ADVERSE BIRTH OUTCOMES AND SEXUALLY TRANSMITTED INFECTIONS AMONG PREGNANT WOMEN IN HANOI, VIETNAM

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.

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Prevalence of sexually transmitted infections among pregnant women attending antenatal clinics in West Coast Region of The Gambia

African Health Sciences ◽

10.4314/ahs.v21i2.13 ◽

2021 ◽

Vol 21 (2) ◽

pp. 585-592

Author(s):

Alphonsus Isara ◽

Aru-Kumba Baldeh

Keyword(s):

Pregnant Women ◽

Sexually Transmitted Infections ◽

West Coast ◽

Trichomonas Vaginalis ◽

The Gambia ◽

Age Group ◽

The West ◽

Sexually Transmitted ◽

Neisseria Gonorrhoea ◽

Coast Region

Background: Sexually Transmitted Infections (STI) are the second most common cause of healthy life years lost by women in the 15 – 44 years age group in Africa. Aim/Objective: To determine the prevalence of STIs among pregnant women attending antenatal care (ANC) clinics in the West Coast Region of The Gambia. Materials and Methods: Blood, urine, and high vaginal swabs samples from 280 pregnant women attending ANC in Brika- ma District Hospital, Brikama, and Bandung Maternity and Child Health Hospital, Bandung were examined. Serum samples were tested for HIV using western blot technique and for syphilis using the Venereal Disease Research Laboratory (VDRL) test, and rapid plasma regimen. Candida albicans, Group B Streptococcus and Neisseria gonorrhoea were identified using Analytical Profile Index (API). Direct urine microscopy was used to identify C. albicans and Trichomonas vaginalis while Chlamydia trachomatis was identified using Direct Fluorescent Antibody (DFA) test. Results: The overall prevalence of STIs was 53.6%. The pathogenic agents isolated were Candida albicans (31.8%), Strep- tococcus agalactiae (15.0%), Treponema pallidum (6.8%), HIV (5.7%), Trichomonas vaginalis (3.9%), Neisseria gonorrhoea (1.8%) and Chlamydia trachomatis (0.7%). STIs were more prevalent among women in the younger age group of 15 – 24 years (54.7%), unemployed (54.0%), Primipara (62.3%), and in the third trimester of pregnancy (72.7%). Conclusion: A high prevalence of STIs was found among pregnant women attending ANC in the West Coast region of The Gambia. Public health intervention programmes should be strengthened to promote the sexual and reproductive health of pregnant women in The Gambia. Keywords: Sexually transmitted infections; pregnant women; antenatal clinics; The Gambia.

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Erratum - Prevalence of Curable Sexually Transmitted Infections in Pregnant Women in Low- and Middle-Income Countries From 2010 to 2015

Sexually Transmitted Diseases ◽

10.1097/olq.0000000000001172 ◽

2020 ◽

Vol 47 (5) ◽

pp. e11-e13

Keyword(s):

Pregnant Women ◽

Sexually Transmitted Infections ◽

Middle Income ◽

Sexually Transmitted ◽

Middle Income Countries ◽

Low And Middle Income

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Low prevalence of HIV and other selected sexually transmitted infections in 2004 in pregnant women from Kinshasa, the Democratic Republic of the Congo

Epidemiology and Infection ◽

10.1017/s0950268807009818 ◽

2007 ◽

Vol 136 (9) ◽

pp. 1290-1296 ◽

Cited By ~ 17

Author(s):

R. KINOSHITA-MOLEKA ◽

J. S. SMITH ◽

J. ATIBU ◽

A. TSHEFU ◽

J. HEMINGWAY-FODAY ◽

...

Keyword(s):

Pregnant Women ◽

Sexually Transmitted Infections ◽

Hiv Transmission ◽

Democratic Republic ◽

Male Partner ◽

Treponema Pallidum ◽

Syphilis Infection ◽

Sexually Transmitted ◽

Republic Of The Congo ◽

Low Prevalence

SUMMARYThis study examined the prevalence of HIV and other sexually transmitted infections (STIs) in pregnant women in Kinshasa, the Democratic Republic of the Congo (DRC). Between April and July 2004, antenatal attendees at two of the largest maternity clinics in Kinshasa were tested to identify HIV status, syphilis, Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG). HIV seroprevalence was 1·9% in 2082 women. With PCR techniques, CT and NG infections were also uncommon in the first 529 women (1·7% and 0·4%, respectively). No active syphilis infection case was identified by Treponema pallidum haemagglutination assay (TPHA) and rapid plasma reagin test (RPR). A woman's risk of HIV infection was significantly associated with her reporting a male partner having had other female sexual partners (OR 2·7, 95% CI 1·2–6·2). The continuing low seroprevalence of HIV in pregnant women from Kinshasa was confirmed. Understanding factors associated with this phenomenon could help prevent a future HIV epidemic in low HIV transmission areas in Africa.

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Insurance Differences in Preventive Care Use and Adverse Birth Outcomes Among Pregnant Women in a Medicaid Nonexpansion State: A Retrospective Cohort Study

Journal of Women s Health ◽

10.1089/jwh.2019.7658 ◽

2020 ◽

Vol 29 (1) ◽

pp. 29-37 ◽

Cited By ~ 5

Author(s):

Yhenneko J. Taylor ◽

Tsai-Ling Liu ◽

Elizabeth A. Howell

Keyword(s):

Cohort Study ◽

Pregnant Women ◽

Birth Outcomes ◽

Preventive Care ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Adverse Birth Outcomes

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Safety of influenza vaccination on adverse birth outcomes among pregnant women: A prospective cohort study in Japan

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2020.01.033 ◽

2020 ◽

Vol 93 ◽

pp. 68-76 ◽

Cited By ~ 2

Author(s):

Satoko Ohfuji ◽

Masaaki Deguchi ◽

Daisuke Tachibana ◽

Masayasu Koyama ◽

Tetsu Takagi ◽

...

Keyword(s):

Cohort Study ◽

Influenza Vaccination ◽

Pregnant Women ◽

Birth Outcomes ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Adverse Birth Outcomes

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Prevalence and risk assessment for sexually transmitted infections in pregnant women and female sex workers in Mali: is syndromic approach suitable for screening?

Sexually Transmitted Infections ◽

10.1136/sti.75.5.358 ◽

1999 ◽

Vol 75 (5) ◽

pp. 358-359 ◽

Cited By ~ 13

Author(s):

C. Mulanga-Kabeya ◽

E. Morel ◽

D. Patrel ◽

E. Delaporte ◽

F. Bougoudogo ◽

...

Keyword(s):

Risk Assessment ◽

Pregnant Women ◽

Sexually Transmitted Infections ◽

Sex Workers ◽

Female Sex Workers ◽

Sexually Transmitted ◽

Female Sex ◽

Syndromic Approach

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A Swedish Population-based Study of Adverse Birth Outcomes among Pregnant Women Treated with Buprenorphine or Methadone: Preliminary Findings

Substance Abuse Research and Treatment ◽

10.4137/sart.s38887 ◽

2016 ◽

Vol 10 ◽

pp. SART.S38887

Author(s):

Keele E. Wurst ◽

Barbara K. Zedler ◽

Andrew R. Joyce ◽

Maciek Sasinowski ◽

E. Lenn Murrelle

Keyword(s):

Preterm Birth ◽

General Population ◽

Pregnant Women ◽

Birth Outcomes ◽

Congenital Malformations ◽

Mode Of Delivery ◽

Neonatal Abstinence Syndrome ◽

Adverse Birth Outcomes ◽

Abstinence Syndrome ◽

Opioid Agonist

Background Untreated opioid dependence in pregnant women is associated with adverse birth outcomes. Buprenorphine and methadone are options for opioid agonist medication-assisted treatment during pregnancy. Objective The aim of this study was to describe adverse birth outcomes observed with buprenorphine or methadone treatment compared to the general population in Sweden. Methods Pregnant women and their corresponding births during 2005–2011 were identified in the Swedish Medical Birth Register. Data on stillbirth, neonatal/infant death, mode of delivery, gestational age at birth, Apgar score, growth outcomes, neonatal abstinence syndrome, and congenital malformations were examined. Frequencies were compared using two-sided Fisher's exact tests. Unadjusted estimates of birth outcomes for women treated with buprenorphine or methadone were compared to the registered general population. Results A total of 746,257 pregnancies among 538,178 unique women resulted in 746,485 live births. Among the 194 women treated with buprenorphine ( N = 176) or methadone ( N = 52), no stillbirths or neonatal/infant deaths occurred. Neonatal abstinence syndrome developed in 23.3% and 38.5% of infants born to mothers treated with buprenorphine and methadone, respectively. The frequency of the selected adverse birth outcomes assessed in women treated with buprenorphine as compared to the general population was not significantly different. However, a significantly higher frequency of preterm birth and congenital malformations was observed in women treated with methadone as compared to the general population. Compared with the general population, methadone-treated women were significantly older than buprenorphine-treated women, and both treatment groups began prenatal care later, were more likely to smoke cigarettes, and did not cohabitate with the baby's father. Conclusions An increased frequency of the selected adverse birth outcomes was not observed with buprenorphine treatment during pregnancy. Twofold increased frequency of preterm birth [2.21 (1.11, 4,41)] and congenital malformations [2.05 (1.08, 3.87)] was observed in the methadone group, which may be partly explained by older average maternal age and differences in other measured and unmeasured confounders.

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