Document Detail

Vaginal douching and the risk of ectopic pregnancy among black women.
MedLine Citation:
PMID:  9166157     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Our goal was to determine whether vaginal douching was associated with ectopic pregnancy among black women and whether specific douching behaviors were associated with differences in risk. STUDY DESIGN: We analyzed data from a case-control study of ectopic pregnancy conducted between October 1988 and August 1990 at a major public hospital in Atlanta, Georgia. Case subjects were 197 black women with surgically confirmed ectopic pregnancies; the control group included 882 black women who were delivered of live or stillborn infants and 237 black women who were seeking to terminate a pregnancy. RESULTS: The adjusted odds ratio for ectopic pregnancy associated with ever having douched was 3.8 (95% confidence interval 1.6 to 8.9). The risk increased with increasing number of years of douching at least once per month. No douching behavior was found to be without risk; even women who douched for routine cleanliness were at increased risk of ectopic pregnancy. CONCLUSIONS: Vaginal douching is a modifiable behavior that may greatly increase a woman's risk of ectopic pregnancy.
J S Kendrick; H K Atrash; L T Strauss; P M Gargiullo; Y W Ahn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  176     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-12     Completed Date:  1997-06-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  991-7     Citation Subset:  AIM; IM    
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.
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MeSH Terms
African Americans*
Case-Control Studies
Irrigation / adverse effects*
Odds Ratio
Pregnancy, Ectopic / epidemiology,  etiology*
Risk Factors

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