What are the risks of stis during pregnancy what

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What are the risks of STIs during pregnancy? What precautions should pregnant women take? Miscarriage-about 30-40%Infection of the developing fetusThrough the placentaInfection of the newborn child-Through vaginal birthchlamydia gonorrhea herpes HIV-During breast-feeding GET SCREENEDBe familiar with the basic features, prevalence, symptoms, and treatments of the following STIs: oEctoparasitic Infections: Pubic Lice and ScabiesoSymptomsItchingVisible to naked eyeHighly contagious oTreatmentOver the counter creams & shampoos/OR PRESCRIPTIONClean sheets & clothing; hot water & dryer cycleoSCABIESoSYMPTOMSRASH & INTENSE ITCHINGoTREATMENTPRESCRIPTION CREAMSoBacterial Infections: Gonorrhea, Syphilis, Chlamydia, Bacterial VaginosisoGhonnorhea : The CLAPOccurrenceBacterial Infection; 820,000/year Mucus membranes touch
Higher incidence about black men & women; higher rates in southern statesSymptoms Urethral discharge, painful urination, increase in frequency, urgency, & urinationTypical Asymptomatic in women Inflammation in the epididymis TreatmentAntibioticsoSyphillisOccurrence55,400/yearHigh incidence among young black menSymptoms 1st: Chancres2nd: Chancres disappear/Syphilis enter the central nervous system; rash occurs3rd: No physical signs, contagious for up to a year; if never treated comes back; fatalTreatmentAntibioticsoChlamydia : Silent DiseaseOccurrenceMost common bacterial STI in the US2,860,000/yrHigh incidence among young black men & womenRates higher in southUsually asymptomaticSymptoms Burning during urination and/or during intercoursePain in lower abdomenDischarge from penis, burning sensation of urination, burning around urethral meatusTreatmentAntibioticsoBacterial Vaginosis: Trichomoniasis OccurrenceCan be acquired through non sexual meansMultiple sex partners can change balance of bacteriaSymptomsDischarge, itching, and/or odorTreatmentAntibiotics
oViral Infections: Herpes, Human PapillomavirusoHerpesOccurrenceHSV-1: mouth & faceOral herpes are usually transmitted before people ever evensexually activeHSV-2: genitals; (1 in 5 adults in malesHighly contagious, even when not visibleJust takes skin to skin contactSymptoms Many people do not experience blisters or wartsTreatmentCant be treated only managedoHPVOccurrenceVery common, most common viral STI in the USMore than 6,000,000/yr1 & 2 sexually active men & womenSymptoms Most types have no symptoms Some can cause genital warts; even cancerTreatmentVaccine?Preventative vaccine: starting at age 11Gardasil, 3 doses over 6 months, both boys & girls

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