What is the USPSTF's recommendation for syphilis screening in pregnant women?

The USPSTF recommends that all pregnant women should be screened for syphilis infection. This universal screening approach is important because syphilis can have serious consequences for both the mother and the developing fetus, including congenital syphilis, which can lead to significant morbidity or even mortality for the newborn.

Early detection through screening allows for timely treatment, which can effectively prevent these adverse outcomes. By screening all pregnant women, regardless of reported risk factors or sexual history, health care providers can help to ensure that syphilis is identified and treated early, thereby safeguarding maternal and infant health.

This recommendation is rooted in evidence showing significant public health benefits and the potential to reduce the incidence of syphilis-related complications. While screening based on sexual history may identify some cases, it does not cover all women who may be at risk, which is why universal screening is preferred. Moreover, limiting screening to the third trimester or declaring no necessity for screening disregards the critical importance of identifying and addressing syphilis early in pregnancy to ensure the best outcomes for both mother and child.