| Abstract [eng] |
Chlamydia, gonorrhoea, and syphilis are among the most common sexually transmitted diseases. The number of new cases has not stopped growing during this past decade thus, the pertinence of the problem is evident. Infections during pregnancy can cause a wide range of adverse outcomes, the risks of which are described ambiguously in the literature. The main pregnancy complications of chlamydia, gonorrhoea and syphilis observed in the publications are premature and early premature birth, premature rupture of the membranes of the fetus, low birth weight, small for gestational age, gestational hypertension, fetal demise and neonatal mortality, endometritis and chorioamnionitis. Chlamydia is associated with numerous adverse pregnancy outcomes, especially with fetal death and spontaneous miscarriage, although study results on the complications and the effect of treatment vary. An asymptomatic course of the disease, multiple predisposing factors and inadequate diagnostics are the main struggles. Gonorrhoea increases the risk of premature birth and low birth weight and is most prevalent in low and middle–income countries. The emergence of resistant gonococcal strains is considered a public health concern. Syphilis is also associated with each of the discussed unfavourable pregnancy outcomes, as well as a congenital infection and neonatal anomalies. Chlamydia, gonorrhoea, and syphilis are known for their long-term effects on women's reproductive health. Prior infection is also associated with premature birth, low birth weight and an increased risk of miscarriage. The burden of sexually transmitted diseases in the course of life can be controlled through prevention programs and timely standardized treatment. Given the possible health consequences, the matter of sexually transmitted infections remains relevant. As the incidence of new cases grows, improving diagnostic and treatment prospects becomes essential. |
