scholarly journals Adverse Adolescent Reproductive Health Outcomes After Pelvic Inflammatory Disease

Author(s):  
Maria Trent ◽  
Catherine L. Haggerty ◽  
Jacky M. Jennings ◽  
Sunghee Lee ◽  
Debra C. Bass ◽  
...  
2009 ◽  
Vol 44 (2) ◽  
pp. S4
Author(s):  
Maria Trent ◽  
Catherine Haggerty ◽  
Jacky Jennings ◽  
Sunghee Lee ◽  
Roberta Ness

2019 ◽  
Vol 69 (9) ◽  
pp. 1517-1525 ◽  
Author(s):  
Casper D J den Heijer ◽  
Christian J P A Hoebe ◽  
Johanna H M Driessen ◽  
Petra Wolffs ◽  
Ingrid V F van den Broek ◽  
...  

Abstract Background We evaluated the risk of pelvic inflammatory disease (PID), ectopic pregnancy, and infertility in women with a previous Chlamydia trachomatis (CT) diagnosis compared with women who tested negative for CT and CT untested women, considering both targeted and incidental (ie, prescribed for another indication) use of CT-effective antibiotics. Methods This was a retrospective study of women aged 12–25 years at start of follow-up within the Clinical Practice Research Datalink GOLD database linked to index of multiple deprivation quintiles, 2000–2013. CT test status and antibiotic use were determined in a time-dependent manner. Risk of PID, ectopic pregnancy, or female infertility were evaluated using of Cox proportional hazard models. Results We studied 857 324 women, contributing 6 457 060 person-years. Compared with women who tested CT-negative, women who tested CT-positive had an increased risk of PID (adjusted hazard ratio [aHR], 2.36; 95% confidence interval [CI], 2.01–2.79), ectopic pregnancy (aHR, 1.87; 95% CI, 1.38–2.54), and infertility (aHR, 1.85; 95% CI, 1.27–2.68). The PID risk was higher for women with 2 or more positive CT tests than those with 1 positive test. PID risk increased with the number of previous antibiotic prescriptions, regardless of CT test status. Conclusions We showed an association between CT-positive tests and 3 adverse reproductive health outcomes. Moreover, this risk increased with repeat CT infections. CT-effective antibiotic use showed no decreased risks of subsequent PID regardless of CT history. Our results confirm the reproductive health burden of CT, which requires adequate public health interventions.


2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Vanessa L. Short ◽  
Jørgen S. Jensen ◽  
Deborah B. Nelson ◽  
Pamela J. Murray ◽  
Roberta B. Ness ◽  
...  

Objective. As the consequences ofMycoplasma genitaliumin pregnant women are unknown, we examined the relationship between prenatalM. genitaliuminfection and SAB.Methods. The presence ofM. genitaliumwas determined by PCR in urine from 82 women who subsequently experienced a SAB and 134 women who maintained their pregnancies past 22 weeks gestation. The relationships betweenM. genitaliumand subsequent SAB, demographic, current pregnancy, and reproductive health history characteristics were evaluated.Results. Compared to women withoutM. genitalium, women withM. genitaliumwere more likely to report nulliparity (41.7% versus 17.4%,P=.04), history of pelvic inflammatory disease (27.3% versus 8.8%,P=.08), priorC. trachomatisinfection (63.6% versus 36.9%,P=.11,) and problems getting pregnant (18.2% versus 4.4%,P=.10).M. genitaliumwas not associated with SAB (AOR 0.9, 95% CI 0.2–3.8).Conclusions. Pregnant women who test positive forM. genitaliumdo not have an increased risk of SAB but report a history of reproductive morbidities.


2017 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
Shahana Ahmed ◽  
Selina Parvin ◽  
Dipti Rani Shaha ◽  
Poly Begum ◽  
Lipika Sanjowal ◽  
...  

Pelvic inflammatory disease is an important and major health problem in Bangladesh. This study was undertaken to find out the common clinical presentation of pelvic inflammatory disease in relation to reproductive health of women in our country. This study has been carried out at the outpatient department of Obstetrics and Gynaecology, Sher- EBangla Medical College Hospital, Barisal, during period from January 2010 to December 2010. In this descriptive type of cross sectional study, total number of 150 patients suffering from PID were selected. Details history and thorough clinical examination was performed with the aim of find out clinical presentation of PID. Related investigations were done. This study shows that 54% belongs to age group 26-35 years, 90% patients were married and 4% were separated, 90% were house wifes, 60% patients were from lower socio-economic status. All patients complained lower abdominal pain, 60% had vaginal discharge, 80% patients delivered solely at home and 73.33% were delivered by untrained birth attendants at home. Pelvic inflammatory disease is detrimental to reproductive health and makes the women cripple physically, mentally and socially. So appropriate measures e.g. better obstetric and delivery care, family planning care, safe way of pregnancy termination; health education etc. should be made for our women.Faridpur Med. Coll. J. Jan 2017;12(1): 25-30


2018 ◽  
Vol 54 ◽  
pp. 178-190 ◽  
Author(s):  
Martha J. Decker ◽  
Sarah Isquick ◽  
Lana Tilley ◽  
Qi Zhi ◽  
Anya Gutman ◽  
...  

2020 ◽  
Vol 77 (4) ◽  
pp. 164-170
Author(s):  
Franziska Siegenthaler ◽  
Elke Krause ◽  
Michael D. Mueller

Zusammenfassung. Die Adnexitis, im anglo-amerikanischen Sprachgebrauch hat sich der Sammelbegriff Pelvic Inflammatory Disease (PID) durchgesetzt, stellt ein häufiges medizinisches Problem dar. Die Diagnose einer PID kann schwierig sein, da die klinischen Manifestationen unspezifisch sind und sie andere Becken- und Bauchprozesse imitieren können. Infektionen im Bereich der Adnexen können schwerwiegend sein und Langzeitkomplikationen (chronische Unterbauchschmerzen, Infertilität) verursachen, weshalb eine rasche Diagnosestellung und der frühzeitige Beginn einer adäquaten Antibiotika Therapie von grosser Wichtigkeit sind. Unkomplizierte PID haben meistens einen günstigen Verlauf, bei komplizierten Formen mit Tuboovarialabzess ist meist eine operative Exploration notwendig.


Sign in / Sign up

Export Citation Format

Share Document