Abstract | OBJECTIVES 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.
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Authors | Mary Jo Trepka, Sharon A Bloom, Guoyan Zhang, Sunny Kim, Robert E Nobles |
Journal | Sexually transmitted diseases
(Sex Transm Dis)
Vol. 33
Issue 11
Pg. 670-4
(Nov 2006)
ISSN: 0148-5717 [Print] United States |
PMID | 16641827
(Publication Type: Journal Article, Multicenter Study, Research Support, U.S. Gov't, P.H.S.)
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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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