ArticleObstetrics and gynecology2014
Epidemiologic factors and urogenital infections associated with preterm birth in a midwestern U.S. population.
Article in Obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Urinary tract infections and risk of preterm birth: a systematic review and meta-analysis.Revista do Instituto de Medicina Tropical de Sao Paulo · 2024Pooled it
- Adverse pregnancy and birth outcomes associated withBMJ open · 2022Pooled it
- Adverse pregnancy and perinatal outcomes associated withSexually transmitted infections · 2022Pooled it
- Adverse pregnancy and neonatal outcomes associated withSexually transmitted infections · 2021Pooled it
- Prevalence ofSexually transmitted infections · 2018Pooled it
- Preterm Birth Associated With Group B Streptococcus Maternal Colonization Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Pooled it
- Developing a prognostic model for predicting preterm birth using a machine learning algorithm.BMC pregnancy and childbirth · 2025Article
- Prevalence ofEpidemiology and infection · 2025Article
- Detection of Putative Virulence GenesInternational journal of molecular sciences · 2023Article
- Identification of sacrococcygeal and pelvic abscesses infected with invasive Mycoplasma hominis by MALDI-TOF MS.Journal of clinical laboratory analysis · 2022Article
- Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study.AJP reports · 2021Article
- Explaining the Black-White Disparity in Preterm Birth: A Consensus Statement From a Multi-Disciplinary Scientific Work Group Convened by the March of Dimes.Frontiers in reproductive health · 2021Review
- Prevalence and incidence ofSexually transmitted infections · 2020Article
- Ureaplasma urealyticum: the Role as a Pathogen in Women's Health, a Systematic Review.Current infectious disease reports · 2018Review
- Human infectious diseases and risk of preeclampsia: an updated review of the literature.Infection · 2017Review
- Developing Research Priorities for Prediction and Prevention of Preterm Birth.Clinical medicine & research · 2016Article
- Relationship between Vaginal Bacterial Infections and Pregnancy Outcomes: A Systematic Review and Meta-Analysis.Iranian journal of nursing and midwifery researchReview
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14 authors.
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Abstract
objectiveTo correlate epidemiologic factors with urogenital infections associated with preterm birth.
methodsPregnant women were sequentially included from four Wisconsin cohorts: large urban, midsize urban, small city, and rural city. Demographic, clinical, and current pregnancy data were collected. Cervical and urine specimens were analyzed by microscopy, culture, and polymerase chain reaction for potential pathogens.
resultsSix hundred seventy-six women were evaluated. Fifty-four (8.0%) had preterm birth: 12.1% (19/157) large urban, 8.8% (15/170) midsize urban, 9.4% (16/171) small city, and 2.3% (4/178) rural city. Associated host factors and infections varied significantly among sites. Urogenital infection rates, especially Mycoplasma hominis and Ureaplasma parvum, were highest at the large urban site. Large urban site, minority ethnicity, multiple infections, and certain historical factors were associated with preterm birth by univariable analysis. By multivariable analysis, preterm birth was associated with prior preterm birth (adjusted odds ratio [aOR] 2.76, 95% confidence interval [CI] 1.27-6.02) and urinary tract infection (aOR 2.62, 95% CI 1.32-519), and negatively associated with provider-assessed good health (aOR 0.42, 95% CI 0.23-0.76) and group B streptococcal infection treatment (surrogate for health care use) (aOR 0.38, 95% CI 0.15-.99). Risk and protective factors were similar for women with birth at less than 35 weeks, and additionally associated with M hominis (aOR 3.6, 95% CI 1.4-9.7).
conclusionThese measured differences among sites are consistent with observations that link epidemiologic factors, both environmental and genetic, with minimally pathogenic vaginal bacteria, inducing preterm birth, especially at less than 35 weeks of gestation.
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