Perawatan prenatal dan faktor Resiko

Komponen penting dari perawatan prenatal yang tepat adalah memastikan bahwa
pasien hamil dites untuk PMS. Tes pasien hamil Anda untuk PMS mulai awal kehamilan
mereka dan ulangi hampir melahirkan, sesuai kebutuhan. Untuk memastikan bahwa tes yang
benar sedang dilakukan, kami menganjurkan Anda untuk melakukan percakapan terbuka dan
jujur dengan pasien hamil Anda dan, jika mungkin, pasangan seks mereka tentang gejala yang
mereka alami atau sedang alami dan perilaku seksual berisiko tinggi di mana mereka
mengikutsertakan. Tabel di bawah ini termasuk rekomendasi penyaringan CDC untuk wanita
hamil.
Disease CDC Recommendation
First prenatal visit: Screen all pregnant women <25 years of age and
older pregnant women at increased risk for infection.
Third trimester: Rescreen if <25 years of age or at continued high risk.

Risk Factors:

Chlamydia  New or multiple sex partners

 Sex partner with concurrent partners
 Sex partner who has a sexually-transmitted disease (STD)

NOTE: Pregnant women found to have chlamydial infection should

have a test-of-cure three to four weeks after treatment and then be
retested within three months.
First prenatal visit: Screen all pregnant women <25 years of age and
older pregnant women at increased risk for gonorrhea at first prenatal
visit.
Third trimester: Rescreen for women at continued high risk.

Risk factors:
Gonorrhea
 Living in a high-morbidity area
 Previous or coexisting STI
 New or multiple sex partners
 Inconsistent condom use among persons not in mutually
monogamous relationships
 Exchanging sex for money or drugs

First prenatal visit: Screen all pregnant women

.Early third trimester: Rescreen women who are

 At high risk for syphilis,

Syphilis
 Who live in areas with high numbers of syphilis cases, and/or
 Who were not previously tested, or had a positive test in the first
trimester.

Bacterial Evidence does not support routine screening for BV in asymptomatic

Vaginosis (BV) pregnant women at high or low risk for preterm delivery.
 Disease CDC Recommendation
Evidence does not support routine screening for trichomoniasis in
Trichomoniasis
asymptomatic pregnant women.
Evidence does not support routine HSV-2 serologic testing among
Herpes (HSV)
asymptomatic pregnant women.
First prenatal visit: Screen all pregnant women.Third trimester:
HIV
Rescreen women at high risk for acquiring HIV infection.
First prenatal visit: Screen all pregnant women.Third trimester: Test
those who were not screened prenatally, those who engage in behaviors
that put them at high risk for infection, and those with signs or
symptoms of hepatitis at the time of admission to the hospital for
delivery.

Risk Factors:
Hepatitis B(HBV)
 Having had more than one sex partner in the previous six
months
 Evaluation or treatment for an STD
 Recent or current injection-drug use
 An HBsAg-positive sex partner

Human
Papillomavirus There are no screening recommendations for HPV.
(HPV)
First prenatal visit: Screen all pregnant women at increased risk.
Risk Factors:

 Past or current injection-drug use

Hepatitis C(HCV)  Having received a blood transfusion before July 1992
 Receipt of unregulated tattoo
 Long-term dialysis
 Known exposure to HCV

sumber: https://www.cdc.gov/std/pregnancy/stdfact-pregnancy-detailed.htm