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- Title
Pelvic inflammatory disease during the post-partum year.
- Authors
Mahon, Barbara E.; Temkit, M'Hamed; Wang, Jane; Rosenman, Marc B.; Katz, Barry P.
- Abstract
Objective . To investigate the occurrence of, and risk factors for, pelvic inflammatory disease (PID) occurring during the post-partum year. Methods . Demographic and clinical data for women who delivered a term infant with 5-minute Apgar score ≥ 8 from 1992 through 1999 at a large urban hospital were extracted from an electronic medical record system. Results . During the study period, 15 206 deliveries occurred among 12 549 women. PID was diagnosed during the post-partum year of 148 (1.0%) deliveries. In univariate analysis, young age, black race, and both pre-delivery history and post-partum diagnosis of chlamydial and gonococcal infection were associated with PID. In multivariate analysis, only young age and a positive test for gonorrhea before delivery or post-partum were independent predictors of PID. Conclusions . Pelvic inflammatory disease was diagnosed during the post-partum year in 1% of women studied. Young maternal age was an important demographic risk factor. Further investigation of post-partum STD acquisition and progression to PID is needed to determine whether women are at increased risk following delivery.
- Subjects
PELVIC inflammatory disease; PUERPERIUM; ADNEXAL diseases; LABOR (Obstetrics); SEXUALLY transmitted diseases; CHLAMYDIALES
- Publication
Infectious Diseases in Obstetrics & Gynecology, 2005, Vol 13, Issue 4, p191
- ISSN
1064-7449
- Publication type
Article
- DOI
10.1155/2005/719349