title: Sexually transmitted infection is associated with increased risk of preterm birth in South Carolina women insured by Medicaid.
abstract: OBJECTIVE
  We investigated the association between diagnosed maternal sexually transmitted infections (STIs) and very preterm or late preterm birth in 108,346 South Carolina women receiving medical care purchased by Medicaid from 1996 through 2002, and delivering singleton infants.
  
  
  METHODS
  ICD9 codes in South Carolina Medicaid data were used to identify maternal infections. Gestational age was obtained from birth certificates.
  
  
  RESULTS
  Trichomoniasis, gonorrhea, and/or Chlamydia/non-gonococcal urethritis (NGU) were diagnosed in 4,208 women. Preterm birth occurred in just over 9% of pregnancies. Women diagnosed with one of the infections in the first 7 months of pregnancy were significantly more likely to deliver very preterm infants (adjusted HR = 1.73, p < 0.0001). Women with infection in the first 8 months were significantly more likely to deliver between 33 and 36 weeks (adjusted HR = 1.39, p < 0.0001). Of the three infections, Chlamydia/NGU was most strongly associated with preterm birth and infections occurring later in pregnancy (months 6, 7, and 8).
  
  
  CONCLUSIONS
  STIs appear to be preventable risk factors for very and late preterm birth.
authors.affiliation: Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA. joshua.mann@uscmed.sc.edu
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Mann
authors.forename: Suzanne
authors.initials: S
authors.lastname: McDermott
authors.forename: Tariq
authors.initials: T
authors.lastname: Gill
mesh_terms: D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000150:complications / Q000453:epidemiology / Q000208:ethnology; D004522:Educational Status; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008484:Medicaid / Q000706:statistics & numerical data; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000191:economics / Q000453:epidemiology* / Q000208:ethnology; D047928:Premature Birth / Q000191:economics / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000150:complications* / Q000191:economics / Q000453:epidemiology / Q000208:ethnology; D013022:South Carolina / Q000453:epidemiology; D014245:Trichomonas Infections / Q000150:complications / Q000453:epidemiology / Q000208:ethnology; D014481:United States; D055815:Young Adult