MedElevator
Войти в исследования European journal of obstetrics, gynecology, and reproductive biology · 2026
Chlamydia and gonorrhoea prevalence in abortion and prenatal care: a cross-sectional study in a Portuguese centre.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Martins Inês, Dias Joana, Órfão Sara, Monteiro José, Pulido-Valente Maria, Pinto Luísa
Аннотация
BACKGROUND AND OBJECTIVE: Infections caused by C. trachomatis (CT) and Neisseria gonorrhoeae (NG) are increasing in Europe. However, differences in surveillance systems limit accurate epidemiological data on representative populations, such as women receiving prenatal care. This study aimed to estimate the prevalence of urogenital CT and NG among pregnant women in two distinct pregnancy-related care contexts at a Portuguese center.
METHODS: A cross-sectional prevalence study was conducted at a Portuguese tertiary care center, including pregnant women undergoing induced abortion (up to 10 weeks of gestation) and those receiving prenatal care (35-37 weeks of gestation). Screening was performed using vaginal swab specimens and testing was performed using NAAT. A sample size of 207 participants was calculated to estimate the prevalence of CT.
RESULTS: A total of 253 pregnant women were included (145 women attending induced abortion care and 108 receiving third-trimester prenatal care). Overall prevalence was 5,5 % for CT and 1,2 % for NG. The highest prevalence of infection was observed among women aged 20-24 years (17,5 %) for CT, and among those under 25 years (3,9 %) for NG. A significantly higher prevalence of CT was observed among women in the induced abortion care group (9,0 % vs. 0,9 %, p = 0,010); all NG cases were identified in this group.
CONCLUSIONS: The prevalence of CT and NG was higher than expected among pregnant women attending this center, particularly among those seeking induced abortion. Recognizing the heterogeneity of women receiving pregnancy-related care is essential, as antenatal-focused approaches may underestimate the true burden of infection. This study highlights the need to broaden research across all groups of pregnant women.
METHODS: A cross-sectional prevalence study was conducted at a Portuguese tertiary care center, including pregnant women undergoing induced abortion (up to 10 weeks of gestation) and those receiving prenatal care (35-37 weeks of gestation). Screening was performed using vaginal swab specimens and testing was performed using NAAT. A sample size of 207 participants was calculated to estimate the prevalence of CT.
RESULTS: A total of 253 pregnant women were included (145 women attending induced abortion care and 108 receiving third-trimester prenatal care). Overall prevalence was 5,5 % for CT and 1,2 % for NG. The highest prevalence of infection was observed among women aged 20-24 years (17,5 %) for CT, and among those under 25 years (3,9 %) for NG. A significantly higher prevalence of CT was observed among women in the induced abortion care group (9,0 % vs. 0,9 %, p = 0,010); all NG cases were identified in this group.
CONCLUSIONS: The prevalence of CT and NG was higher than expected among pregnant women attending this center, particularly among those seeking induced abortion. Recognizing the heterogeneity of women receiving pregnancy-related care is essential, as antenatal-focused approaches may underestimate the true burden of infection. This study highlights the need to broaden research across all groups of pregnant women.