       Document 0395
 DOCN  M9640395
 TI    An incident case-referent study of threatening preterm birth and genital
       infection.
 DT    9604
 AU    Osman NB; Folgosa E; Bergstrom S; Department of Obstetrics and
       Gynecology, Central Hospital,; Maputo, Mozambique.
 SO    J Trop Pediatr. 1995 Oct;41(5):267-72. Unique Identifier : AIDSLINE
       MED/96102586
 AB    A total of 53 pregnant Mozambican women identified as having painful
       uterine contractions in the preterm period were studied and compared to
       referents, matched for age, parity, and gestational length, without such
       contractions. Both groups were studied regarding socio-economic and
       obstetric background factors, current clinical features, and
       microbiological findings in the lower genital tract. Cases tended to
       seek antenatal care earlier than referents. Salaried work outside the
       home was more common among cases (OR = 16.9). It was shown that affected
       cases had significantly more antenatal card risk factors (OR = 3.4) and
       that 10 times more cases than referents had elevated body temperature
       (OR = 16.7). Anaemia was more common among cases than among referents
       (OR = 3.7) and malaria parasitaemia was over-represented among cases (OR
       = 12.4). Mid-upper-arm circumference was shorter among cases than among
       referents (OR = 2.4). Anaerobic bacteria tended to be isolated from
       endocervix more often among cases than among referents (OR = 2.4). Only
       one woman in the study was HIV-1-positive. It is concluded that febrile
       infection is strongly associated with preterm labour and that salaried
       work outside home, anaemia, and malaria are significant risk factors in
       the setting studied.
 DE    Adolescence  Adult  Bacterial Infections/*COMPLICATIONS/EPIDEMIOLOGY
       Case-Control Studies  Female  Genital Diseases,
       Female/*COMPLICATIONS/EPIDEMIOLOGY/MICROBIOLOGY  Human  Labor,
       Premature/EPIDEMIOLOGY/*MICROBIOLOGY/PREVENTION & CONTROL
       Mozambique/EPIDEMIOLOGY  Odds Ratio  Pregnancy  Pregnancy Complications,
       Infectious/EPIDEMIOLOGY/*MICROBIOLOGY/  PREVENTION & CONTROL  Prenatal
       Care  Risk Factors  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

