Infection in the Pregnant Patient

Author(s):  
Vanessa Vasquez

Infections in pregnancy can result in significant complications for both the mother and fetus and can increase the risk of preterm labor. Fever in a pregnant woman also raises concern for its associated risk of preterm birth due to the release of prostaglandins and cytokines that stimulate uterine contractility. Infection can be passed to the neonate hematogenously or ascend from the genital tract. Treatment during pregnancy creates problems, as many antimicrobials cross the placenta and may have a teratogenic risk. Prophylaxis, vaccination, a high degree of suspicion, and early intervention can help improve morbidity and mortality. The pregnant patient should be asked important questions that include history of uterine tenderness and leakage of vaginal fluid, exposure to or symptoms of sexually transmitted infection, previous preterm labor, history of pregnancy complications, and a thorough social history.

Author(s):  
Avraham Ebenstein ◽  
Ethan J. Sharygin

China has experienced an explosion in the sex ratio at birth, with 25 million more men than women younger than 20 (2005 census). This chapter examines the implications of large numbers of men failing to marry on the supply-and-demand dynamics of sex work, with a focus on how this affects the prevalence of sexually transmitted infections (STIs). The chapter begins with a history of prostitution in China and describes the massive increase in sex work following economic reforms in the late 1970s. It then analyzes the current dynamics of demand and supply for sex work in China, using national census data and detailed microdata on sex workers. The authors find a clear link between high-population sex ratios, the prevalence of sex work, and STI rates. The analysis concludes with projections for the future and a discussion of policy responses in light of an anticipated increase in sex work.


1972 ◽  
Vol 2 ◽  
pp. 16-19
Author(s):  
Kenneth Kirkland

The subject suggested in the title is so broad as to make it rather difficult to decide what boundaries to draw around the study of various resources available to the historian or other social scientist who sets out to study labor history, the social history of Italian workers and peasants, and the political and intellectual history of socialism and other radical movements. Keeping in mind that the following discussion is not intended to be exhaustive, but rather an indication of the necessary starting point to begin an investigation is probably the best way to understand this note.


2019 ◽  
Vol 31 (1) ◽  
pp. 28-37
Author(s):  
Heidi Luft ◽  
Weiming Ke ◽  
Lara Trifol ◽  
Mina Halpern ◽  
Elaine Larson

Introduction: Research is needed to identify influences on safe sex communication among specific culture groups. This study aimed to (1) describe sexual behaviors and indicators of sexual power among partnered Dominican women and (2) identify which of these indicators are significantly associated with safe sex communication. Methodology: Cross-sectional surveys, grounded in the theory of gender and power, were conducted with 100 partnered women at a clinic in southeastern Dominican Republic. Linear regression modeling was used to identify significant associations. Results: Self-efficacy (β = 0.48), total personal monthly income (β = 0.21), and history of sexually transmitted infection (β = 0.19) were significantly associated with higher level of partner safe sex communication. Discussion: Nurse clinicians, educators, and researchers should consider self-efficacy, personal income, and history of sexually transmitted infection when addressing communication in HIV prevention efforts among Dominican women.


1972 ◽  
Vol 2 ◽  
pp. 16-19
Author(s):  
Kenneth Kirkland

The subject suggested in the title is so broad as to make it rather difficult to decide what boundaries to draw around the study of various resources available to the historian or other social scientist who sets out to study labor history, the social history of Italian workers and peasants, and the political and intellectual history of socialism and other radical movements. Keeping in mind that the following discussion is not intended to be exhaustive, but rather an indication of the necessary starting point to begin an investigation is probably the best way to understand this note.


2013 ◽  
Vol 141 (12) ◽  
pp. 2663-2670 ◽  
Author(s):  
S. D. CHUNG ◽  
Y. K. LIN ◽  
C. C. HUANG ◽  
H. C. LIN

SUMMARYThe relationship between sexually transmitted infections (STIs) and prostate cancer (PC) remains inconclusive. Moreover, all such studies to date have been conducted in Western populations. This study aimed to investigate the risk of PC following STI using a population-based matched-cohort design in Taiwan. The study cohort comprised 1055 patients with STIs, and 10 550 randomly selected subjects were used as a comparison cohort. Cox proportional hazards regression analysis revealed that the hazard ratio for PC during the 5-year follow-up period for patients with a STI was 1·95 (95% confidence interval 1·18–3·23), that of comparison subjects after adjusting for urbanization level, geographical region, monthly income, hypertension, diabetes, hyperlipidaemia, obesity, chronic prostatitis, history of vasectomy, tobacco use disorder, and alcohol abuse. We concluded that the risk of PC was higher for men who were diagnosed with a STI in an Asian population.


2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Tareq Goussous ◽  
Alex Haynes ◽  
Katherine Najarian ◽  
Marcos Daccarett ◽  
Shukri David

High-output cardiac failure secondary to hepatic involvement is a rare complication of hereditary hemorrhagic telangiectasia (HHT). Here we report a 43-year-old woman who presented at 29 weeks gestation of her second pregnancy with complications of right-sided heart failure and preterm labor. After delivery via cesarean section, the patient was found to have intrahepatic arteriovenous malformations through non-invasive imaging. Subsequently, a family history of vascular malformations and epistaxis was elucidated and a diagnosis of HHT was made. This case is presented, along with a review of the literature and discussion of hepatic involvement in HHT with particular focus on the pregnant patient.


2008 ◽  
Vol 19 (11) ◽  
pp. 747-751 ◽  
Author(s):  
W C Loke ◽  
L Bacchus ◽  
C Torres ◽  
E Fox

Domestic violence (DV) affects around one in four women in the UK. This study aimed to determine the prevalence of DV and the associations with sociodemographic and sexual behaviour variables in female attendees of an inner-city genitourinary (GU) medicine clinic. In this cross-sectional survey, 177 of 380 women (46.6%) disclosed a history of abuse and 17.4% reported DV in the preceding 12 months. Women with a history of a sexually transmitted infection (STI) were more likely to have experienced DV at some point in their lives (odds ratio [OR] = 2.39; 95% confidence interval [CI]: 1.58–3.63). Logistic regression analysis revealed that being black compared with white, (OR = 1.7; 95% CI: 2.4–12.5) current cohabitation with a partner (OR = 2.24; 95% CI: 1.06–4.75), increasing number of sexual partners in the last year (OR = 1.24; 95% CI: 1.01–1.5) and consumption of illicit drugs (OR = 2.05; 95% CI: 1.02–4.11) were significantly associated with DV in the last 12 months but age, current occupation, history of STIs, age of coitarche and condom use were not. DV was common in this GU medicine clinic population and associated with STIs. We recommend that health practitioners undergo training to increase awareness of the links between partner violence and sexual health problems.


2014 ◽  
Vol 86 ◽  
pp. 159-172 ◽  
Author(s):  
Stephen J. Rockel

African labor history is undergoing a resurgence judging by the appearance of these three important books. During the 1990s and into the early twenty-first century, historians working in East, West, and southern Africa published a remarkable number of first-rate histories of migrant laborers, rural workers, and the emerging urban working class, notably in the innovative Heinemann Social History of Africa series founded by Allen Isaacman and Jean Hay. Other historians published fine works elsewhere. Labor history of all kinds flourished. However, with new academic trends and the demise of the Social History series in the mid-2000s, African labor history seems to have entered a decline, although studies of precolonial slavery have continued to appear regularly. It is therefore gratifying to see a number of new labor histories published in the last two or three years.


2003 ◽  
Vol 14 (5) ◽  
pp. 341-343 ◽  
Author(s):  
M Vall Mayans ◽  
J M Escribá

To determine the prevalence of a previous history of sexually transmitted infection (STI) and its influence as a risk factor for HIV infection among men tested for HIV, data from men having a voluntary HIV test at the STI Unit of Barcelona during a 6-month period of 1998 were analysed. Descriptive and logistic regression analysis were done to examine the prevalence of previous STI and factors associated with HIV infection. Prevalences of HIV were 5.6% in homo/bisexual and 0.5% in heterosexual men ( P<0.001). Risk factors for HIV were STI history: odds ratio (OR)=8.7 and homo/bisexual behaviour: OR=6.6; 19.8% of heterosexuals had a history of STI compared with 44.2% of homo/bisexual men ( P<0.01). A previous STI was associated with HIV seropositivity in homosexual men.


Sign in / Sign up

Export Citation Format

Share Document