Advanced search
1 file | 209.01 KB

The risk factor profile of women with secondary infertility: an unmatched case-control study in Kigali, Rwanda

Author
Organization
Abstract
Background: Secondary infertility is a common, preventable but neglected reproductive health problem in resource-poor countries. This study examines the association of past sexually transmitted infections (STIs) including HIV, bacterial vaginosis (BV) and factors in the obstetric history with secondary infertility and their relative contributions to secondary infertility. Methods: Between November 2007 and May 2009 a research infertility clinic was set up at the Kigali University Teaching Hospital in Rwanda. Cases were defined as sexually-active women aged 21-45 years presenting with secondary infertility (n = 177), and controls as multiparous women in the same age groups who recently delivered (n = 219). Participants were interviewed about socio-demographic characteristics and obstetric history using structured questionnaires, and were tested for HIV and reproductive tract infections (RTIs). Results: Risk factors in the obstetric history for secondary infertility were lack of prenatal care in the last pregnancy, the first pregnancy before the age of 21 years, a history of unwanted pregnancy, a pregnancy with other than current partner, an adverse pregnancy outcome, stillbirth, postpartum infection and curettage. Presence of HIV, herpes simplex virus type 2 (HSV-2), or Treponema pallidum antibodies, and bacterial vaginosis (BV), were significantly more common in women in secondary infertile relationships than those in fertile relationships. The population attributable fractions (PAF%) for obstetric events, HIV, other (STIs), and BV were 25%, 30%, 27%, and 14% respectively. Conclusions: The main finding of this study is that obstetric events, HIV and other STIs contribute approximately equally to secondary infertility in Rwanda. Scaling up of HIV/STI prevention, increased access to family planning services, improvement of prenatal and obstetric care and reduction of stillbirth and infant mortality rates are all likely to decrease secondary infertility in sub-Saharan Africa.

Downloads

  • Risk Factor Profile of women with secondary infertility.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 209.01 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Dhont, Nathalie, Stanley Lüchters, Mambo-Claude Muvunyi, Joseph Vyankandondera, Ludwig De Naeyer, Marleen Temmerman, and Janneke van de Wijgert. 2011. “The Risk Factor Profile of Women with Secondary Infertility: An Unmatched Case-control Study in Kigali, Rwanda.” BMC WOMEN’S HEALTH 11.
APA
Dhont, N., Lüchters, S., Muvunyi, M.-C., Vyankandondera, J., De Naeyer, L., Temmerman, M., & van de Wijgert, J. (2011). The risk factor profile of women with secondary infertility: an unmatched case-control study in Kigali, Rwanda. BMC WOMEN’S HEALTH, 11.
Vancouver
1.
Dhont N, Lüchters S, Muvunyi M-C, Vyankandondera J, De Naeyer L, Temmerman M, et al. The risk factor profile of women with secondary infertility: an unmatched case-control study in Kigali, Rwanda. BMC WOMEN’S HEALTH. 2011;11.
MLA
Dhont, Nathalie, Stanley Lüchters, Mambo-Claude Muvunyi, et al. “The Risk Factor Profile of Women with Secondary Infertility: An Unmatched Case-control Study in Kigali, Rwanda.” BMC WOMEN’S HEALTH 11 (2011): n. pag. Print.
@article{1921495,
  abstract     = {Background: Secondary infertility is a common, preventable but neglected reproductive health problem in resource-poor countries. This study examines the association of past sexually transmitted infections (STIs) including HIV, bacterial vaginosis (BV) and factors in the obstetric history with secondary infertility and their relative contributions to secondary infertility.
Methods: Between November 2007 and May 2009 a research infertility clinic was set up at the Kigali University Teaching Hospital in Rwanda. Cases were defined as sexually-active women aged 21-45 years presenting with secondary infertility (n = 177), and controls as multiparous women in the same age groups who recently delivered (n = 219). Participants were interviewed about socio-demographic characteristics and obstetric history using structured questionnaires, and were tested for HIV and reproductive tract infections (RTIs).
Results: Risk factors in the obstetric history for secondary infertility were lack of prenatal care in the last pregnancy, the first pregnancy before the age of 21 years, a history of unwanted pregnancy, a pregnancy with other than current partner, an adverse pregnancy outcome, stillbirth, postpartum infection and curettage. Presence of HIV, herpes simplex virus type 2 (HSV-2), or Treponema pallidum antibodies, and bacterial vaginosis (BV), were significantly more common in women in secondary infertile relationships than those in fertile relationships. The population attributable fractions (PAF\%) for obstetric events, HIV, other (STIs), and BV were 25\%, 30\%, 27\%, and 14\% respectively.
Conclusions: The main finding of this study is that obstetric events, HIV and other STIs contribute approximately equally to secondary infertility in Rwanda. Scaling up of HIV/STI prevention, increased access to family planning services, improvement of prenatal and obstetric care and reduction of stillbirth and infant mortality rates are all likely to decrease secondary infertility in sub-Saharan Africa.},
  articleno    = {32},
  author       = {Dhont, Nathalie and L{\"u}chters, Stanley and Muvunyi, Mambo-Claude and Vyankandondera, Joseph and De Naeyer, Ludwig and Temmerman, Marleen and van de Wijgert, Janneke},
  issn         = {1472-6874},
  journal      = {BMC WOMEN'S HEALTH},
  language     = {eng},
  pages        = {7},
  title        = {The risk factor profile of women with secondary infertility: an unmatched case-control study in Kigali, Rwanda},
  url          = {http://dx.doi.org/10.1186/1472-6874-11-32},
  volume       = {11},
  year         = {2011},
}

Altmetric
View in Altmetric