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The Effect of Treating Bacterial Vaginosis on Preterm Labor

Objective: Multiple studies suggest that bacterial vaginosis (BV) causes preterm labor; yet its routine treatment remains controversial. In order to help to elucidate this controversy, we performed a thorough review of studies with levels of evidence ranging from I to II–II. Methods: We searched for...

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Autores principales: Tebes, Christine C., Lynch, Catherine, Sinnott, John
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852276/
https://www.ncbi.nlm.nih.gov/pubmed/14627219
http://dx.doi.org/10.1080/10647440300025509
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author Tebes, Christine C.
Lynch, Catherine
Sinnott, John
author_facet Tebes, Christine C.
Lynch, Catherine
Sinnott, John
author_sort Tebes, Christine C.
collection PubMed
description Objective: Multiple studies suggest that bacterial vaginosis (BV) causes preterm labor; yet its routine treatment remains controversial. In order to help to elucidate this controversy, we performed a thorough review of studies with levels of evidence ranging from I to II–II. Methods: We searched for all of the studies from the years 1994 to 2001 via Medline’s database, including MD Consult and Ovid Mednet. Results: Several trials discovered a decrease in the incidence of preterm labor when BV was treated, but most of those trials were performed on women with a history of preterm labor. However, the majority of trials reviewed advise against treatment of a general low-risk obstetric population, as there was no significant decrease in preterm labor. Conclusions: Therefore, based on the above studies and the current guidelines of the Centers for Disease Control and Prevention (CDC), treating pregnant women in high-risk populations who are diagnosed with BV provides the clinician with an opportunity to possibly prevent preterm labor in this population. In nulliparous women without a history of preterm birth, treatment is recommended if other risk factors are present (e.g. gonorrhea or chlamydia). However, in the general low-risk populations, routine screening is not indicated.
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spelling pubmed-18522762007-04-16 The Effect of Treating Bacterial Vaginosis on Preterm Labor Tebes, Christine C. Lynch, Catherine Sinnott, John Infect Dis Obstet Gynecol Research Article Objective: Multiple studies suggest that bacterial vaginosis (BV) causes preterm labor; yet its routine treatment remains controversial. In order to help to elucidate this controversy, we performed a thorough review of studies with levels of evidence ranging from I to II–II. Methods: We searched for all of the studies from the years 1994 to 2001 via Medline’s database, including MD Consult and Ovid Mednet. Results: Several trials discovered a decrease in the incidence of preterm labor when BV was treated, but most of those trials were performed on women with a history of preterm labor. However, the majority of trials reviewed advise against treatment of a general low-risk obstetric population, as there was no significant decrease in preterm labor. Conclusions: Therefore, based on the above studies and the current guidelines of the Centers for Disease Control and Prevention (CDC), treating pregnant women in high-risk populations who are diagnosed with BV provides the clinician with an opportunity to possibly prevent preterm labor in this population. In nulliparous women without a history of preterm birth, treatment is recommended if other risk factors are present (e.g. gonorrhea or chlamydia). However, in the general low-risk populations, routine screening is not indicated. Hindawi Publishing Corporation 2003 /pmc/articles/PMC1852276/ /pubmed/14627219 http://dx.doi.org/10.1080/10647440300025509 Text en Copyright © 2003 Hindawi Publishing Corporation. http://creativecommons.org/licenses/by/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tebes, Christine C.
Lynch, Catherine
Sinnott, John
The Effect of Treating Bacterial Vaginosis on Preterm Labor
title The Effect of Treating Bacterial Vaginosis on Preterm Labor
title_full The Effect of Treating Bacterial Vaginosis on Preterm Labor
title_fullStr The Effect of Treating Bacterial Vaginosis on Preterm Labor
title_full_unstemmed The Effect of Treating Bacterial Vaginosis on Preterm Labor
title_short The Effect of Treating Bacterial Vaginosis on Preterm Labor
title_sort effect of treating bacterial vaginosis on preterm labor
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852276/
https://www.ncbi.nlm.nih.gov/pubmed/14627219
http://dx.doi.org/10.1080/10647440300025509
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