{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T05:29:40Z","timestamp":1761974980001},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2594,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"},{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2594,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[1993,1]]},"abstract":"<jats:p>To determine whether a previous pelvic infection has an effect on the outcome of a subsequent\npregnancy, we identified women with a diagnosis of pelvic inflammatory disease (<jats:bold>PID<\/jats:bold>), amnionitis,\nand postpartum or postabortal endometritis\u2010salpingitis by a retrospective chart review of all patients\nadmitted to the Department of Obstetrics and Gynecology at The New York Hospital\u2010Cornell\nMedical Center between 1975 and 1977 and between 1985 and 1988. Antimicrobial regimens\neffective against <jats:italic>Chlamydia trachomatis<\/jats:italic> were initiated in 1985. Controls were randomly selected\npatients presenting during the same time period for routine examinations who had normal Pap\nsmears and no infections. Both groups were comparable for age, race, gravity, and parity. Differences\nwere evaluated by chi square analysis, using the Yates correction factor. We identified 183\nwomen with a history of the above infections who subsequently conceived, and 82 controls. There\nwere no differences in outcome between the two index groups. Term vaginal deliveries occurred in\n14.2% of the women with a prior pelvic infection and in 56% of the controls (<jats:italic>P<\/jats:italic> &lt; 0.001). Among the\n97 women who had had <jats:bold>PID<\/jats:bold>, 21 (21.6%) had a spontaneous abortion in the subsequent pregnancy,\nas opposed to 6 (7.3%) of the controls (<jats:italic>P<\/jats:italic> = 0.013). In addition, eight of the women with <jats:bold>PID<\/jats:bold> (but no\ncontrols) went into preterm labor (<jats:italic>P<\/jats:italic> = 0.021). An increased incidence of preterm labor (<jats:italic>P<\/jats:italic> = 0.001)\nwas also observed in women with a history of amnionitis. A history of endometritis was not\nassociated with an increased prevalence of abnormal outcome in subsequent pregnancies. <jats:bold>PID<\/jats:bold> and\namnionitis may adversely affect the outcome of subsequent pregnancies.<\/jats:p>","DOI":"10.1155\/s1064744993000043","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:01:12Z","timestamp":1173272472000},"page":"12-15","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pregnancy Outcome Following Pelvic Infection"],"prefix":"10.1155","volume":"1","author":[{"given":"Miklos","family":"Toth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anu","family":"Chaudhry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Ledger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven S.","family":"Witkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1992,11,24]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/1993\/605202.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/1993\/605202.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S1064744993000043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:24:20Z","timestamp":1723076660000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S1064744993000043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,11,24]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1993,1]]}},"alternative-id":["10.1155\/S1064744993000043"],"URL":"https:\/\/doi.org\/10.1155\/s1064744993000043","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[1992,11,24]]},"assertion":[{"value":"2000-01-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}