Abstract
This cohort study assesses the rates of sexually transmitted infections (STI) and associated adverse perinatal outcomes among underserved pregnant patients during the COVID-19 pandemic in a public health system in Southeastern Texas.
Highlights
Before the COVID-19 pandemic, the US experienced record high rates of many reportable sexually transmitted infections (STI).[1]
There was no increase in composite or individual STI over time, except for syphilis infection, which nearly doubled across periods (Table 1)
Results of this cohort study suggest that syphilis infection significantly increased among underserved pregnant patients delivering in Southeastern Texas during the COVID-19 pandemic, with rates as high as 4% for individuals with SARS-CoV-2 infection
Summary
Before the COVID-19 pandemic, the US experienced record high rates of many reportable sexually transmitted infections (STI).[1]. The association between the pandemic and STI rates among pregnant women remains understudied, especially for underserved populations of racial and ethnic minority groups who have disproportionately experienced COVID-19 infection.[2]. We sought to determine rates of STI and associated adverse perinatal outcomes among underserved pregnant patients before (July 2019 to February 2020) and during the pandemic (March 2020 to April 2021) in a public health system in Southeastern Texas
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