis B virus are not uniform and early vaccination of newborns irrespective of maternal screening is frequently adopted in resourcelimited countries. Screening for maternal Hepatitis C infection can be considered for high-risk women. Routine screening for Cytomegalovirus is not usually recommended by public health authorities but is being debated among experts. Universal screening for Group B Streptococcus at 35-37 weeks gestation is the preferred approach for preventing neonatal disease. Selective early gestation Chlamydia trachomatis and Neisseria gonorrhea screening of pregnant women based on risk factors is performed in developed countries. Although prenatal testing for Toxoplasma gondii is routinely offered in some countries, no consensus exists about the benefits, diagnostic tests or the most effective screening strategy to prevent congenital toxoplasmosis.
Keywords: Diagnostic tests, infection, infectious pregnancy complications, pregnancy, prenatal screening, screening tests
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RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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