Screening for sexually transmitted infections in women who become pregnant for the first time
DOI:
https://doi.org/10.15574/HW.2022.163.22Keywords:
sexually transmitted infections, pregnant for the first time, PCR diagnosis, chlamydia, ureaplasma, gonorrhea, inflammationAbstract
Purpose - to study the prevalence of sexually transmitted infections (STIs) in young women who became pregnant for the first time.
Materials and methods. 91 women who became pregnant for the first time, aged 20 to 28 years, were examined in 2021. The following infections were diagnosed by polymerase chain reaction: Chlamydia trachomatis, Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis and Gardnerella vaginalis.
Results. Screening for STIs was conducted in women who became pregnant for the first time. It showed the presence of various STIs in 78 (85.7%) of the studied pregnant women. Chlamydia trachomatis was detected in 8 (8.8%) pregnant women, Ureaplasma urealyticum + Ureaplasma parvum - in 3 (3.2%) patients, Mycoplasma hominis - in 12 (13.2%) women, Gardnerella vaginalis - in 71 (71.8%) pregnant women; the following combinations were most often noted: Ureaplasma urealyticum + Ureaplasma parvum and Gardnerella vaginalis - in 47 (51.6%) pregnant women; combination of 4 pathogens (Chlamydia trachomatis and Ureaplasma urealyticum + Ureaplasma parvum and Mycoplasma hominis, Gardnerella vaginalis) was detected in 14 (15.3%) pregnant women.
Conclusions. Laboratory screening showed a high (85.7%) frequency of STIs infection among young pregnant women. The high prevalence of STIs among students is associated not only with lifestyle, but also with a decrease in the nonspecific and immunological resistance of pregnant women.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the author.
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