Gonorrhea in pregnancy

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Abstract

Pregnancy complicated by gonorrhea was studied in 178 patients delivered of their infants over an eight-year period. There was an increased incidence of chorioamnionitis (p < 0.05) and intrauterine growth retardation (p < 0.05) in these patients when compared with matched controls. In 19 patients with positive gonorrheal cultures at delivery, there was a significant increase in the incidence of premature rupture of membranes (p < 0.05), chorioamnionitis (p < 0.05), and prematurity (p < 0.05). Recurrence or persistence of positive cultures was found in 18 per cent of the patients with pregnancy gonorrhea. Two required hospitalization for intensive parenteral treatment when repeated attempts at outpatient management were unsuccessful.

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This study was partially funded by Maternal and Infant Care Project No. 549 from the Department of Health, Education, and Welfare, Minnesota Department of Health, St. Paul Division of Public Health, and by Medical Education and Research Foundation Grant No. 801D158.

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