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Table 4 Selected associations of preconception RTIs with adverse pregnancy outcomes, stratifying by infection status

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

 

Infected

RTI-uninfected

Crude OR (95%CI)

Adjusted OR (95%CI)

n /N (%)

n /N (%)

Spontaneous abortiona

    

 Trichomoniasis (Independent)

11 /142 (7.75)

3105 /55270 (5.62)

1.41 (0.76–2.62)

1.27 (0.68–2.38)

 Trichomoniasis (Co-infection)

7 /42 (16.67)

3105 /55270 (5.62)

3.36 (1.49–7.57)

3.08 (1.34–7.07)

 Syphilis (Independent)

38 /306 (12.42)

3105 /55270 (5.62)

2.38 (1.70–3.36)

1.95 (1.37–2.76)

 Syphilis (Co-infection)

7 /42 (16.67)

3105 /55270 (5.62)

3.36 (1.49–7.57)

3.11 (1.35–7.18)

Induced abortion / labour due to medical reasonsa

 Syphilis (Independent)

20 /306 (6.54)

1758 /55270 (3.18)

2.13 (1.35–3.36)

1.83 (1.15–2.91)

 Syphilis (Co-infection)

0 /42 (0)

1758 /55270 (3.18)

/

/

Preterm Birthb

    

 Syphilis (Independent)

30 /242 (12.40)

3874 /49763 (7.78)

1.68 (1.14–2.46)

1.60 (1.09–2.35)

 Syphilis (Co-infection)

4 /34 (11.76)

3874 /49763 (7.78)

1.59 (0.56–4.50)

1.61 (0.56–4.57)

Very Preterm Birthb

    

 Bacterial vaginosis (Independent)

10 /367 (2.72)

731 /49763 (1.47)

1.88 (1.00–3.54)

1.81 (0.96–3.42)

 Bacterial vaginosis (Co-infection)

3 /40 (7.50)

731 /49763 (1.47)

5.44 (1.67–17.68)

5.73 (1.75–18.77)

Macrosomiab

    

 Chlamydia (Independent)

11 /99 (11.11)

2061 /49292 (4.18)

2.87 (1.53–5.37)

2.59 (1.38–4.87)

 Chlamydia (Co-infection)

0 /26 (0)

2061 /49292 (4.18)

/

/

 Bacterial vaginosis (Independent)

24 /365 (6.58)

2061 /49292 (4.18)

1.61 (1.06–2.45)

1.54 (1.01–2.34)

 Bacterial vaginosis (Co-infection)

3 /40 (7.50)

2061 /49292 (4.18)

1.86 (0.57–6.03)

1.75 (0.54–5.72)

LGA2

    

 Bacterial vaginosis (Independent)

49 /365 (13.42)

4967 /49224 (10.09)

1.38 (1.02–1.87)

1.34 (0.99–1.81)

 Bacterial vaginosis (Co-infection)

6 /40 (15.00)

4967 /49224 (10.09)

1.58 (0.66–3.75)

1.55 (0.65–3.72)

  1. Trichomoniasis (Co-infection): mainly combined with Bacterial vaginosis (45%), Candidiasis (19%) and Syphilis (17%)
  2. Syphilis (Co-infection): mainly combined with Bacterial vaginosis (50%), Trichomoniasis (22%) and Gonorrhea (22%)
  3. Chlamydia (Co-infection): mainly combined with Bacterial vaginosis (53%), Trichomoniasis (21%) and Gonorrhea (18%)
  4. Bacterial vaginosis (Co-infection): mainly combined with Candidiasis (46%), Trichomoniasis (17%) and Gonorrhea (17%)
  5. 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
  6. bAdjusted OR were additionally adjusted for neonate sex