Inadequate syphilis screening among women with prenatal care in a community with a high syphilis incidence

Mary Jo Trepka, Sharon A. Bloom, Guoyan Zhang, Sunny H Kim, Robert E. Nobles

Research output: Contribution to journalArticle

18 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)670-674
Number of pages5
JournalSexually Transmitted Diseases
Issue number11
StatePublished - Nov 2006
Externally publishedYes


ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

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