期刊
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
卷 188, 期 1, 页码 141-148出版社
MOSBY-ELSEVIER
DOI: 10.1067/mob.2003.87
关键词
salpingitis; endometritis; pregnancy; infertility; chronic pelvic pain
资金
- AHRQ HHS [HS08358-05] Funding Source: Medline
- NICHD NIH HHS [1 F32 HD41294-01] Funding Source: Medline
- AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [R01HS008358] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [F32HD041294] Funding Source: NIH RePORTER
OBJECTIVE: We investigated the association between endometritis and reproductive morbidity. STUDY DESIGN: Participants were 614 women in the PID Evaluation and Clinical Health (PEACH) Study with pelvic pain, pelvic organ tenderness, and leukorrhea, mucopurulent cervicitis, or untreated cervicitis. We compared women with endometritis (greater than or equal to5 neutrophils or greater than or equal to2 plasma cells), Neisseria gonorrhoeae or Chlamydia trachorriatis upper genital tract infection (UGTI) or both to women without endometritis/UGTI for outcomes of pregnancy, infertility, recurrent pelvic inflammatory disease (PID), and chronic pelvic pain (CPP), adjusting for age, race, education, PID history, and baseline infertility. RESULTS: Endometritis/UGTI was not associated with reduced pregnancy (odds ratio [OR] 0.8, 95% CI 0.61.2) or elevated infertility (OR 1.0, 95% CI 0.6-1.6), recurrent PID (OR 0.6, 95% CI 0.4-0.9), or CPP (OR 0.6, 95% Cl 0.4-0.9). PEACH participants with and without endometritis/UGTI had higher age- and race-specific pregnancy rates than 1997 national rates. CONCLUSION: Among women with clinically suspected mild-to-mode rate PID treated with standard antibiotics, endometritis/UGTI was not associated with reproductive morbidity.
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