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Table 3 Associations of six types of RTIs during preconception care with adverse pregnancy outcomes

From: Preconception reproductive tract infections status and adverse pregnancy outcomes: a population-based retrospective cohort study

Type of infection

Trichomoniasis

Syphilis

Gonorrhea

Chlamydia

Bacterial vaginosis

Candidiasis

RTIs-uninfected

Among 57,708 pregnancies that had pregnancy outcomes

 Spontaneous abortion

  n /N (%)

18 /184 (9.78)

45 /348 (12.93)

2 /79 (2.53)

11 /138 (7.97)

40 /477 (8.39)

90 /1297 (6.94)

3105 /55270 (5.62)

  Crude OR (95%CI)

1.82 (1.12–2.97)

2.50 (1.82–3.42)

0.44 (0.11–1.78)

1.46 (0.79–2.70)

1.54 (1.11–2.13)

1.25 (1.01–1.56)

1.00 (Ref.)

  Adjusted ORa (95%CI)

1.65 (1.01–2.71)

2.07 (1.50–2.85)

0.38 (0.09–1.56)

1.36 (0.73–2.55)

1.33 (0.96–1.85)

1.14 (0.92–1.42)

1.00 (Ref.)

 Induced abortion / labour due to medical reasons

  n /N (%)

11 /184 (5.98)

20 /348 (5.75)

0 /79 (0)

3 /138 (2.17)

21 /477 (4.40)

39 /1297 (3.01)

1758 /55270 (3.18)

  Crude OR (95%CI)

1.94 (1.05–3.57)

1.86 (1.18–2.92)

/

0.68 (0.22–2.13)

1.40 (0.90–2.18)

0.94 (0.68–1.30)

1.00 (Ref.)

  Adjusted ORa (95%CI)

1.75 (0.95–3.26)

1.60 (1.01–2.54)

/

0.65 (0.21–2.05)

1.18 (0.76–1.84)

0.84 (0.61–1.17)

1.00 (Ref.)

 Stillbirth

  n /N (%)

0 /184 (0)

0 /348 (0)

0 /79 (0)

0 /138 (0)

1 /477 (0.21)

1 /1297 (0.08)

121 /55270 (0.22)

  Crude OR (95%CI)

/

/

/

/

0.96 (0.13–6.87)

0.35 (0.05–2.52)

1.00 (Ref.)

  Adjusted ORa (95%CI)

/

/

/

/

0.89 (0.12–6.41)

0.35 (0.05–2.52)

1.00 (Ref.)

Among 51,934 pregnancies with singleton livebirths

 Preterm Birth

  n /N (%)

9 /152 (5.92)

34 /276 (12.32)

3 /76 (3.95)

11 /125 (8.80)

34 /407 (8.35)

91 /1156 (7.87)

3874 /49763 (7.78)

  Crude OR (95%CI)

0.75 (0.38–1.46)

1.66 (1.16–2.39)

0.49 (0.15–1.55)

1.14 (0.62–2.12)

1.08 (0.76–1.54)

1.01 (0.82–1.26)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.73 (0.37–1.44)

1.60 (1.12–2.30)

0.48 (0.15–1.52)

1.14 (0.61–2.13)

1.08 (0.76–1.54)

1.01 (0.81–1.25)

1.00 (Ref.)

 Very Preterm Birth

  n /N (%)

2 /152 (1.32)

7 /276 (2.54)

0 /76 (0)

3 /125 (2.40)

13 /407 (3.19)

19 /1156 (1.64)

731 /49763 (1.47)

  Crude OR (95%CI)

0.89 (0.22–3.62)

1.75 (0.82–3.71)

/

1.65 (0.52–5.20)

2.22 (1.27–3.87)

1.12 (0.71–1.77)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.89 (0.22–3.60)

1.64 (0.77–3.51)

/

1.79 (0.57–5.67)

2.16 (1.23–3.78)

1.15 (0.72–1.82)

1.00 (Ref.)

 Macrosomia

  n /N (%)

5 /152 (3.29)

9 /273 (3.30)

1 /75 (1.33)

11 /125 (8.80)

27 /405 (6.67)

55 /1148 (4.79)

2061 /49292 (4.18)

  Crude OR (95%CI)

0.78 (0.32–1.90)

0.78 (0.40–1.52)

0.31 (0.04–2.23)

2.21 (1.19–4.12)

1.64 (1.11–2.43)

1.15 (0.88–1.52)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.69 (0.28–1.69)

0.76 (0.39–1.48)

0.32 (0.04–2.29)

2.00 (1.07–3.74)

1.58 (1.06–2.34)

1.06 (0.81–1.40)

1.00 (Ref.)

 LGA

  n /N (%)

13 /152 (8.55)

32 /273 (11.72)

5 /75 (6.67)

18 /125 (14.40)

55 /405 (13.58)

115 /1146 (10.03)

4967 /49224 (10.09)

  Crude OR (95%CI)

0.83 (0.47–1.47)

1.18 (0.82–1.71)

0.64 (0.26–1.58)

1.50 (0.91–2.48)

1.40 (1.05–1.87)

0.99 (0.82–1.21)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.79 (0.45–1.40)

1.13 (0.78–1.64)

0.64 (0.26–1.59)

1.41 (0.85–2.32)

1.36 (1.02–1.81)

0.96 (0.79–1.17)

1.00 (Ref.)

 LBW

  n /N (%)

1 /152 (0.66)

6 /273 (2.20)

1 /75 (1.33)

2 /125 (1.60)

5 /405 (1.23)

17 /1148 (1.48)

548 /49292 (1.11)

  Crude OR (95%CI)

0.59 (0.08–4.22)

2.00 (0.89–4.51)

1.20 (0.17–8.66)

1.45 (0.36–5.87)

1.11 (0.46–2.70)

1.34 (0.82–2.18)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.60 (0.08–4.28)

1.85 (0.82–4.20)

1.14 (0.16–8.28)

1.39 (0.34–5.64)

1.13 (0.46–2.73)

1.31 (0.80–2.14)

1.00 (Ref.)

 SGA

  n /N (%)

8 /152 (5.26)

15 /273 (5.49)

0 /75 (0)

9 /125 (7.20)

30 /405 (7.41)

78 /1146 (6.81)

2848 /49224 (5.79)

  Crude OR (95%CI)

0.91 (0.44–1.85)

0.95 (0.56–1.60)

/

1.26 (0.64–2.49)

1.30 (0.90–1.89)

1.19 (0.94–1.50)

1.00 (Ref.)

  Adjusted ORb (95%CI)

0.93 (0.45–1.89)

0.98 (0.58–1.65)

/

1.27 (0.64–2.51)

1.32 (0.91–1.93)

1.19 (0.94–1.50)

1.00 (Ref.)

  1. OR odds ratio
  2. aAdjusted OR were adjusted for maternal age, maternal preconception BMI, ethnicity, education level, occupation, place of residence, smoking, passive smoking, alcohol, parity, history of preterm birth, history of spontaneous abortion, history of induced abortion and hypertension
  3. bAdjusted OR were additionally adjusted for neonate sex