BACKGROUND: To examine the hypothesized association between vaginal douching and preterm delivery, we conducted a study among women in a managed care organization in Atlanta, GA. METHODS: We drew a stratified random sample of 262 preterm (20-36 weeks' gestation) and 804 term deliveries that occurred between January 1996 and April 1997. Data were collected from telephone interviews and medical records. We used proportional hazards regression to compute gestation-specific conditional probabilities of delivery. The risk of preterm delivery associated with douching was examined, adjusted for potential confounders. RESULTS: Douching during pregnancy increased the overall risk of preterm delivery (hazard ratio = 1.9, 95% confidence interval = 1.0-3.7). CONCLUSIONS: Further research to clarify the relation between douching and preterm delivery should pay particular attention to the role of vaginal infections.
BACKGROUND: To examine the hypothesized association between vaginal douching and preterm delivery, we conducted a study among women in a managed care organization in Atlanta, GA. METHODS: We drew a stratified random sample of 262 preterm (20-36 weeks' gestation) and 804 term deliveries that occurred between January 1996 and April 1997. Data were collected from telephone interviews and medical records. We used proportional hazards regression to compute gestation-specific conditional probabilities of delivery. The risk of preterm delivery associated with douching was examined, adjusted for potential confounders. RESULTS: Douching during pregnancy increased the overall risk of preterm delivery (hazard ratio = 1.9, 95% confidence interval = 1.0-3.7). CONCLUSIONS: Further research to clarify the relation between douching and preterm delivery should pay particular attention to the role of vaginal infections.
Authors: Christine M Markham; Susan R Tortolero; Robert C Addy; Elizabeth R Baumler; Nicole Kraus McKirahan; Soledad L Escobar-Chaves; Melissa Fleschler Peskin Journal: J Adolesc Health Date: 2007-09-04 Impact factor: 5.012
Authors: R J Diclemente; A M Young; J L Painter; G M Wingood; E Rose; J M Sales Journal: J Pediatr Adolesc Gynecol Date: 2011-11-03 Impact factor: 1.814
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