Abstract |
We studied predictors of no prenatal care (PNC) and influence of no PNC on pregnancy outcome in a multisite study of 1071 women with syphilis in Russia. We assessed PNC utilization, HIV testing, syphilis treatment, and pregnancy outcome. We found that 37% of women with syphilis received no PNC, and 1% was HIV infected. Lacking official residency status was independently related to no PNC (adjusted odds ratio [AOR]: 8.1; 95% confidence intervals [CI]: 5.3-12.3). Among women with inadequately treated current syphilis, those without PNC were more likely to have a stillborn infant than those with PNC (25% vs. 3%, odds ratio [OR] 9.5, 95% CI 4.0-23.5). Women with adequately treated current syphilis and no PNC were more likely to deliver a low birth weight (OR 3.8; 95% CI 1.8-8.1) or preterm infant (OR 3.9; 95%CI 1.8-8.7). Women with previous or current syphilis and no PNC were significantly more likely to abandon their infants.
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Authors | K L Southwick, L I Tikhonova, E G Salakhov, A Shakarishvili, C Ryan, S Hillis |
Journal | International journal of STD & AIDS
(Int J STD AIDS)
Vol. 18
Issue 6
Pg. 392-5
(Jun 2007)
ISSN: 0956-4624 [Print] England |
PMID | 17609028
(Publication Type: Journal Article, Multicenter Study, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
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Topics |
- Adolescent
- Adult
- Female
- Health Services Accessibility
- Humans
- Infant Mortality
- Infant, Newborn
- Infectious Disease Transmission, Vertical
(prevention & control)
- Male
- Pregnancy
- Pregnancy Complications, Infectious
(economics, microbiology, therapy)
- Pregnancy Outcome
- Prenatal Care
- Retrospective Studies
- Risk Factors
- Russia
- Syphilis
(economics, prevention & control, therapy, transmission)
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