STI's

• chlamydia: maternal effects- postpartum endometritis, PROM, and preterm birth
• chlamydia: fetal effects- conjunctivitis leading to blindness in low weight births, and pneumonitis
• chlamydia: therapeutic management: antibiotics, anual screening of all sexual active clients aged 20-25
• chlamydia: 70-80% are asymptomatic
• Gonorrhoea: maternal effects: chorioamnionitis, preterm birth, PROM, fetal growth restriction, postpartum sepsis
• Gonorrhoea: fetal effects: eye infection which can cause blindness
• Gonorrhoea: therapeutic management: can be cured with right treatment, dual therapy of cephalosporin and macrolide(cephtriazone and azithromycin)
• Genital herpes: Maternal effects: spontaneous abortion, intrauterine infection, preterm labour, PROM, fetal growth restrictiom
• Genital herpes: fetal effects: birth anomalies, transplacental infection
• Genital herpes: therapeutic management: no cure exists but antiviral drugs can reduce or suppress symptoms(acyclovir PO)
• Genital herpes: primary episode is usually most severe
• Genital herpes: recurrence triggers by emotional stress, menses, sexual intercorse
• syphilis: maternal effects: spontaneous abortion, preterm birth, stillbirth
• syphilis: fetal effects: congenital syphilis, multi-system organ failure, structural damage, mental retardationm
• syphilis: there is effectives treatment- penicillin G, safe in pregnancy, should be reevaluated 3, 6, and 12 months after treatment
• HPV: maternal effects: may cause dystocia
• HPV: fetal effects are unkown
• HPV: no treatment or cure, management for prevention with HPV vaccine and eduvation
• HIV: maternal effects: fatigue, nausea, weight loss
• HIV: fetal effects: transmission can occur during childbirth and through breastmilk
• HIV: can be transmitted during pregnancy, during vaginal childbirth, through breastfeeding
• HIV: therapeutic management: goals of HIV drug therapy:

  • decrease HIV viral load below the level of detection
  • restore the body ability to fight off pathogens
  • improve clients quality of life
  • reduce HIV morbidity and mortality
• HIV: provide education, promote compliance, prevent infectrion