Page 338 - Critical Maternity & Newborn Health Nursing

Fig., (41) Symptoms of chlamydia in male and female adopted from

https://i2.wp.com/helalmedical.com/wp-content/uploads/2021/03/most-common-
symptoms.jpg?resize=800%2C445&ssl=1

Gonorrhea: Is caused by the bacterium Neisseria Gonorrhea. If a pregnant woman

becomes infected after the third month of gestation, the mucous plug in the cervix

will prevent the infection from descending and it will remain localized in the

urethra, cervix, and Bartholin glands until the membranes rupture. Then it can

spread upward. A newborn exposed to gonococcal-infected birth canal is at risk of

developing ophthalmia neonatorum. Eye prophylaxis for all newborns are given to

prevent these complications.

C/P: The most common symptoms of gonorrheal infection include a purulent,

greenish-yellow vaginal discharge, dysuria, and urinary frequency. Some women

develop inflammation and swelling of the vulva.

TTT: Treatment for pregnant women include a recommended cephalosporin,

usually ceftriaxone, intramuscularly or cefixime orally. Both sexual partners

should be treated if either has a positive test for gonorrhea. Women should be

informed of the need for reculture to verify cure and the need for abstinence or

condom use until cure is confirmed.

Gonorrhoeic in the female

Causative organism

Neisseria gonorrhea which is a gram- negative intracellular diplococcus.

Mode of infection

1- Sexual intercourse is responsible for the majority of cases. The incubation period

is 2-8 days but may be as long as 2-8 weeks.

2- Contamination from infected towels, instruments… etc.

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