Report of sexually transmitted infections prevalence in asymptomatic pregnant women under 25 years old in Lleida, Spain

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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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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Partner Notification of Sexually Transmitted Infections among Pregnant Women

International Journal of STD & AIDS ◽

10.1258/ijsa.2007.007295 ◽

2008 ◽

Vol 19 (5) ◽

pp. 309-315 ◽

Cited By ~ 3

Author(s):

Andrea Ries Thurman ◽

Alan E C Holden ◽

Rochelle Shain ◽

Sondra Perdue ◽

Jeanna Piper

Keyword(s):

Pregnant Women ◽

Sexually Transmitted Infections ◽

Partner Notification ◽

Sexually Transmitted

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Prevalence and impact of sexually transmitted infections in pregnant women in central Ethiopia

International Journal of STD & AIDS ◽

10.1177/0956462417723545 ◽

2017 ◽

Vol 29 (3) ◽

pp. 251-258 ◽

Cited By ~ 10

Author(s):

Andreas Schönfeld ◽

Torsten Feldt ◽

Tafese B Tufa ◽

Hans M Orth ◽

André Fuchs ◽

...

Keyword(s):

Pregnant Women ◽

Sexually Transmitted Infections ◽

Perinatal Mortality ◽

Group B Streptococcus ◽

Public Health Issue ◽

Unborn Child ◽

Central Ethiopia ◽

Sexually Transmitted ◽

Group B

Human immunodeficiency virus (HIV) continues to be a major global public health issue and omnipresent sexually transmitted infections (STIs) increase the risk of HIV acquisition. Moreover, STIs and HIV in pregnant women can harm the unborn child. In this study, we systematically investigated the prevalence of HIV, relevant STIs and vaginal group B streptococcus colonization among pregnant women presenting at Asella Teaching Hospital in central Ethiopia and their effect on perinatal mortality. A follow-up was performed six weeks after delivery. A total of 580 women were included, of which 26.6% tested positive for at least one pathogen ( Chlamydia trachomatis 9.8%, trichomoniasis 5.3%, hepatitis B 5.3%, gonorrhoea 4.3%, group B streptococcus 2.4%, syphilis 2.2%, HIV 2.1%). None of the HIV infections were previously undiagnosed, indicating effective HIV screening activities in the region. Follow-up data were available for 473 (81.6%) children, of which 37 (7.8%) were stillborn or died within the first six weeks of life. Infection with Trichomonas vaginalis and recruitment at obstetric ward (versus antenatal care) were associated with mortality. High prevalence of STIs in pregnant women and their impact on the unborn child demonstrate the need for screening and treatment programmes in order to prevent perinatal mortality.

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Association of malaria and curable sexually transmitted infections with pregnancy outcomes in rural Burkina Faso

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04205-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Serge Henri Zango ◽

Moussa Lingani ◽

Innocent Valea ◽

Ouindpanga Sekou Samadoulougou ◽

Biebo Bihoun ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Burkina Faso ◽

Pregnant Women ◽

Sexually Transmitted Infections ◽

Pregnancy Outcomes ◽

Rural Setting ◽

Sexually Transmitted ◽

The Impact

Abstract Background Malaria and curable sexually transmitted infections (STIs) are severe infections associated with poor pregnancy outcomes in sub-Saharan countries. These infections are responsible for low birth weight, preterm birth, and miscarriage. In Burkina Faso, many interventions recommended by the World Health Organization were implemented to control the impact of these infections. After decades of intervention, we assessed the impact of these infections on pregnancy outcomes in rural setting of Burkina Faso. Methods Antenatal care and delivery data of pregnant women attending health facilities in 2016 and 2017 were collected in two rural districts namely Nanoro and Yako, in Burkina Faso. Regression models with likelihood ratio test were used to assess the association between infections and pregnancy outcomes. Results During the two years, 31639 pregnant women received antenatal care. Malaria without STI, STI without malaria, and their coinfections were reported for 7359 (23.3%), 881 (2.8 %), and 388 (1.2%) women, respectively. Low birth weight, miscarriage, and stillbirth were observed in 2754 (10.5 %), 547 (2.0 %), and 373 (1.3 %) women, respectively. Our data did not show an association between low birth weight and malaria [Adjusted OR: 0.91 (0.78 – 1.07)], STIs [Adjusted OR: 0.74 (0.51 – 1.07)] and coinfection [Adjusted OR: 1.15 (0.75 – 1.78)]. Low birth weight was strongly associated with primigravidae [Adjusted OR: 3.53 (3.12 – 4.00)]. Both miscarriage and stillbirth were associated with malaria [Adjusted OR: 1.31 (1.07 – 1.59)], curable STI [Adjusted OR: 1.65 (1.06 – 2.59)], and coinfection [Adjusted OR: 2.00 (1.13 – 3.52)]. Conclusion Poor pregnancy outcomes remained frequent in rural Burkina Faso. Malaria, curable STIs, and their coinfections were associated with both miscarriage and stillbirth in rural Burkina. More effort should be done to reduce the proportion of pregnancies lost associated with these curable infections by targeting interventions in primigravidae women.

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