Correlation of PID and multiparity: a case control study

Shikha Pandey, Ramesh Pandey


Background: Pelvic inflammatory disease (PID) has emerged as a silent killer that disturbs women's life. In the rural population of India, most women are usually not aware of symptoms of PID. They do not move for health care unless alarming symptoms develop. The objective of present study is to find out to find out correlation between PID & multiparity.

Methods: The present study was conducted at Government Bundelkhand Medical College, Sagar. Study design:  Case control, Participants: Females attending obstetrics & gynecology department OPD, Sample size: Total 150  cases & same number (150) of controls. Statistics: Chi – square test.

Results: The odds ratio (OR) was 0.69 with 95% confidence interval (CI) being 0.42-1.09 for PID with multiparity as risk factor. Of 143 cases, multiparity was seen in 63 cases (44.05). In 150 controls, it was seen in 80 (53.33%). The variation was not statistically significant (p = 0.141). The Odds Ratio with in exepertise as a risk factor for PID was 2.41 with 95% CI being 1.78-3.27. Result shows etiological fraction of 58.5% (CI 43.9-69.4%) among inexpert hands. The delivery in untrained hands was significantly higher in cases (p 0.00001).

Conclusions: This study does not show multiparity to be a risk factor but delivery conducted by untrained hands was as a risk factor.



Multiparity, PID, Untrained hands

Full Text:



Pachauri S. Defining a reproductive health package for India: A proposed framework. Regional Working Paper No 4. 1995.

Tolu Oyelowo DC. Pelvic Inflammatory Disease. In: Mosby’s Guide to Women’s Health. 2007:p.68-71. 3. Epi_Info VdAwp, Database, and Statistical Programme for Public Health on IBM-compatible Microcomputers. Centers for Disease Control and Prevention. Atlanta, Georgia, USA Developed by Dean AG, Coulombier D, Brendel KA, Smith DC, Burton AG, Dicker RC, et al. 2001.

Duncan ME, Tibaux G, Pelzer A, Reimann K, Peutherer JF, Simmonds P, et al. First coitus before menarche and risk of sexually transmitted disease. Lancet 1990;335(8685):338-40.

Eschenbach DA. Prospective study of Pelvic inflammatory-disease by clinical criteria. Obstetrics Gynecology 1950;55:1485-525.

Lee NC, Rubin GL, Grimes DA. Measures of sexual behavior and the risk of pelvic inflammatory disease. Obstet Gynecol 1991;77(3):425-30.

Sweet RL, Draper DL, Hadley WK. Etiology of acute salpingitis: influence of episode number and duration of symptoms. Obstet Gynecol 1981;58(1):62-8.

Beerthuizen RJ. Pelvic inflammatory disease in intrauterine device users. Eur J Contracept Reprod Health Care 1996;1(3):237-43.