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Table 2 Adverse pregnancy and birth outcomes among women with and without STI at 1st ANC visit by HIV status in South Africa (2016–2019)

From: Impact of aetiological screening of sexually transmitted infections during pregnancy on pregnancy outcomes in South Africa

 

All women

Women living without HIV - 133 (21)

 

Women living with HIV - 486 (79)

 

(n = 619)

Any STI, n (%)

No STI, n (%)

 

Any STI, n (%)

No STI, n (%)

 

Total of all women with pregnancy outcomes

n (%)

36 (27)

97 (73)

RRa(95% CI)

192 (40)

294 (60)

RRa(95% CI)

Pregnancy losses

 Total pregnancy losses

45 (7)

2 (6)

6 (6)

 

13 (7)

24 (8)

 

 Miscarriage GA ≤ 20 weeks

29 (5)

0 (0)

3 (3)

–

9 (5)

17 (6)

0.83 (0.36–1.91)

 Stillbirth GA > 20 weeks

16 (2)

2 (6)

3 (3)

1.88 (0.30–11.85)

4 (2)

7 (2)

0.90 (0.25–3.12)

Live birth outcomes

 Total live births

574 (93)

34 (95)

91 (94)

 

179 (93)

270 (92)

 

 Full term delivery GA ≥ 37 weeks

509 (82)

30 (83)

85 (88)

ref

153 (80)

241 (82)

ref

 Preterm delivery GA < 37 weeks

62 (10)

4 (11)

5 (5)

2.26 (0.57–9.00)

24 (12)

29 (10)

1.30 (0.73–2.32)

 Early neonatal death

3 (1)

0 (0)

1 (1)

–

2 (1)

0 (0)

–

 LBW < 2500 g

35 (7)

2 (7)

3 (4)

1.02 (0.69–1.44)

13 (9)

17 (7)

1.00 (0.84–1.19)

  ≥ 2500

473 (93)

28 (93)

82 (96)

ref

140 (91)

223 (93)

ref

 Birth weight (median, IQR) grams (nb = 508)

3175 (2880–3450)

3195 (3060–3750)

3360 (3020–3570)

 

3100 (2830–3370)

3175 (2855–3405)

 

Composite adverse outcome

 Adverse outcome

146 (24)

8 (22)

15 (15)

1.43 (0.60–3.38)

52 (27)

71 (24)

1.12 (0.78–1.60)

 No adverse outcome

473 (76)

28 (78)

82 (85)

ref

140 (73)

223 (76)

ref

  1. IQR Interquartile range, LBW low birthweight, GA gestational age, ANC antenatal clinic, CI confidence interval, RR relative risk
  2. Any STI refers to a positive test for C. trachomatis, N.gonorrhoea or T.vaginalis at first antenatal visit
  3. aCalculated relative risk adjusting for maternal age, gestational age at enrolment, employment, marital status and gravidity
  4. b n = 508 which are infants born full term (excluding preterm babies)
  5. Composite adverse outcome include all adverse pregnancy events: miscarriage, stillbirth, preterm birth, neonatal death, and low birthweight