Initial and repeated screening for gonorrhea during pregnancy

Sex Transm Dis. 2003 Sep;30(9):728-30. doi: 10.1097/01.OLQ.0000075851.75140.25.


Background and goal: Late pregnancy rescreening is advised for at-risk patients, but data supporting this recommendation are lacking. The intent of this study was to determine the value of a late-pregnancy test for gonorrhea after a negative initial test at the beginning of prenatal care.

Study design: A retrospective chart review of clinic records over a 29-month period identified patients with a positive DNA direct assay for gonorrhea either initially or at 34 weeks.

Results: Of 751 women, 38 (5.1%) had gonorrhea diagnosed at their first testing; 19 women (2.5%) were positive only at their second screening. For one patient, both tests were positive.

Conclusion: Repeating screening for gonorrhea at 34 weeks in a high-prevalence population is warranted.

MeSH terms

  • Adult
  • Female
  • Gonorrhea / diagnosis*
  • Gonorrhea / epidemiology*
  • Gonorrhea / etiology
  • Gonorrhea / prevention & control
  • Humans
  • Louisiana / epidemiology
  • Mass Screening / standards*
  • Mass Screening / statistics & numerical data
  • Medical Records
  • Medically Underserved Area*
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis*
  • Pregnancy Complications, Infectious / epidemiology*
  • Pregnancy Complications, Infectious / etiology
  • Pregnancy Complications, Infectious / prevention & control
  • Pregnancy Trimester, Third
  • Prenatal Care / standards*
  • Prevalence
  • Retrospective Studies