Document Detail


Postpartum sexually transmitted disease: refining our understanding of the population at risk.
MedLine Citation:
PMID:  22706211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Scant literature exists on sexually transmitted disease (STD) risk specific to pregnancy and postpartum. The objective of this prospective study is to examine risk factors for incident postpartum STDs among young mothers (ages, 14-25).
METHODS: Pregnant women were enrolled at <24 weeks gestation (N = 848). Data were collected via in-depth interviews and STD testing conducted in the second and third trimesters and at 6 and 12 months postpartum. Prevalence and incidence of STD diagnosis in pregnancy and postpartum is described. Logistic and linear regression are used to identify risk factors for postpartum infection.
RESULTS: Forty-four percent of enrolled women never had an STD, 29% had a history of an STD before pregnancy, 28% got an STD during pregnancy, and 27% were diagnosed with an STD postpartum. Incidence of postpartum infection was higher for women who contracted an STD in pregnancy (43%) compared with those with a prior STD (24%) or no STD (19%). In multivariate analysis, STD in pregnancy, having less than high school education, having a new sexual partner, and black race were risk factors for incident postpartum STD.
CONCLUSION: Prenatal providers should be aware of the significant risk of incident infection among women diagnosed with STDs in pregnancy. Elevated postpartum incidence among those with an STD in pregnancy supports a shift toward more frequent and targeted postpartum STD screening, with implications for clinical care, future research, and interventions.
Authors:
Rebekah Wheeler; Valerie A Earnshaw; Trace Kershaw; Jeannette R Ickovics
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  39     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-18     Completed Date:  2012-09-26     Revised Date:  2014-03-12    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  509-13     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Educational Status
Female
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Postpartum Period*
Pregnancy
Pregnancy Complications, Infectious / epidemiology*,  prevention & control
Pregnancy in Adolescence
Prenatal Care / standards*
Prevalence
Prospective Studies
Risk Factors
Sexual Behavior / statistics & numerical data*
Sexual Partners
Sexually Transmitted Diseases / epidemiology*,  prevention & control
Socioeconomic Factors
Substance-Related Disorders / epidemiology*
United States / epidemiology
Young Adult
Grant Support
ID/Acronym/Agency:
R01 MH074399-05/MH/NIMH NIH HHS; R01-MH074399/MH/NIMH NIH HHS; R01MH/HD61175/HD/NICHD NIH HHS; T32 MH020031-12/MH/NIMH NIH HHS; T32-MH20031/MH/NIMH NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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