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Barriers to prenatal care and poor pregnancy outcomes among women with syphilis in the Russian Federation.
International Journal of STD & AIDS 2007 18(6): 392-395.
Southwick KL, Tikhonova LI, Salakhov EG, Shakarishvili A, Ryan
C, Hillis S.
Abstract
We studied predictors of no prenatal care (PNC) and influence of no PNC on
pregnancy outcome in a multisite study of 1071 women with syphilis in Russia.
We assessed PNC utilization, HIV testing, syphilis treatment, and pregnancy
outcome. We found that 37% of women with syphilis received no PNC, and 1%
was HIV infected. Lacking official residency status was independently related
to no PNC (adjusted odds ratio [AOR]: 8.1; 95% confidence intervals [CI]:
5.3-12.3). Among women with inadequately treated current syphilis, those without
PNC were more likely to have a stillborn infant than those with PNC (25% vs.
3%, odds ratio [OR] 9.5, 95% CI 4.0-23.5). Women with adequately treated current
syphilis and no PNC were more likely to deliver a low birth weight (OR 3.8;
95% CI 1.8-8.1) or preterm infant (OR 3.9; 95%CI 1.8-8.7). Women with previous
or current syphilis and no PNC were significantly more likely to abandon their
infants.