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The relationship between pregnancy and sexual risk taking

      Abstract

      OBJECTIVES: We attempted to determine whether risks of acquiring sexually transmitted diseases differ between pregnant and nonpregnant women. STUDY DESIGN: Women attending clinics in Brooklyn (332 pregnant and 1069 nonpregnant) were interviewed and tested for Trichomonas vaginalis and Chlamydia trachomatis. Independent-sample t tests were conducted via SPSSX (SPSS Inc., Chicago) to assess differences in risk behavior across pregnancy status. RESULTS: In the pregnant sample 17.2% had positive test results for chlamydia and 23.4% had T. vaginalis. In the nonpregnant women the rates were 10.9% and 17.7%, respectively (p < 0.01). Pregnant respondents used condoms less consistently than nonpregnant women (p < 0.01). Although nonpregnant women reported a higher frequency of sexual activity and more sexual partners in the previous month, the strength of those relationships was weak. CONCLUSION: We have found that pregnancy does not represent a time of reduced sexual risks. The differences in self-reported risk, with the exception of consistency of condom use, all showed very weak indexes of strength. Providers of obstetric services should incorporate “safer sex” messages into routine prenatal care. (AM J OBSTET GYNECOL 1996;174:1033-6.)

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      References

        • Centers for Disease Control and Prevention
        Births, marriages, divorces and deaths for May 1994.
        Mo Vital Stat Rep. 1994; 43: 1-24
        • Centers for Disease Control
        AIDS in women - United States.
        MMWR Morb Mortal Wkly Rep. 1990; 39: 845-846
        • American College of Obstetricians and Gynecologists
        Office practice. In: An update in obstetrics and gynecology.
        in: ACOG, Washington1994: 55-121
      1. AIDS surveillance update: second quarter 1994. New York City Department of Health, New York1994 July: 6
        • Hayes W.
        Statistics.
        5th ed. : Harcourt Brace, Orlando, Florida1994
        • Jaccard J
        • Ackerman L.
        Repeated measures analysis of means in clinical research.
        J Consult Clin Psychol. 1985; 53: 426-428
        • Louv WC
        • Austin H
        • Perlman J
        • Alexander WJ.
        Oral contraceptive use and the risk of chlamydial and gonococcal infections.
        AM J OBSTET GYNECOL. 1989; 160: 396-402
        • Moss GB
        • Clementson D
        • D'Costa L
        • et al.
        Association of cervical ectopy with heterosexual transmission of human immunodeficiency virus: results of a study of couples in Nairobi, Kenya.
        J Infect Dis. 1991; 164: 588-591
        • Horton J
        • Murphy P
        • Hale RW.
        Obstetrician-gynecologists as primary care providers: a national survey of women.
        Prim Care Update Obstet Gynecol. 1994; 1: 212-215
        • National Center for Health Statistics
        Office visits to obstetricians and gynecologists: United States, 1989-1990.
        National Center for Health Statistics, Bethesda, Maryland1993 (National Ambulatory Medical Care Survey advance data no 223)
      2. 18th ed. Williams' obstetrics. : Appleton & Lange, Norwalk, Connecticut1989
        • American College of Obstetricians and Gynecologists
        A healthy lifestyle. In: Planning for pregnancy, birth and beyond.
        in: ACOG, Washington1990: 77-99
        • Goldsmith MF.
        Pregnancy Dx? Rx may now include condoms.
        JAMA. 1989; 262: 678-679
        • Landesman S
        • Minkoff HL
        • Holman S
        • McCCalla S
        • Sijin O.
        Sero survey of human immunodeficiency virus infection in parturients.
        JAMA. 1987; 258: 2701-2703
        • Minkoff HL
        • Landesman SH
        • Delke I
        • et al.
        Routinely offered prenatal HIV testing.
        N Engl J Med. 1988; 319 ([Letter]): 1018