Chlamydia trachomatis infection and pregnancy outcome
Abstract
Chlamydia trachomatis is now recognized as the most common sexually transmitted disease organism in the United States. Although the potential for vertical transmission of C. trachomatis from pregnant women to their infants is well established, the extent to which infection adversely affects pregnancy and causes perinatal complications remains controversial. We report herein the results of a prospective study of 270 pregnant women with endocervical C. trachomatis compared with 270 matched control subjects (age +/- 1 year, race, and socioeconomic status). Among the entire group (n = 540), the rates of pregnancy complications were: premature rupture of the membranes, 54/270 (10%); preterm delivery, 55 (11%); amnionitis, 20 (4%); intrapartum fever, 23 (4.3%); small for gestational age, 76 (14.5%); postpartum endometritis, 31 (6%); and neonatal sepsis, 10 (1.8%). No statistically significant differences were noted between cases and controls for any of these variables. In the subset of women with recent or invasive chlamydial infection, indicated by the presence of IgM antibody against C. trachomatis, preterm delivery occurred in 13/67 IgM-positive versus 8/99 IgM-negative (p = 0.03) cases. Premature rupture of the membranes was present in 13/67 IgM-positive versus 8/99 IgM-negative (p = 0.03).
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Chlamydia is probably associated with preterm birth only in the presence of a maternal immune response, and most probably with a relative risk of about 2.
“Chlamydia is probably associated with preterm birth only in the presence of a maternal immune response, and most probably with a RR of about 2.106”
From Epidemiology and causes of preterm birth (2008) · cites this paper as [106]
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- Authors
- Sweet, R. L., Landers, D. V., Walker, C., & Schachter, J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Sweet, Richard L.
- ORCID
- Walker, Cheryl
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 1987-04
- Volume
- 156
- Issue
- 4
- Pages
- 824-833
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W1987686271
- Cited by
- 209
- References
- 14
- Citations by year
- 2025: 2 · 2023: 6 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 11 · 2013: 6 · 2012: 9
- FWCI
- 8.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD 13453)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Keywords
- Chlamydia trachomatis, pregnancy outcomes, vertical transmission, perinatal complications, preterm birth, premature rupture of membranes, amnionitis, postpartum endometritis, neonatal sepsis, small for gestational age, IgM, endocervical infection, sexually transmitted infections
- MeSH terms
- Uterine Cervical Diseases, Cervix Uteri, Chlamydia Infections, Chlamydia trachomatis, Female, Humans, Immunoglobulin M, Mycoplasma, Neisseria gonorrhoeae, Pregnancy, Pregnancy Complications, Infectious, Prospective Studies, Streptococcus agalactiae, Ureaplasma
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