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A recent Australian paper suggests that chlamydia screening in pregnant women aged <25 may be cost-effective.1 However, chlamydia testing may not be implemented routinely during antenatal care, and there remains controversy about the relationship of chlamydia in pregnancy with adverse pregnancy outcome.2
In October 2015, we conducted a service evaluation pilot in pregnant women attending the early pregnancy unit (EPU) at St George's NHS Trust to explore the prevalence of chlamydia and the acceptability of providing self-taken vaginal swabs.
Consecutive women attending …
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