OBJECTIVES:Prenatal infectious diseases are a major cause of mortality and morbidity among newborns, but many are preventable with proper maternal screening and treatment. METHODS; Adherence to prenatal infectious disease screening guidelines and demographic factors that influence adherence were determined utilizing existing data on 1837 live births from 1999-2003. RESULTS:We found higher rates of testing for syphilis (94.54%), rubella (92.69%) and hepatitis B (94.23%) than for HIV (73.82%) and GBS (69.05%). Adherence to testing guidelines varied by both disease and maternal factors. Lack of insurance, geographic location, inadequate prenatal care and incarceration were the main maternal factors associated with lack of testing. CONCLUSIONS:Disease screening rates may be improved by reducing socioeconomic barriers to prenatal testing, supporting access to insurance, eliminating provider biases and providing adequate prenatal care.

译文

目的:产前传染病是新生儿死亡和发病的主要原因,但通过适当的母亲筛查和治疗可以预防许多疾病。方法;利用1999-2003年间1837例活产的现有数据,确定是否遵守产前传染病筛查指南和影响依从性的人口统计学因素。
结果:我们发现梅毒(94.54%),风疹(92.69%)和乙型肝炎(94.23%)的检测率高于HIV(73.82%)和GBS(69.05%)的检测率。遵循测试指南的情况因疾病和孕产妇因素而异。缺乏保险,地理位置,产前护理不足和监禁是缺乏检测的主要产妇因素。
结论:可以通过减少产前检查的社会经济障碍,支持获得保险,消除医疗服务提供者的偏见以及提供适当的产前保健来提高疾病筛查率。

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