Correlation of Socio Cultural Factors in Patients of Pelvic Inflammatory Diseases

Abstract

Majority of the patients of PID are from low socio economic status. Unhygienic delivery, post partum infection,unsafe abortion procedures are observed to be linked to pelvic infection.The sequele to PID include chronicabdominal pain, infertility, ectopic pregnancy, etc. PID is the most serious complication of Sexually TransmittedDiseases. It is also related to the number of sexual partners. Social factors are very important in PID like age,educational status, marital status,socio economic status, religion, type of family etc. The present cross-sectionalstudy was conducted in Gynaecological OPDs of the Department of Obstetrics and Gynaecology, Rural and UrbanHealth Training Centres (R.H.T.C & U.H.T.C) of the Department of Community Medicine in JN Medical College,AMU, Aligarh.The study was carried out for a period of one year, from 1st August 2001 to 31st July 2002. A totalof 350 ever married females were selected on the basis of history of PID elicited. The aim of this study was to findthe correlation of socio cultural factors in patients of PID. This study reported that unhygienic deliveries may giverise to more chances of pelvic infection. It also reported that abortion rate is more in lower social classes(III-V). Themaximum cases of infertility were seen in the age group 25-29 years (37 cases).There were 51 cases presenting withprimary infertility and 9 cases of secondary infertility. Damage to the female reproductive tract from PID is usuallyirreversible; therefore, prompt antibiotic treatment is necessary to prevent any scarring of the reproductive tract.