Value of Rescreening for Syphilis in Pregnant Women
Author Information
Author(s): Rodney K. Edwards, Margaret Bennett, Carrie Langstraat, Daina Greene
Primary Institution: University of Florida
Hypothesis
Is it necessary to repeat syphilis screening for pregnant women in the third trimester?
Conclusion
Syphilis is so uncommon in our obstetric population that repeated screening seems unjustified.
Supporting Evidence
- 98.9% of women were screened for syphilis at the first prenatal visit.
- No cases of syphilis were identified with initial or repeat screening.
- 84.6% of women were rescreened in the third trimester.
Takeaway
The study found that very few pregnant women have syphilis, so testing them more than once isn't really needed.
Methodology
A single-center retrospective cohort study was performed on women delivering from July 2003 to June 2004.
Potential Biases
Potential bias due to the study being conducted at a single center and the possibility of non-generalizable results.
Limitations
The study is limited by its retrospective nature and data from a single center.
Participant Demographics
Mean age of participants was 25.8 years; 57% white, 25% black, and 18% other ethnicities.
Statistical Information
Confidence Interval
95% CI = 0,0.24% for initial screening; 95% CI = 0,0.34% for third trimester screening.
Digital Object Identifier (DOI)
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