Evidence map›Paper›PMID 17205421›Full record

ReviewSeminars in reproductive medicine2007

The role of inflammation and infection in preterm birth.

Roberto Romero, Jimmy Espinoza, Luís F Gonçalves, Juan Pedro Kusanovic, Lara Friel, Sonia Hassan

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in reproductive medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07107477 (Prospective Randomized Controlled Trial to Evaluate if Tailored Antibiotic and Steroid Therapy Based on the Interleukin-6), which is not on this map. Cited by 457 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
457citing papers in PubMed, 6 pooled it
23.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07107477 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Randomized Controlled Trial to Evaluate if Tailored Antibiotic and Steroid Therapy Based on the Interleukin-6 (IL-6) Value in Amniotic Fluid Obtained by Amniocentesis in Patients With Premature Rupture of Membranes is Associated With Pregnancy Prolongation Compared to Standard Management.

TypeinterventionalSponsorThe Central and Eastern European Gynecologic Oncology GroupRan2025 to 2028Enrolled138ConditionsPreterm Premature Rupture of Membranes (PPROM)ArmsTailored antibiotic and steroid therapy based on the IL-6 value in amniotic fluid obtained by amniocentesis in patients with premature rupture of membranes, Antenatal steroids administration, Neuroprotection, antibiotic prophylaxis, Antibiotics administration
3 · Its place in the literature

Who cites it

457 citing papers in PubMed, 6 syntheses or guidelines pooled it, 876 citations in OpenAlex.

  1. Pooled it
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  3. Urinary tract infections and risk of preterm birth: a systematic review and meta-analysis.Revista do Instituto de Medicina Tropical de Sao Paulo · 2024
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  15. medRxiv : the preprint server for health sciences · 2026
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397 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Roberto RomeroPerinatology Research Branch, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland, USA. warfiela@mail.nih.gov
Jimmy Espinoza
Luís F Gonçalves
Juan Pedro Kusanovic
Lara Friel
Sonia Hassan
National Institutes of Health · USWayne State University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
THE ROLE OF SUBCLINICAL INFECTION AND CYTOKINES IN PRETERM PARTURITIONZ01HD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 1992 to 2008
$8.2M
Intramural NIH HHS Z01 HD002400
6 · The paper itself

Abstract

Inflammation has been implicated in the mechanisms responsible for preterm and term parturition, as well as fetal injury. Out of all of the suspected causes of preterm labor and delivery, infection and/or inflammation is the only pathological process for which both a firm causal link with preterm birth has been established and a molecular pathophysiology defined. Inflammation has also been implicated in the mechanism of spontaneous parturition at term. Most cases of histopathological inflammation and histological chorioamnionitis, both in preterm and term labor, are sub-clinical in nature. The isolation of bacteria in the amniotic fluid, known as microbial invasion of the amniotic cavity, is a pathological finding; the frequency of which is dependent upon the clinical presentation and gestational age. This article reviews the role of inflammation in preterm and term parturition.

Indexed as

AmnionAmniotic FluidChorioamnionitisCytokinesDNA, ViralFemaleFetal DeathFetal DiseasesHumansInfectionsInflammationObstetric Labor, PrematurePregnancyPremature Rupture of Fetal MembranesReceptors, ImmunologicCytokinesDNA, ViralReceptors, Immunologic

Identifiers

PMID17205421
PMCPMC8324073
OpenAlexW2024179737

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.