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Inadequate syphilis screening among women with prenatal care in a community with a high syphilis incidence.

AbstractOBJECTIVES AND GOAL:
This study was designed to evaluate the extent to which pregnant women in a community with a high syphilis incidence were screened for syphilis according to standard recommendations of twice during prenatal care and at labor and delivery.
STUDY DESIGN:
Labor and delivery records from 4 hospitals in Miami-Dade County, Florida, were abstracted to obtain maternal and prenatal care characteristics and syphilis screening practices.
RESULTS:
Of the 1991 women, records indicated that 1655 (83%) were screened at least once during prenatal care, 220 (11%) were screened twice during prenatal care before delivery, and 184 (9%) were screened twice during prenatal care and at delivery. Attending a private clinic, having more than adequate prenatal care and having private insurance were associated with not being screened at least twice before delivery.
CONCLUSIONS:
Few women were screened according to standard recommendations, and provider or institutional-related factors affected adequacy of screening.
AuthorsMary Jo Trepka, Sharon A Bloom, Guoyan Zhang, Sunny Kim, Robert E Nobles
JournalSexually transmitted diseases (Sex Transm Dis) Vol. 33 Issue 11 Pg. 670-4 (Nov 2006) ISSN: 0148-5717 [Print] United States
PMID16641827 (Publication Type: Journal Article, Multicenter Study, Research Support, U.S. Gov't, P.H.S.)
Topics
  • Adolescent
  • Adult
  • Child
  • Community Health Services (standards)
  • Delivery, Obstetric
  • Female
  • Florida (epidemiology)
  • Guideline Adherence
  • Humans
  • Incidence
  • Mass Screening (standards, statistics & numerical data)
  • Maternal Health Services (standards)
  • Medical Records
  • Practice Guidelines as Topic
  • Pregnancy
  • Pregnancy Complications, Infectious (diagnosis, epidemiology, prevention & control)
  • Prenatal Care (standards, statistics & numerical data)
  • Retrospective Studies
  • Syphilis (diagnosis, epidemiology, prevention & control)
  • Syphilis Serodiagnosis (statistics & numerical data)

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