Chlamydia During Pregnancy
How Do You Get Chlamydia?
Chlamydia is a bacterial infection that is spread through
vaginal, oral, or anal sex.
What are the Symptoms of Chlamydia?
3 out of 4 infected women have no symptoms. Symptoms may include painful
urination, painful sexual intercourse, and vaginal discharge in women. Men may
experience painful urination as well as a discharge from the penis .
Chlamydia can cause permanent damage to a woman's
reproductive organs if not treated
Effects on Pregnancy
Women who have untreated Chlamydia during pregnancy are more likely to have
of preterm birth. Chlamydia can be passed from an infected mother to her baby during vaginal
causing an eye infection or pneumonia
in her baby.
The Centers for Disease Control and Prevention (CDC) recommends that all pregnant women be screened for
Chlamydia at their
first prenatal visit.
Women aged ≤25 years and those at
increased risk for Chlamydia (e.g., women who have a new or more than one sex
partner) also should be retested during the third trimester .
Treatment of Chlamydia During Pregnancy
If you have been diagnosed with Chlamydia during pregnancy
the CDC recommends treatment with one of the following.
Azithromycin 1 g orally in a single dose
Amoxicillin 500 mg orally three times a day
for 7 days
Erythromycin base 500 mg orally four times
a day for 7 days
Erythromycin base 250 mg orally four times
a day for 14 days
Erythromycin ethylsuccinate 800 mg orally
four times a day for 7 days
Erythromycin ethylsuccinate 400 mg orally
four times a day for 14 days
Your partner should be treated at the same time as you are treated.
Neither of you should have sex until a week after you have completed treatment
. You should also refer anyone for possible treatment who you have had sexual
contact with during the 60 days before your symptoms began or you were diagnosed
The CDC recommends
repeat testing to document Chlamydia has been eliminated (preferably by NAAT)
3 weeks after completion of therapy for all pregnant women.
Pregnant women diagnosed with a Chlamydia infection during the
first trimester should also be retested 3 months after treatment..
Have sex only with one partner who has sex only with you.
Use latex condoms during intercourse and a dental dam during oral sex.
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2011 May 3.
Pregnancy outcomes in women infected with Chlamydia trachomatis: a
population-based cohort study in Washington State.
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Sexually transmitted diseases treatment guidelines, 2010. Workowski KA, Berman S; Centers for Disease Control and Prevention (CDC).
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