DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20160576

Sexually transmitted diseases in laboring women: trend over a decade

Kavita Mahadevappa, Naveen Prasanna, Ramalingappa C. Antaratani

Abstract


Background: Center for Disease Control (CDC) recommends routine screening in all pregnant women at first visit for syphilis, HIV, Hepatitis B infection as they have high vertical transmission rate. Syphilis is brought to control by screening and early treatment with penicillin, whereas HIV and Hepatitis B are incurable viral infections till date. Hence prevention is the only way to control the disease in the population. The purpose of the study is to know the burden of sexually transmitted diseases, so that prevention programme is better planned.

Methods: This is a retrospective analytical study conducted from January 2005 to December 2014, in Karnataka Institute of Medical Sciences, Hubli, Karnataka. All the patients who delivered in septic ward, who were more than 28 weeks of gestation and who were HIV, HBsAg or VDRL positive were included in the study.

Results: Among the total of 79,472 deliveries, the prevalence of HIV, HBsAg and VDRL were 0.90, 1.06 and 0.31 respectively. There were 4 cases of co-infection. The prevalence of HIV was 0.79 in 2005 and reached its peak of 1.33 in 2008 and then showed a steady decrease, reaching a lowest of 0.52 in 2014. The prevalence of HBsAg was 0.70 in 2005 and reached a peak of 1.57 in 2014. The prevalence of VDRL was highest of 0.08 in 2005 and lowest of 0.02 in 2014. Highest operative deliveries were seen in HBsAg positive women. Stillbirths were maximum in VDRL positive women and least in HBsAg positive women. There were 9 maternal deaths in HIV positive women and 3 maternal deaths in HBsAg positive women.

Conclusions: In our study HIV prevalence is showing a down trend and syphilis is at the verge of elimination as seen globally. However prevalence of Hepatitis B has shown a rising trend over a decade in our institute, unlike a down trend seen globally. Intensifying the screening of Hepatitis B in pregnancy and Immunisation programme of neonates, reducing overcrowding and providing better living conditions, improving hygiene and health education should be done in order to reduce the prevalence of Hepatitis B infection.

Keywords


Syphilis, Hepatitis B, HIV, Vertical transmission, Maternal mortality

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References


Sexually transmitted diseases during Pregnancy - CDC Fact Sheet. http://www.cdc.gov/ std/ pregnancy/stdfact-pregnancy.htm

Mudaliar AL, Menon MKK. Clinical Obstetrics, 11th ed. Hyderabad, India. Universities Press (India) Private Limited. 2011.

Okada K, Kamiyama I, Inomata M, Imai M, Miyakawa Y. E antigen and anti-e in the serum of asymptomatic carrier mothers as indicators of positive and negative transmission of hepatitis B virus to their infants. N Engl J Med. 1976;294:746-9.

Sweet RL. Hepatitis B infection in pregnancy. Obstet. Gynecol. Report. 1990;2:128.

Sexually Transmitted Diseases. Data & Statistics2013 Sexually Transmitted Diseases Surveillance National Profile. http://www.cdc.gov/ std/ stats13/syphilis.htm

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.

Khokhar N, Jethwa D, Lunagaria R, Panchal N, Badrakiya S, Badrakiya G. Seroprevalence of Hepatitis B, Hepatitis C, Syphilis and HIV in Pregnant Women in a Tertiary Care Hospital, Gujarat, India. International Journal of Current Microbiology and applied sciences. ISSN: 2319-7706. 2015;4(9):188-94. http://www.ijcmas.com

The Gap Report-Un Aids. www.unaids.org /.../unaids/.../unaidspublication/.../UNAIDS_Gap_report. 2014.

NACO annual report. www.naco.gov.in/ .../Annual%20Report/Annual%20report % 2012-13.

NACO annual report 2014-15. www.naco.gov.in/ NACO/.../Annual_Report/NACO_Annual_Report/Ann.

Hwang EW. Ramsey Cheung: Global Epidemiology of Hepatitis B Virus (HBV) Infection. N A J Med Sci. 2011;4(1):7-13.

Tandon BN, Acharya SK, Tandon A. Epidemiology of hepatitis B virus infection in India. Gut. 1996;38(2):S56-9.

Behal R, Jain R, Behal KK. Seroprevalence and risk factors for hepatitis B virus infection among general population in northern India. Arq Gastroenterol. 2008;45(2):137-40.

Kurien T, Thyagarajan SP, Jeyaseelan L. Community prevalence of hepatitis B infection & modes of transmission in Tamil Nadu, India. India J Med Res. 2005;121(5):670-5.

Marfatia YS, Pandya I, Jose SK. Congenital syphilis. Marching toward elimination. Indian J Sex Transm Dis. 2015;36(1):1-2.

Sexually Transmitted Diseases Data & Statistics 2013 Sexually Transmitted Diseases Surveillance National Profile. www.cdc.gov/std/ stats13/ syphilis.htm

The national strategy and operational guidelines towards elimination of congenital syphilis. New Delhi: NACO, MoHFW, Government of India. 2015.