Sexually Transmitted Infections and Pregnancy Outcomes in Women without Antenatal Care at Siriraj Hospital

Main Article Content

Chenchit Chayachinda

Abstract

Objective: To demonstrate prevalence of sexually transmitted infections (STIs) and pregnancy outcomes in Thai pregnant women without antenatal care (ANC) who delivered at Siriraj Hospital.
Methods: Medical charts of pregnant women without ANC who delivered at Siriraj Hospital during 2010-2014 were reviewed. Data of all deliveries during the same time period were used for the comparison.
Results: During 2010-2014, out of 46,486 deliveries, 1,057 had no ANC, ranging from 197 to 229 / year. The average age was 25.5 ± 6.5 years and 85% were married. Prevalence of HIV infection, hepatitis B and other STIs in patients without ANC were 5.9% (62/1,057), 3.3% (35/1,057) and 1.4% (15/1,057), respectively. One third had consumed
recreational drugs and urine amphetamine was positive in 20.8% of patients. The frequency of current smokers and current alcohol consumers were 14.6% (154/1,057) and 3.8% (40/1,057). Compared with all deliveries, those without ANC had significantly higher adverse pregnancy outcomes, including preterm birth (39.1% vs 14.0%,
RR 2.29, 95%CI 2.10-2.49), birthweight < 2,500 gms (25.9% vs 12.6%, RR 1.84, 95%CI 1.65-2.05) and birthweight < 1,500 gms (4.1% vs 1.3%, RR 3.08, 95%CI 2.28-4.18). Teenage pregnancy significantly increased risk of preterm birth (aOR 1.86, 95%CI 1.36-2.55) and being separate doubled the risk of birthweight < 1,500 gms (aOR 2.13,
95%CI 1.02-4.46) after adjusting for history of recreational drug use, urine amphetamine, smoking, marital status, maternal age and concurrent STIs.
Conclusion: STIs and adverse pregnancy outcomes were highly prevalent among deliveries without ANC. Teenage
pregnancy and lack of family support appears to increase the risk of poor pregnancy outcomes.

Downloads

Download data is not yet available.

Article Details

How to Cite
Chayachinda, C. (2017). Sexually Transmitted Infections and Pregnancy Outcomes in Women without Antenatal Care at Siriraj Hospital. Siriraj Medical Journal, 69(3), 137–142. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/89556
Section
Original Article

Most read articles by the same author(s)