Pelvic inflammatory disease during the post-partum year.
OBJECTIVE
To investigate the occurrence of, and risk factors for, pelvic inflammatory disease (PID) occurring during the post-partum year.


METHODS
Demographic and clinical data for women who delivered a term infant with 5-minute Apgar score > or = 8 from 1992 through 1999 at a large urban hospital were extracted from an electronic medical record system.


RESULTS
During the study period, 15 206 deliveries occurred among 12 549 women. PID was diagnosed during the post-partum year of 148 (1.0%) deliveries. In univariate analysis, young age, black race, and both pre-delivery history and post-partum diagnosis of chlamydial and gonococcal infection were associated with PID. In multivariate analysis, only young age and a positive test for gonorrhea before delivery or post-partum were independent predictors of PID.


CONCLUSIONS
Pelvic inflammatory disease was diagnosed during the post-partum year in 1% of women studied. Young maternal age was an important demographic risk factor. Further investigation of post-partum STD acquisition and progression to PID is needed to determine whether women are at increased risk following delivery.
Mahon
Barbara E
BE
Department of Pediatrics, Boston University Schools of Public Health and Medicine, Boston, MA, USA. mahonbe@bu.edu
Temkit
M'hamed
M
Wang
Jane
J
Rosenman
Marc B
MB
Katz
Barry P
BP
D002690:Chlamydia Infections / Q000150:complications*; D005260:Female; D006069:Gonorrhea / Q000150:complications*; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology*; D049590:Postpartum Period; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology; D012307:Risk Factors