DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174455

Sociodemographic and seroprevalence profile of sexually transmitted infections (HIV, Hepatitis B, Hepatitis C and Syphilis) in asymptomatic pregnant females

Paramjit Kaur, Ruby Bhatia, Rupinder Sidhu, Surinder K. Bhopal, Amandev Singh

Abstract


Background: Globally 499 million new episodes of curable STIs occur in the age group of 15-49 years, 80% in developing countries and 79 million in India alone. There is an increasing trend for viral STIs while bacterial STIs are on decline. Number of pregnant women with STIs is increasing by about 250 million a year in developed world and double that number in developing countries. The objective of the study was to estimate seroprevalence of STIs (Hepatitis C, Hepatitis B, HIV and Syphilis) and to evaluate impact of sociodemographic profile and sexual behaviour on STIs

Methods: This observational study was carried out on 1000 asymptomatic pregnant females attending antenatal clinics, Department of Obstetrics and Gynecology, Government Medical College Patiala, Punjab.

Results: Seroprevalence for STIs in asymptomatic pregnant females was 22.5%. Hepatitis C-9%, Hepatitis B-6.3%, HIV-5.5%, and Syphilis 1.7%. Illiteracy, low socio economic status, homemakers, rural background with multiple sex partners in the 21-30 years age group is associated with increasing trends of STIs in pregnancy.

Conclusions: Screening asymptomatic pregnant women for STIs remains a key programme strategy for quadruple (Hepatitis C, Hepatitis B, HIV and Syphilis) prevention. Mandatory screening for STIs to reduce perinatal transmission is need of the millennium– a step toward ending STI epidemics as a global priority.

 


Keywords


Hepatitis, HIV, Pregnant, Sexually transmitted infections, Syphilis

Full Text:

PDF

References


Sexually transmitted diseases (STDs) and PLWHA/National AIDS Resource Centre. Available at http://plwha.etharc.org/faq/4frequentlyaskedquestions - faq- about sexually transmitted diaseses-stds/22-sexually_transmitted_ diseases_stds. Accessed on 28 December 2013.

National guidelines on prevention, management and control of Reproduction tract infections and Sexually transmitted infections 2014 MOHFW, Gov. of India.

Velu PP, Gravett CA, Robert TK, Wagner TA, Zhang JS, Rubens CE, et al. Epidemiology and aetiology of maternal bacterial and viral infections in low and middle income countries. J Glob Health. 2011;1(2):171-88

Ekanem EL, Ekott M, Udo AE, Efiok EE, Inyang Out A. Prevalence of sexually transmitted diseases in pregnant women in Kot, Ekpene, a rural community in Akwaibom State, Nigeria. OJOG. 2012;2(1):1-7.

Gabriella BG, Kamb ML, Newman LM, Mark. Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis. Bulletin WHO. 2013;91:217-26.

Sexually transmitted infections (STIs). Available at http://www.who.int/mediacentre/factsheets/fs/110/en. Accessed on 28 December 2016.

Bohara MS, Joshi AB, Lekhak B, Gurung G. Reproductive tract infections among women attending gynecology outpatient department. Int J Infect Microbiol. 2012;1(1):29-33

Kulkarni SK, Doibale MK. Trend of seroprevalence of HIV among antenatal clinic, attendees at a tertiary care hospital. Int J Basic Appl Med Sci. 2013;3(1):257-62.

Mehta KD, Antala S, Mistry M, Goswami Y. Seropositivity of hepatitis B, hepatitis C, Syphilis and HIV in antenatal women in India. J Infect Dev Ctries. 2013;7(11):832-7.

Jindal N, Aggarwal A, Gill Paramjit, Sabharwal B, Shewan BB. Community based study of reproductive tract infections inclusing sexually transmitted infections, among rural population of Punjab, India. Indian J Community Med. 2009;34(4):359-61.

Maheshwari M, Agarwal P, Devil S. Prevalence of sexually transmitted infections in pregnant women attending antenatal clinic in a predominantly rural area in Haryana. Int J Sci Res. 2013;2(11):453-4.

Rajesh R, Sudha V. Prevalence of sexually transmitted diseases (STDs) in pregnant women attending the STD clinic at the institute of sexually transmitted diseases in the era of AIDS. JEMDS. 2013;1:7.

Irshad MK, Chaudhary AG, Ahmed A. Hepatitis prevalence among pregnant women of Wah Cant. A case study of al-moeed hospital. Sc Int. 2014;26(1):459-61.

Dwivedi M, Misra SP, Misra V, Pandey A, Pant S, Singh R, et al. Seroprevalence of hepatitis B infection during pregnancy and risk of perinatal transmission. Indian J Gastroenterol. 2011;30(2):66-71.

Aboyeji AP, Nwabuisi C. Prevalence of sexually transmitted diseases among pregnant women in LLorin, Nigeria. J Obstet Gynecol. 2003;23(6):637-9.

Shah SA, Kristensen S, Menon MA, Usman G, Ghazi A, John R, et al. Prevalence of syphilis among antenatal clinic attendees in Karachi: Imperative to begin universal screening in Pakistan. J Pak Med Assoc. 2011;61(10):993-7.

Rashid S, Kilewo C, Aboud S. Seroprevalence of hepatitis B virus infection among hospital in Dares Salaam, Tanzania. Tanzania J Health Res. 2014;16(1):1-8.

Frambo AA, Atashili J, Fon PN, Ndtumbe PM. Prevalence of HBsAg and knowledge about hepatitis B in pregnancy in the Buea Health district, Cameroon: A cross-sectional study. BMC Res Notes. 2014;7:394.

Sandgren E, Sandgren S, Urazalin M, Andersson R. HIV/AIDS awareness risk behavior among pregnant women in Semey, Kazakhstan 2007. BMC Public Health. 2008;8:295.

Maimaiti R, Andersson R. Awareness and attitudes about HIV among pregnant women in Aksu, Northwest China. Open Aids J. 2008;2:72-7.

Global Health sector strategy WHO on Prevention and Control of Sexually Transmitted Infections. WHO. 2016-2021.