Article wk 7

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Article wk 7

  1. 1. YOUNG PREGNANT WOMEN’S VIEWS ON THE ACCEPTABILITY OF SCREENING FOR CHLAMYDIA AS PART OF ROUTINE ANTENATAL CARE 2010 Bilardi et al; licensee BioMed Central Ltd.
  2. 2. Source :  Journal : BMC Public Health 2010, 10:505  Researchers : Jade E Bilardi, Deborah L De Guingand, Meredith J Temple-Smith, Suzanne Garland, Christopher K Fairley, Sonia Grover6, Euan Wallace6, Jane S Hocking, Sepehr Tabrizi, Marie Pirotta, Marcus Y Chen.
  3. 3. Introduction  Genital Chlamydia trachomatis infection is one of the most common bacterial sexually transmitted infection (STI) worldwide  In pregnancy, untreated Chlamydia infection has been associated with adverse outcomes for both mother and infant.  Like most women, pregnant women infected with chlamydia do not report genital symptoms, and are therefore unlikely to be aware of their infection.
  4. 4. Aim of the study  The aim of this study was to determine the acceptability of screening pregnant women aged 16-25 years for chlamydia as part of routine antenatal care
  5. 5. Method  As part of a larger prospective, cross-sectional study of pregnant women aged 16- 25 years attending antenatal services across Melbourne, Australia, 100 women were included.  All interviews were conducted face-to-face by JB using a semi-structured interview on the acceptability of screening for Chlamydia during pregnancy.  Women were provided information and informed by a research nurse about Chlamydia and the associated adverse maternal and neonatal outcomes of untreated chlamydia infection.  Women were asked to provide a first void urine specimen for chlamydia testing by polymerase chain reaction and complete a brief questionnaire providing basic demographic information, recent sexual behavior, genital symptoms and recent antibiotic use.
  6. 6. Results  100 women participated with median age of 22 yo.  69 had tested negative for Chlamydia and 31 positive for Chlamydia.  Women who tested positive were more likely to be under 20 yo, have more than one recent sexual partner and unmarried status.  In general, women had low levels of awareness of Chlamydia with many misconceptions.  All women supported testing for Chlamydia as part of their routine antenatal care with preference of urine testing over any other forms.  The main motivation factor in the acceptability was concern for health of the baby.
  7. 7.  Women reported that they wouldn’t mind their physician asking for a sexual history to assess their risk of Chlamydia.  Women who tested positive were relieved and grateful to have been diagnosed and receive treatment and reported high levels of partner support.
  8. 8. Discussion  Common barriers to Chlamydia testing include:  Denial by women of sexual activity or risk of infection  A reluctance to be tested because of moral connections and stigma  Feeling of shame, guilt, embarrassment and anger  Fear and anxiety around future reproductive health and the effects on partner relationships  Concerns around privacy and confidentiality
  9. 9. Conclusion  Chlamydia screening as part of routine antenatal care was considered highly acceptable among young pregnant women who recognized the benefits of screening and strongly supported its implementation as part of routine antenatal care.  For antenatal chlamydia testing to be broadly accepted it is important that pregnant women are well informed about chlamydia and the benefits of screening.

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