Maternal genital<i>Chlamydia trachomatis</i>infection and the risk of preterm labor

Ngassa, P; Egbe, J.A.

doi:10.1016/0020-7292(94)90568-1

Cited by 20 publications

(11 citation statements)

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“…The perinatal mortality rate is one of the most important indicators of the quality of perinatal care. As with [7] Ngassa and [9] Orfila et al, our results suggest that C. trachomatis infection is of great importance in perinatal pathologies. The perinatal mortality rate was significantly higher in the C. trachomatis positive patients.…”

Section: Discussionsupporting

confidence: 89%

“…A breakthrough in the prevention of this problem requires more data about the causes leading to premature uterine contractions. A large number of anecdotal observations suggest that C. trachomatis infections may have a causative role in the origin of premature delivery [5,7,14]. Consequently, a multicenter survey was carried out in order to determine the prevalence and risk factors for C. trachomatis infection in the pregnant population in Hungary [8] as Nyári has reported.…”

Section: Introductionmentioning

confidence: 99%

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Chlamydia trachomatis infection and the risk of perinatal mortality in Hungary

Nyári¹,

Woodward²,

Mészáros³

et al. 2001

Journal of Perinatal Medicine

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Chlamydia trachomatis infection and the risk of perinatal mortality in Hungary

Nyári¹,

Woodward²,

Mészáros³

et al. 2001

Journal of Perinatal Medicine

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“…Most of these studies were small compared to our study (less than 1,000 women included) and were published 10 to over 20 years ago. Early studies were often based on serology, which does not reliably distinguish current from past infection [9, 11, 14, 15]. One case–control study found an association between the presence of IgM anti-chlamydial antibody and preterm delivery [11].…”

Section: Discussionmentioning

confidence: 99%

Chlamydia trachomatis infection during pregnancy associated with preterm delivery: a population-based prospective cohort study

Rours

Duijts

Moll³

et al. 2011

Eur J Epidemiol

156

133

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Chlamydia trachomatis infection is the most prevalent bacterial sexually transmitted infection and may influence pregnancy outcome. This study was conducted to assess the effect of chlamydial infection during pregnancy on premature delivery and birthweight. Pregnant women attending a participating midwifery practice or antenatal clinic between February 2003 and January 2005 were eligible for the study. From 4,055 women self-administered questionnaires and urine samples, tested by PCR, were analysed for C. trachomatis infection. Pregnancy outcomes were obtained from midwives and hospital registries. Gestational ages and birthweights were analysed for 3,913 newborns. The C. trachomatis prevalence was 3.9%, but varied by age and socio-economic background. Chlamydial infection was, after adjustment for potential confounders, associated with preterm delivery before 32 weeks (OR 4.35 [95% CI 1.3, 15.2]) and 35 weeks gestation (OR 2.66 [95% CI 1.1, 6.5]), but not with low birthweight. Of all deliveries before 32 weeks and 35 weeks gestation 14.9% [95% CI 4.5, 39.5] and 7.4% [95% CI 2.5, 20.1] was attributable to C. trachomatis infection. Chlamydia trachomatis infection contributes significantly to early premature delivery and should be considered a public health problem, especially in young women and others at increased risk of C. trachomatis infection.

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“…In women, Chlamydia causes cervicitis, urethritis, endometritis and scarring of fallopian tubes, with consequent infertility, inflammatory pelvic disease, ectopic pregnancy and adverse pregnancy outcome. 5,6,13,16,17,21 Screening of women for chlamydial infection has been recommended by different organizations, including the U.S. Centers for Disease Control and Prevention, 20 as various screening programs have been shown to significantly decrease C trachomatis prevalence in some regions. A reliable estimate of the prevalence of genital chlamydial infection in India is not available.…”

Section: Cytologymentioning

confidence: 99%