Association of Chlamydia trachomatis infection with pregnancy outcomes among Japanese pregnant women: The Japan environment and children's study
This study aimed to investigate the impact of Chlamydia trachomatis (CT) infection on pregnancy outcome in pregnant Japanese women. We utilized the data from a nationwide birth cohort study, the Japan Environment and Children's Study (JECS), for this study. We enrolled 26,385 individuals who co...
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| Veröffentlicht in: | PloS one 2022-11, Vol.17 (11), p.e0275573 |
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| creator | Yasuda, Shun Kyozuka, Hyo Endo, Yuta Kanno, Aya Murata, Tsuyoshi Fukusda, Toma Yamaguchi, Akiko Sato, Akiko Ogata, Yuka Kuse, Masahito Hosoya, Mitsuaki Yasumura, Seiji Hashimoto, Koichi Nishigori, Hidekazu Fujimori, Keiya |
| description | This study aimed to investigate the impact of Chlamydia trachomatis (CT) infection on pregnancy outcome in pregnant Japanese women. We utilized the data from a nationwide birth cohort study, the Japan Environment and Children's Study (JECS), for this study. We enrolled 26,385 individuals who could refer to data on pregnancy outcomes and confounding factors, with data on CT. Binominal logistic regression models were used to determine whether pregnant women with CT positivity were at more risk of experiencing adverse pregnancy outcomes, preterm birth (PTB), preterm prelabor rupture of membrane (pPROM), low birth weight (LBW) infants, small for gestational age (SGA) births, or hypertensive disorders of pregnancy (HDP). After adjusting for maternal age, parity, marital status, smoking status, and education status, there were no significantly increased risks of PTB, pPROM, LBW infants, SGA, and HDP in the odds ratios. No significant increase in the risk of adverse pregnancy outcomes was observed in any of the subgroup analyses, which were limited to the pregnancy women in Fukushima prefecture, where CT screening could be confirmed at 28-30 weeks of gestation. We believe that the results of this study will make a significant contribution to the future of medical care for pregnant women in Japan. Our findings are important for medical practitioners to contribute to the future medical treatment of Japanese pregnant women, and also to contribute to pre-conception care for Japanese society as a whole, including pregnant women. |
| doi_str_mv | 10.1371/journal.pone.0275573 |
| format | Article |
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We utilized the data from a nationwide birth cohort study, the Japan Environment and Children's Study (JECS), for this study. We enrolled 26,385 individuals who could refer to data on pregnancy outcomes and confounding factors, with data on CT. Binominal logistic regression models were used to determine whether pregnant women with CT positivity were at more risk of experiencing adverse pregnancy outcomes, preterm birth (PTB), preterm prelabor rupture of membrane (pPROM), low birth weight (LBW) infants, small for gestational age (SGA) births, or hypertensive disorders of pregnancy (HDP). After adjusting for maternal age, parity, marital status, smoking status, and education status, there were no significantly increased risks of PTB, pPROM, LBW infants, SGA, and HDP in the odds ratios. No significant increase in the risk of adverse pregnancy outcomes was observed in any of the subgroup analyses, which were limited to the pregnancy women in Fukushima prefecture, where CT screening could be confirmed at 28-30 weeks of gestation. We believe that the results of this study will make a significant contribution to the future of medical care for pregnant women in Japan. Our findings are important for medical practitioners to contribute to the future medical treatment of Japanese pregnant women, and also to contribute to pre-conception care for Japanese society as a whole, including pregnant women.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0275573</identifier><identifier>PMID: 36445916</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Birth weight ; Blood pressure ; Body mass index ; Child ; Childbirth & labor ; Children & youth ; Childrens health ; Chlamydia ; Chlamydia infections ; Chlamydia Infections - complications ; Chlamydia Infections - epidemiology ; Chlamydia trachomatis ; Cohort analysis ; Cohort Studies ; Community colleges ; Complications and side effects ; Confounding (Statistics) ; Datasets ; Demographic aspects ; Diagnosis ; Female ; Fetuses ; Forecasts and trends ; Gestational age ; Health services ; Humans ; Infant ; Infant, Newborn ; Infants ; Infections ; Japan - epidemiology ; Low-birth-weight ; Maternal & child health ; Medical screening ; Medical treatment ; Medicine and Health Sciences ; Mothers ; People and Places ; Pregnancy ; Pregnancy Outcome ; Pregnancy, Complications of ; Pregnant Women ; Premature birth ; Premature Birth - epidemiology ; Questionnaires ; Regression analysis ; Regression models ; Research and Analysis Methods ; Sexually transmitted diseases ; Small-for-gestational age ; Socioeconomic factors ; Statistical analysis ; STD ; Subgroups ; Womens health</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0275573</ispartof><rights>Copyright: © 2022 Yasuda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Yasuda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Yasuda et al 2022 Yasuda et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c641t-94ff547f7bb92b395ff486ed2ea11af170a23ac5f1e8155f0a6c69cf683086d33</cites><orcidid>0000-0002-6520-902X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707779/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707779/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36445916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yasuda, Shun</creatorcontrib><creatorcontrib>Kyozuka, Hyo</creatorcontrib><creatorcontrib>Endo, Yuta</creatorcontrib><creatorcontrib>Kanno, Aya</creatorcontrib><creatorcontrib>Murata, Tsuyoshi</creatorcontrib><creatorcontrib>Fukusda, Toma</creatorcontrib><creatorcontrib>Yamaguchi, Akiko</creatorcontrib><creatorcontrib>Sato, Akiko</creatorcontrib><creatorcontrib>Ogata, Yuka</creatorcontrib><creatorcontrib>Kuse, Masahito</creatorcontrib><creatorcontrib>Hosoya, Mitsuaki</creatorcontrib><creatorcontrib>Yasumura, Seiji</creatorcontrib><creatorcontrib>Hashimoto, Koichi</creatorcontrib><creatorcontrib>Nishigori, Hidekazu</creatorcontrib><creatorcontrib>Fujimori, Keiya</creatorcontrib><creatorcontrib>Japan Environment, Children’s Study JECS Group</creatorcontrib><title>Association of Chlamydia trachomatis infection with pregnancy outcomes among Japanese pregnant women: The Japan environment and children's study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This study aimed to investigate the impact of Chlamydia trachomatis (CT) infection on pregnancy outcome in pregnant Japanese women. We utilized the data from a nationwide birth cohort study, the Japan Environment and Children's Study (JECS), for this study. We enrolled 26,385 individuals who could refer to data on pregnancy outcomes and confounding factors, with data on CT. Binominal logistic regression models were used to determine whether pregnant women with CT positivity were at more risk of experiencing adverse pregnancy outcomes, preterm birth (PTB), preterm prelabor rupture of membrane (pPROM), low birth weight (LBW) infants, small for gestational age (SGA) births, or hypertensive disorders of pregnancy (HDP). After adjusting for maternal age, parity, marital status, smoking status, and education status, there were no significantly increased risks of PTB, pPROM, LBW infants, SGA, and HDP in the odds ratios. No significant increase in the risk of adverse pregnancy outcomes was observed in any of the subgroup analyses, which were limited to the pregnancy women in Fukushima prefecture, where CT screening could be confirmed at 28-30 weeks of gestation. We believe that the results of this study will make a significant contribution to the future of medical care for pregnant women in Japan. Our findings are important for medical practitioners to contribute to the future medical treatment of Japanese pregnant women, and also to contribute to pre-conception care for Japanese society as a whole, including pregnant women.</description><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Child</subject><subject>Childbirth & labor</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Chlamydia</subject><subject>Chlamydia infections</subject><subject>Chlamydia Infections - complications</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Chlamydia trachomatis</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Community colleges</subject><subject>Complications and side effects</subject><subject>Confounding (Statistics)</subject><subject>Datasets</subject><subject>Demographic 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one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yasuda, Shun</au><au>Kyozuka, Hyo</au><au>Endo, Yuta</au><au>Kanno, Aya</au><au>Murata, Tsuyoshi</au><au>Fukusda, Toma</au><au>Yamaguchi, Akiko</au><au>Sato, Akiko</au><au>Ogata, Yuka</au><au>Kuse, Masahito</au><au>Hosoya, Mitsuaki</au><au>Yasumura, Seiji</au><au>Hashimoto, Koichi</au><au>Nishigori, Hidekazu</au><au>Fujimori, Keiya</au><aucorp>Japan Environment, Children’s Study JECS Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Chlamydia trachomatis infection with pregnancy outcomes among Japanese pregnant women: The Japan environment and children's study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-11-29</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0275573</spage><pages>e0275573-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study aimed to investigate the impact of Chlamydia trachomatis (CT) infection on pregnancy outcome in pregnant Japanese women. We utilized the data from a nationwide birth cohort study, the Japan Environment and Children's Study (JECS), for this study. We enrolled 26,385 individuals who could refer to data on pregnancy outcomes and confounding factors, with data on CT. Binominal logistic regression models were used to determine whether pregnant women with CT positivity were at more risk of experiencing adverse pregnancy outcomes, preterm birth (PTB), preterm prelabor rupture of membrane (pPROM), low birth weight (LBW) infants, small for gestational age (SGA) births, or hypertensive disorders of pregnancy (HDP). After adjusting for maternal age, parity, marital status, smoking status, and education status, there were no significantly increased risks of PTB, pPROM, LBW infants, SGA, and HDP in the odds ratios. No significant increase in the risk of adverse pregnancy outcomes was observed in any of the subgroup analyses, which were limited to the pregnancy women in Fukushima prefecture, where CT screening could be confirmed at 28-30 weeks of gestation. We believe that the results of this study will make a significant contribution to the future of medical care for pregnant women in Japan. Our findings are important for medical practitioners to contribute to the future medical treatment of Japanese pregnant women, and also to contribute to pre-conception care for Japanese society as a whole, including pregnant women.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36445916</pmid><doi>10.1371/journal.pone.0275573</doi><tpages>e0275573</tpages><orcidid>https://orcid.org/0000-0002-6520-902X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2022-11, Vol.17 (11), p.e0275573 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2741301884 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Biology and Life Sciences Birth weight Blood pressure Body mass index Child Childbirth & labor Children & youth Childrens health Chlamydia Chlamydia infections Chlamydia Infections - complications Chlamydia Infections - epidemiology Chlamydia trachomatis Cohort analysis Cohort Studies Community colleges Complications and side effects Confounding (Statistics) Datasets Demographic aspects Diagnosis Female Fetuses Forecasts and trends Gestational age Health services Humans Infant Infant, Newborn Infants Infections Japan - epidemiology Low-birth-weight Maternal & child health Medical screening Medical treatment Medicine and Health Sciences Mothers People and Places Pregnancy Pregnancy Outcome Pregnancy, Complications of Pregnant Women Premature birth Premature Birth - epidemiology Questionnaires Regression analysis Regression models Research and Analysis Methods Sexually transmitted diseases Small-for-gestational age Socioeconomic factors Statistical analysis STD Subgroups Womens health |
| title | Association of Chlamydia trachomatis infection with pregnancy outcomes among Japanese pregnant women: The Japan environment and children's study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T07%3A51%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20Chlamydia%20trachomatis%20infection%20with%20pregnancy%20outcomes%20among%20Japanese%20pregnant%20women:%20The%20Japan%20environment%20and%20children's%20study&rft.jtitle=PloS%20one&rft.au=Yasuda,%20Shun&rft.aucorp=Japan%20Environment,%20Children%E2%80%99s%20Study%20JECS%20Group&rft.date=2022-11-29&rft.volume=17&rft.issue=11&rft.spage=e0275573&rft.pages=e0275573-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0275573&rft_dat=%3Cgale_plos_%3EA728249111%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2741301884&rft_id=info:pmid/36445916&rft_galeid=A728249111&rft_doaj_id=oai_doaj_org_article_4db367bb4caa44dab73c6ab602f9d613&rfr_iscdi=true |