Can a pregnant woman with gonorrhea have a normal pregnancy and deliver a healthy baby?

Generally, whether a pregnant woman with gonorrhea can continue her pregnancy when the fetus is normal depends on the specific circumstances. If the condition is well controlled, continuing the pregnancy is usually possible. However, if gonorrhea is not adequately treated during pregnancy, it is not advisable to continue the pregnancy. Detailed analysis is as follows:

If the patient's gonorrhea condition has been effectively controlled and medications harmful to the fetus have not been used during treatment, continuing the pregnancy may be considered. However, Neisseria gonorrhoeae is highly contagious and has a certain incubation period, so close monitoring of disease progression is necessary.

Conversely, if a pregnant woman with gonorrhea does not receive timely and effective treatment or is inadequately treated, leaving the gonococci persistent in the body, it may lead to various complications such as intrauterine infection, preterm birth, and premature rupture of membranes. These complications can seriously affect the fetus, including but not limited to intrauterine growth restriction, neonatal gonococcal conjunctivitis, pneumonia, and even sepsis. In such cases, doctors may recommend termination of pregnancy to avoid more severe health risks.

During treatment, pregnant women should avoid sexual activity to prevent worsening of the condition or compromising treatment effectiveness. Additionally, regular prenatal check-ups are essential to monitor the health status of both the fetus and the mother.