Implementation of an Opt-Out Testing and Rapid Diagnostic Strategy for Syphilis and HIV in Pregnant Patients Presenting to the Emergency Department

Inclusion Criteria: * Pregnancy * Presentation to the ED or obstetrical triage during the index pregnancy. * No established prenatal care (≤1 visit) and/or no documented HIV or syphilis testing during the current pregnancy. Exclusion Criteria: * Medically unstable or critically ill at the time of ED presentation. * Incarcerated at the time of ED presentation. * Decline participation in testing (opt-out) or refuse survey participation.