Document Detail


Barriers to prenatal care and poor pregnancy outcomes among women with syphilis in the Russian Federation.
MedLine Citation:
PMID:  17609028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied predictors of no prenatal care (PNC) and influence of no PNC on pregnancy outcome in a multisite study of 1071 women with syphilis in Russia. We assessed PNC utilization, HIV testing, syphilis treatment, and pregnancy outcome. We found that 37% of women with syphilis received no PNC, and 1% was HIV infected. Lacking official residency status was independently related to no PNC (adjusted odds ratio [AOR]: 8.1; 95% confidence intervals [CI]: 5.3-12.3). Among women with inadequately treated current syphilis, those without PNC were more likely to have a stillborn infant than those with PNC (25% vs. 3%, odds ratio [OR] 9.5, 95% CI 4.0-23.5). Women with adequately treated current syphilis and no PNC were more likely to deliver a low birth weight (OR 3.8; 95% CI 1.8-8.1) or preterm infant (OR 3.9; 95%CI 1.8-8.7). Women with previous or current syphilis and no PNC were significantly more likely to abandon their infants.
Authors:
K L Southwick; L I Tikhonova; E G Salakhov; A Shakarishvili; C Ryan; S Hillis
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  International journal of STD & AIDS     Volume:  18     ISSN:  0956-4624     ISO Abbreviation:  Int J STD AIDS     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-04     Completed Date:  2007-09-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9007917     Medline TA:  Int J STD AIDS     Country:  England    
Other Details:
Languages:  eng     Pagination:  392-5     Citation Subset:  IM; X    
Affiliation:
NY State Department of Health, Metropolitan Regional Area Office, Bureau of Communicable Disease Control, 145 Huguenot Street, Suite 500, New Rochelle, NY 10801, USA. kis08@health.state.ny.us
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Health Services Accessibility*
Humans
Infant Mortality
Infant, Newborn
Infectious Disease Transmission, Vertical* / prevention & control
Male
Pregnancy
Pregnancy Complications, Infectious / economics,  microbiology,  therapy*
Pregnancy Outcome
Prenatal Care*
Retrospective Studies
Risk Factors
Russia
Syphilis / economics,  prevention & control,  therapy,  transmission*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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