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  • Title: Sexually transmitted diseases in pregnant women in Harare, Zimbabwe.
    Author: Latif AS, Bvumbe J, Muongerwa J, Paraiwa E, Chikosi W.
    Journal: Afr J Sex Transmi Dis; 1984; 1(1):21-3. PubMed ID: 12340184.
    Abstract:
    175 pregnant women attended the sexually transmitted diseases clinic at the Medical Examination Center in Harare, Zimbabwe, over a period of 12 months. 15 patients had no evidence of an infection and had attended for a routine medical examination. 25.5% of patients had trichomoniasis and 24.6% had vaginal candidosis. Gonococcal cervicitis was found in 17.8% of patients and nongonococcal cervicitis in 5.9%. 24 patients had condylomata acuminata and in 5 of these the warts were very large. The mean age of patients was 22.3 years and the majority of women were married (93.1%). When sexually transmitted diseases (STDs) occur in pregnancy the fetus and neonate are always at risk. Cogenital syphilis usually results in permanent damage. Chlamydial and gonococcal eye infections can lead to blindness. Herpes virus infection often disseminates in the neonate resulting in high mortality and morbidity rates. It is important to search carefully and treat STD adequately prior to fetal infection. Routine antenatal screening for STD decreases the prevalence of fetal and neonatal infection. Genital herpes cannot yet be detected without harming the fetus. If herpes cervicitis is present the infant should be delivered by Cesarean section to avoid contact with the contaminated cervix. The routine use of silver nitrate eye drops soon after birth prevents the development of gonococcal opthalmia neonatum. Chlamydial opthalmia cannot be prevented in this way, however. Condylomata acuminata occur more commonly in pregnancy and may become very large. Vaginal candidosis and trichomoniasis also occur commonly in pregnancy but do not harm the fetus.
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