Evidence map›Paper›PMID 25758319›Full record

ArticleScientific reports2015

The vaginal microbiome during pregnancy and the postpartum period in a European population.

David A MacIntyre, Manju Chandiramani, Yun S Lee, Lindsay Kindinger, Ann Smith, Nicos Angelopoulos, Benjamin Lehne, Shankari Arulkumaran, Richard Brown, Tiong Ghee Teoh and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 295 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
295citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03992534 phase1unknown statusnot on this mapstarted 2019, after this paper: background citation

Feasibility, Safety, Tolerance and Assessment of LACTIN-V Use in a Cohort of Pregnant Women at Risk of Preterm Birth

TypeinterventionalSponsorImperial College LondonRan2019 to 2021Enrolled60ConditionsPreterm Labor, Preterm Birth, Preterm Premature Rupture of Membrane, Cervical IncompetenceArmsLACTIN-V
NCT05944094 completednot on this mapstarted 2021, after this paper: background citation

Evaluation of the Efficacy of Chlorhexidine Use During the First Trimester as a Regulator of Vaginal Microbiota in Reducing Preterm Birth

Typeobservational_patient_registrySponsorInstituto de Investigacion Sanitaria La FeRan2021 to 2023Enrolled1,117ConditionsPreterm BirthArmsClorhexidine
3 · Its place in the literature

Who cites it

295 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  18. The Gut-Vagina Axis.Microorganisms · 2026
    Review
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  20. Review

235 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

14 authors.

David A MacIntyreImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Manju ChandiramaniImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Yun S LeeImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Lindsay KindingerImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Ann SmithSchool of Biosciences, Cardiff University, UK.
Nicos AngelopoulosDivision of Cancer, Department of Surgery and Cancer, Imperial College London, UK.
Benjamin LehneDepartment of Epidemiology &Biostatistics, Medicine, Imperial College London, UK.
Shankari ArulkumaranImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Richard BrownImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.
Tiong Ghee TeohSt Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Elaine HolmesSection of Biomolecular Medicine, Division of Computational Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK.
Jeremy K Nicoholson1] Section of Biomolecular Medicine, Division of Computational Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK [2] MRC NIHR National Phenome Centre, Division of Computational Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK.
Julian R Marchesi1] School of Biosciences, Cardiff University, UK [2] Section of Biomolecular Medicine, Division of Computational Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK.
Phillip R BennettImperial College Parturition Research Group, Division of the Institute of Reproduction and Developmental Biology, Imperial College London, UK.

Funding

Medical Research Council MR/L009226/1
6 · The paper itself

Abstract

The composition and structure of the pregnancy vaginal microbiome may influence susceptibility to adverse pregnancy outcomes. Studies on the pregnant vaginal microbiome have largely been limited to Northern American populations. Using MiSeq sequencing of 16S rRNA gene amplicons, we characterised the vaginal microbiota of a mixed British cohort of women (n = 42) who experienced uncomplicated term delivery and who were sampled longitudinally throughout pregnancy (8-12, 20-22, 28-30 and 34-36 weeks gestation) and 6 weeks postpartum. We show that vaginal microbiome composition dramatically changes postpartum to become less Lactobacillus spp. dominant with increased alpha-diversity irrespective of the community structure during pregnancy and independent of ethnicity. While the pregnancy vaginal microbiome was characteristically dominated by Lactobacillus spp. and low alpha-diversity, unlike Northern American populations, a significant number of pregnant women this British population had a L. jensenii-dominated microbiome characterised by low alpha-diversity. L. jensenii was predominantly observed in women of Asian and Caucasian ethnicity whereas L. gasseri was absent in samples from Black women. This study reveals new insights into biogeographical and ethnic effects upon the pregnancy and postpartum vaginal microbiome and has important implications for future studies exploring relationships between the vaginal microbiome, host health and pregnancy outcomes.

Indexed as

MicrobiotaPostpartum PeriodWhite PeopleAdultBacteriaBiodiversityEthnicityFemaleGestational AgeHumansMetagenomePregnancyRNA, Ribosomal, 16SUnited KingdomVaginaRNA, Ribosomal, 16S

Identifiers

PMID25758319
PMCPMC4355684

What OpenQuestion holds

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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.