Vaginal douching and the risk of ectopic pregnancy among black women - 10/09/11
Abstract |
OBJECTIVE: Our goal was to determine whether vaginal douching was associated with ectopic pregnancy among black women and whether specific douching behaviors were associated with differences in risk.
STUDY DESIGN: We analyzed data from a case-control study of ectopic pregnancy conducted between October 1988 and August 1990 at a major public hospital in Atlanta, Georgia. Case subjects were 197 black women with surgically confirmed ectopic pregnancies; the control group included 882 black women who were delivered of live or stillborn infants and 237 black women who were seeking to terminate a pregnancy.
RESULTS: The adjusted odds ratio for ectopic pregnancy associated with ever having douched was 3.8 (95% confidence interval 1.6 to 8.9). The risk increased with increasing number of years of douching at least once per month. No douching behavior was found to be without risk; even women who douched for routine cleanliness were at increased risk of ectopic pregnancy.
CONCLUSIONS: Vaginal douching is a modifiable behavior that may greatly increase a woman's risk of ectopic pregnancy. (Am J Obstet Gynecol 1997;176:991-7.)
Le texte complet de cet article est disponible en PDF.Keywords : Ectopic pregnancy, risk factors, vaginal irrigation
Plan
 | From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention,a and the Department of Gynecology and Obstetrics, Emory University.b |
| This project was conducted by the Emory University School of Medicine with funding from the Centers for Disease Control and Prevention. |
 | Reprint requests: Juliette S. Kendrick, MD, Centers for Disease Control and Prevention, Mailstop K-23, 4770 Buford Hwy NE, Atlanta, GA 30341-3724. |
| 6/1/81304 |
Vol 176 - N° 5
P. 991-997 - mai 1997 Retour au numéro
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