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Infectious Diseases in Obstetrics and Gynecology
Volume 3 (1995), Issue 2, Pages 82-88
http://dx.doi.org/10.1155/S1064744995000378
Review Article

Chlamydia trachomatis: Management in Pregnancy

Department of Gynecology and Obstetrics, Division of Maternal/Fetal Medicine, Emory University School of Medicine, 69 Butler street, S.E., Atlanta 30303, GA, USA

Received 17 March 1995; Accepted 30 June 1995

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chlamydia trachomatis is a sexually transmitted disease (STD) commonly diagnosed in pregnancy. C. trachomatis has been linked to several pregnancy complications including premature rupture of membranes (PROM), preterm labor and birth, low birth weight, intrauterine growth retardation, and postpartum endometritis. Infants born to mothers through an infected birth canal are at risk for acquiring C. trachomatis pneumonitis, conjunctivitis, and nasopharyngeal infection. The standard treatment of C. trachomatis in pregnancy is erythromycin. Recently, amoxicillin and clindamycin have been added as alternative regimens for those patients intolerant of erythromycin. This paper reviews the effectiveness and tolerance of the alternative regimens compared with erythromycin and the success of antepartum treatment of chlamydia in preventing the poor pregnancy outcome and neonatal morbidity associated with C. trachomatis.