Evidence map›Paper›PMID 33996627›Full record

ArticleFrontiers in cellular and infection microbiology2021

Vaginal Microbiome Composition in Early Pregnancy and Risk of Spontaneous Preterm and Early Term Birth Among African American Women.

Anne L Dunlop, Glen A Satten, Yi-Juan Hu, Anna K Knight, Cherie C Hill, Michelle L Wright, Alicia K Smith, Timothy D Read, Bradley D Pearce, Elizabeth J Corwin

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05678751 (Establishment of a Rapid Detection Method for Microorganisms in the Lower Genital Tract Using MALDI-TOF MS and Its Clinical Application in Infertility), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
12.9field-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.

NCT05678751 unknown statusnot on this mapstarted 2023, after this paper: background citation

Establishment of a Rapid Detection Method for Microorganisms in the Lower Genital Tract Using MALDI-TOF MS and Its Clinical Application in Infertility

TypeobservationalSponsorShenzhen Second People's HospitalRan2023 to 2024Enrolled228ConditionsInfertility, FemaleArmslower genital tract microorganisms detection using Matrix-Assisted Laser Desorption/Ionization Time of Flight Mass Spectrometry (MALDI-TOF MS)
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. VaginalJournal of clinical medicine · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Vaginal microbiome and its implications in preterm birth.Obstetrics & gynecology science · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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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

10 authors at 3 institutions in 1 country.

Anne L DunlopEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, United States.
Glen A SattenDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Yi-Juan HuDepartment of Biostatistics and Bioinformatics, Emory University Rollins School of Public Health, Atlanta, GA, United States.
Anna K KnightDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Cherie C HillDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Michelle L WrightSchool of Nursing, University of Texas at Austin, Austin, TX, United States.
Alicia K SmithDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Timothy D ReadDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States.
Bradley D PearceDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, United States.
Elizabeth J CorwinColumbia University School of Nursing, New York, NY, United States.
Emory University · USColumbia University · USThe University of Texas at Austin · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
The Impact of the Intrauterine and Early Childhood Environments on Neurocognitive and Metabolic Development in African American Youth: Focus on the Gut-Brain AxisUH3OD023318 · OD · EMORY UNIVERSITY · PI PATRICIA A BRENNAN, ANNE Lang DUNLOP · 2018 to 2026
$9.0M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Catherine A Calder · 2017 to 2026
$5.2M
The Impact of the Intrauterine and Early Childhood Environments on Neurocognitive and Metabolic Development in African American Youth: Focus on the Gut-Brain AxisUG3OD023318 · OD · EMORY UNIVERSITY · PI BRENNAN, PATRICIA A, DUNLOP, ANNE LANG · 2016 to 2024
$4.5M
Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Biobehavioral Determinants of the Microbiome and Preterm Birth in Black WomenR01NR014800 · NINR · EMORY UNIVERSITY · PI CORWIN, ELIZABETH JEANNE, DUNLOP, ANNE LANG · 2013 to 2017
$2.8M
Maintenance and Enhancement of the Atlanta African American Maternal-Child Cohort: Exposome Profiling via High-resolution Metabolomics and Integration of Microbiome-Metabolome-Epigenome DataR24ES029490 · NIEHS · EMORY UNIVERSITY · PI ANNE Lang DUNLOP, Dean Paul Jones · 2018 to 2026
$2.4M
Epigenetic and Biobehavioral Determinants of Preterm Birth in Black WomenR01MD009064 · NIMHD · EMORY UNIVERSITY · PI DUNLOP, ANNE LANG, SMITH, ALICIA K · 2014 to 2018
$1.9M
Association Tests of Rare Variants Using Sequence Reads without Calling GenotypesR01GM116065 · NIGMS · EMORY UNIVERSITY · PI HU, YIJUAN · 2015 to 2019
$1.5M
NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NIA NIH HHS U54 AG062334NICHD NIH HHS K12 HD085850NICHD NIH HHS P2C HD042849NIEHS NIH HHS R24 ES029490NIEHS NIH HHS U24 ES029490NIGMS NIH HHS R01 GM116065NIH HHS UG3 OD023318NIH HHS UH3 OD023318NIMHD NIH HHS R01 MD009064NINR NIH HHS K01 NR017903NINR NIH HHS R01 NR014800
6 · The paper itself

Abstract

Objective: To evaluate the association between the early pregnancy vaginal microbiome and spontaneous preterm birth (sPTB) and early term birth (sETB) among African American women. Methods: Vaginal samples collected in early pregnancy (8-14 weeks' gestation) from 436 women enrolled in the Emory University African American Vaginal, Oral, and Gut Microbiome in Pregnancy Study underwent 16S rRNA gene sequencing of the V3-V4 region, taxonomic classification, and community state type (CST) assignment. We compared vaginal CST and abundance of taxa for women whose pregnancy ended in sPTB (N = 44) or sETB (N= 84) to those who delivered full term (N = 231). Results: Nearly half of the women had a vaginal microbiome classified as CST IV (Diverse CST), while one-third had CST III ( Conclusions: In this cohort of African American women, an early pregnancy vaginal CST III or IV was associated with an increased risk of sPTB but not sETB. The relative abundance and presence of distinct taxa within the early pregnancy vaginal microbiome was associated with either sPTB or sETB.

Indexed as

MicrobiotaPremature BirthActinobacteriaBlack or African AmericanFemaleHumansInfant, NewbornPregnancyPrevotellaRNA, Ribosomal, 16STerm BirthVaginaRNA, Ribosomal, 16Searly term birthgestational age at birthmicrobiomemicrobiotapregnancypreterm birth

Identifiers

PMID33996627
PMCPMC8117784
OpenAlexW3158643930

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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.