Sexually Transmitted Diseases (STDs) during Pregnancy

It is possible to become infected by a sexually transmitted disease (STDs) during pregnancy. Pregnant women should talk to their doctors about getting tested for STDs and STIs, some doctors many not perform these tests.

Bacterial STIs – Infections that are curable

Infection Risks (M=Mom; B=Baby) Method of Transfer Treatment
Gonorrhea M – Can result in ectopic pregnancies and leads to Pelvic
Inflammatory Disease (PID), which can cause infertility B – Premature birth, stillbirth, eye infections
Can transfer in the birth canal during delivery M – Antibiotics approved by OB/GYN B – Antibiotics are given in the eyes to prevent infection
Chlamydia M – Can result in ectopic pregnancies and leads to Pelvic
Inflammatory Disease (PID), which can cause infertility B – Pneumonia, eye infections, blindness
Can transfer in the birth canal during delivery M & B – Antibiotics approved by OB/GYN
Trichomoniasis M – Can cause fallopian tube damage
B – Premature birth, low birth weight
Can transfer in the birth canal during delivery M & B – Antibiotics approved by OB/GYN
Bacterial Vaginosis B – Premature birth, low birth weight Can transfer in the birth canal during delivery M & B – Antibiotics approved by OB/GYN
Syphilis M – Miscarriage
B – Stillbirth, congenital syphilis which can result in mental & physical problems
Can cross the placenta during pregnancy and can transfer
in the birth canal during delivery
M & B – Antibiotics approved by OB/GYN can be given to prevent damage to the fetus

Viral STIs – Infections that are not curable

Infection
Risks (M=Mom; B=Baby)
Method of Transfer
Treatment
Human Papilloma Virus (HPV) M – Can lead to genital cancer
B – Warts can develop in the baby’s throat which will require
surgery
M & B – Warts in the birth canal can cause complications
during delivery
Can transfer in the birth canal during delivery, but very
rare
M & B – Wart treatment can occur during pregnancy
but has to be approved by OB/GYN
Hepatitis B M – Can cause significant damage to the liver
B – Unless treated within an hour of birth 90% of babies will be a carrier for life
Can transfer in the birth canal during delivery B – No cure, but can be prevented with vaccinations
Herpes M – Severe outbreak in the first trimester can result
in miscarriageB – Fetus is at higher risk of herpes is contracted during pregnancy, and can lead to neonatal herpes.
Can transfer in the birth canal during delivery and rarely
can cross the placenta during pregnancy
M – No cure, but outbreaks can be treated with oral medications
B – Treatment immediately the following birth improves chances of a healthy baby
Human Immunodeficiency Virus (HIV) M & B – HIV can develop into AIDS, which is fatal Can cross the placenta during pregnancy and can transfer
in the birth canal during delivery. Also possible to transfer through breastfeeding
M – Antiviral medication is given to reduce symptoms during pregnancy
B – Treatment during pregnancy greatly reduces the chance of transmission to the baby