Assessment of the Value of Rescreening for Syphilis in the Third Trimester of Pregnancy

[摘要] Objectives. Our aim is evaluating the need for repeating tests for syphilis on pregnant women in the third trimester.Study design.A single-center retrospective cohort study was performed on all women delivering7/03–6/04.Results. During the study interval, 2244 women delivered at our hospital. Of those women having available records and attending at least one prenatal visit, 1940(98.9%)were screened for syphilis at the first prenatal visit. Of the 1627 women beginning prenatal care prior to 27 weeks and delivering after 32 weeks, 1377(84.6%)were rescreened in the third trimester. No cases of syphilis were identified with either the initial (upper limit of 95% CI0.24%) or repeat (upper limit of 95% CI0.34%) screening.Conclusions. In our obstetric population, syphilis is so uncommon that mandated prenatal screening on more than one occasion seems unjustified and laws requiring repeated screening should be reevaluated.

[学科分类] 妇产科学