Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Infect Dis Obstet Gynecol. 2003;11(2):123-9.

The effect of treating bacterial vaginosis on preterm labor.

Author information

  • 1Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL 33601-1289, USA.

Abstract

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.

PMID:
14627219
[PubMed - indexed for MEDLINE]
PMCID:
PMC1852276
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Hindawi Publishing Corporation Icon for PubMed Central
    Loading ...
    Write to the Help Desk