细菌性阴道病
目前已知细菌性阴道病会增加妊娠并发症的风险(例如未足月胎膜早破、早产),但是,目前证据并不支持对无症状妊娠女性进行细菌性阴道病常规筛查。[12]Workowski KA, Bolan GA; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.http://www.cdc.gov/std/tg2015/http://www.ncbi.nlm.nih.gov/pubmed/26042815?tool=bestpractice.com[30]US Preventive Services Task Force. Screening for bacterial vaginosis in pregnancy to prevent preterm delivery: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;148:214-219.http://www.annals.org/content/148/3/214.longhttp://www.ncbi.nlm.nih.gov/pubmed/18252683?tool=bestpractice.com没有足够证据去权衡筛查无症状高危早产妊娠女性的利弊。
尽管细菌性阴道病在有女性性伴侣的妇女中更常见,目前并不推荐对这些人群进行常规筛查细菌性阴道病。[12]Workowski KA, Bolan GA; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.http://www.cdc.gov/std/tg2015/http://www.ncbi.nlm.nih.gov/pubmed/26042815?tool=bestpractice.com
毛滴虫
可以考虑在高危感染妇女(如有新性伴侣或多个性伴侣,有性病史,性交易或吸毒的妇女)中进行阴道毛滴虫筛查。[12]Workowski KA, Bolan GA; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.http://www.cdc.gov/std/tg2015/http://www.ncbi.nlm.nih.gov/pubmed/26042815?tool=bestpractice.com
尽管已知阴道毛滴虫感染会增加妊娠并发症的风险(例如未足月胎膜早破、早产),目前证据并不支持对感染风险低的无症状妊娠女性进行常规筛查。[12]Workowski KA, Bolan GA; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.http://www.cdc.gov/std/tg2015/http://www.ncbi.nlm.nih.gov/pubmed/26042815?tool=bestpractice.com