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STIS IN PREGNANCY—ANOTHER BURDEN TO BEAR?
STIs are associated with a number of adverse pregnancy outcomes, including still birth, premature birth (PB), and low birth weight (LBW). PB and LBW are major determinants of infant morbidity and mortality. The authors of this review comment on the high burden of STIs in the developing world—where most use a syndromic approach to diagnosis of STIs in pregnancy. This strategy is poor for identification of infection, especially Neisseria gonorrhoea and Chlamydia trachomatis, and will also miss a significant proportion of (asymptomatic) infections. This review identifies a clear need for cheap, rapid, point-of-care screening tests for STI screening in antenatal settings in resource-poor environments. See p 294
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