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Pelvic inflammatory disease during the post-partum year.
Barbara E Mahon1, M'hamed Temkit, Jane Wang
1Department of Pediatrics, Boston University Schools of Public Health and Medicine, Boston, MA, USA. mahonbe@bu.edu
Infectious Diseases in Obstetrics and Gynecology
|December 13, 2005
Summary
Pelvic inflammatory disease (PID) occurred in 1% of women in their postpartum year. Young maternal age and gonorrhea were key risk factors for developing this infection after delivery.
Area of Science:
- Reproductive Health
- Infectious Diseases
- Public Health
Background:
- Pelvic inflammatory disease (PID) is a significant reproductive health concern.
- Understanding postpartum PID is crucial for maternal health.
- Risk factors for postpartum PID require further elucidation.
Purpose of the Study:
- To determine the incidence of pelvic inflammatory disease (PID) during the postpartum year.
- To identify demographic and clinical risk factors associated with postpartum PID.
Main Methods:
- Retrospective analysis of 15,206 deliveries from 1992-1999 at a large urban hospital.
- Data extraction from an electronic medical record system.
- Univariate and multivariate analyses to identify predictors of postpartum PID.
Main Results:
- 1.0% of deliveries (148 cases) resulted in a postpartum PID diagnosis.
- Young maternal age, Black race, and history of chlamydial/gonococcal infections were associated with PID.
- Young maternal age and gonorrhea (pre-delivery or postpartum) were independent predictors of postpartum PID.
Conclusions:
- Postpartum PID affects approximately 1% of women, with young maternal age being a significant risk factor.
- Gonorrhea infection is a key predictor of postpartum PID.
- Further research is needed on postpartum sexually transmitted infection acquisition and progression to PID.