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Cited by 253

The DOI matches its Crossref record; 62 of the 62 references it cites were found in a registry or an index.

Bacterial vaginosis and vaginal microorganisms in idiopathic premature labor and association with pregnancy outcome

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Holst, E, Goffeng, A R, Andersch, B·1994·Journal of Clinical Microbiology
DOI 10.1128/jcm.32.1.176-186.1994
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Abstract

The vaginal microflora of 49 women in idiopathic preterm labor was compared with that of 38 term controls to determine whether the presence of bacterial vaginosis (BV) and/or specific microorganisms would influence the rate of preterm delivery. Demographic factors, pregnancy outcome, and reproductive history were also studied. BV, as defined by the presence of clue cells in a vaginal wet mount and characteristic microbial findings in a stained vaginal smear and vaginal culture, was more common in women with preterm labor and delivery than in controls (P < 0.01). The condition, diagnosed in 41% of women who had both preterm labor and delivery (n = 22) and in 11% each of women who had preterm labor but term delivery (n = 27) and controls, was associated with a 2.1-fold risk (95% confidence intervals, 1.2 to 3.7) for preterm birth prior to 37 weeks of gestation. BV was associated with low birth weight. Of 49 women with preterm labor, 67% (8 of 12) of women with BV were delivered of low-birth-weight neonates (< 2,500 g) compared with 22% (8 of 37) of women without the condition (P < 0.0005). The presence of hydrogen peroxide-producing facultative Lactobacillus spp. was strongly negatively associated with both preterm delivery and BV. BV-associated microorganisms, i.e., Mobiluncus, Prevotella, and Peptostreptococcus species, Porphyromonas asaccharolytica, Fusobacterium nucleatum, Mycoplasma hominis, and high numbers of Gardnerella vaginalis were significantly associated with preterm delivery; all species also strongly associated with BV (P = 0.0001 for each comparison). Mobiluncus curtisii and Fusobacterium nucleatum were recovered exclusively from women with preterm delivery. Our study clearly indicates that BV and its associated organisms are correlated with idiopathic premature delivery.

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Metadata

Authors
Holst, E., Goffeng, A. R., & Andersch, B.
Venue
Journal of Clinical Microbiology
Publisher
American Society for Microbiology
Published
1994-01
Volume
32
Issue
1
Pages
176-186
ISSN
  • 0095-1137 (ISSN-L)
  • 1098-660X
DOI
10.1128/jcm.32.1.176-186.1994
OpenAlex
W1921707153
Cited by
253
References
62
FWCI
8.01
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Bacterial vaginosis and vaginal microorganisms in idiopathic premature labor and association with pregnancy outcome. https://app.cochat.ai/papers/10.1128/jcm.32.1.176-186.1994
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Holst, E., Goffeng, A. R., & Andersch, B. (1994). Bacterial vaginosis and vaginal microorganisms in idiopathic premature labor and association with pregnancy outcome. Journal of Clinical Microbiology. https://doi.org/10.1128/jcm.32.1.176-186.1994

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