Document Detail


Maternal bacterial vaginosis and fetal/infant mortality in eight Florida counties, 1999 to 2000.
MedLine Citation:
PMID:  15363019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study determined the prevalence of maternal bacterial vaginosis (BV) in fetal/infant mortality cases and factors associated with BV. A retrospective descriptive study was utilized. Data were obtained from review of vital statistics and medical records of 176 women experiencing fetal/infant deaths in eight Florida counties, 1999 to 2000. Non-White mothers accounted for 68.96% of deaths (chi square = 10.119, df = 4, p = 0.038), although the population of the eight counties was 64% White. Of 121 non-White mothers (68.8%) with infections, 37 (30.6%) had BV. Most fetal/infant deaths (39.7%) occurred 20-23 weeks' gestation and at birthweights <500 g, as did most cases of BV (46%). Women with BV were more likely to be non-White (OR 2.756, 95% CI 1.075, 7.066), single (OR 2.090, 95% CI 1.081, 7.246), <24 years old (t = 3.172, p = 0.002), and have <12 years of education (t = 2.56, p = 0.011). Findings support early screening and treatment for BV in women with these risk factors or a history of prior fetal/infant loss or preterm/low-birthweight infant. Factors contributing to racial disparity in BV and fetal/infant mortality need further exploration.
Authors:
Barbara Hansen Cottrell; Mary Shannahan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Public health nursing (Boston, Mass.)     Volume:  21     ISSN:  0737-1209     ISO Abbreviation:  Public Health Nurs     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-09-14     Completed Date:  2004-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8501498     Medline TA:  Public Health Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-403     Citation Subset:  IM; N    
Affiliation:
Florida State University School of Nursing, Tallahassee, Florida 32306-4310, USA. bcottrel@garnet.acns.fsu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / education,  statistics & numerical data
Cause of Death
Educational Status
European Continental Ancestry Group / education,  statistics & numerical data
Female
Fetal Death / epidemiology,  microbiology*,  prevention & control
Florida / epidemiology
Humans
Infant Mortality / trends*
Infant, Newborn
Mass Screening
Needs Assessment
Population Surveillance
Pregnancy
Pregnancy Complications, Infectious* / epidemiology,  prevention & control
Pregnancy Outcome
Prenatal Care
Prevalence
Retrospective Studies
Risk Factors
Rural Health / trends*
Socioeconomic Factors
Vaginosis, Bacterial / complications*,  epidemiology,  prevention & control

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


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