Pelvic inflammatory disease during the post-partum year

Barbara E. Mahon, M'hamed Temkit, Jane Wang, Marc B. Rosenman, Barry P. Katz

Research output: Contribution to journalArticle

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)191-196
Number of pages6
JournalInfectious Diseases in Obstetrics and Gynecology
Volume13
Issue number4
DOIs
StatePublished - Dec 1 2005

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Keywords

  • Chlamydia
  • Gonorrhea
  • Pelvic inflammatory disease
  • Post-partum

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Dermatology

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