Evidence map›Paper›PMID 34036690›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2021

Trichomoniasis and adverse birth outcomes: a systematic review and meta-analysis.

O T Van Gerwen, M C Craig-Kuhn, A T Jones, J A Schroeder, J Deaver, P Buekens, P J Kissinger, C A Muzny

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
9.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. FIGO good practice recommendations on preconception care: A strategy to prevent preterm birth.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Guideline
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  8. Impact of pH andProceedings of the National Academy of Sciences of the United States of America · 2026
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  14. RefiningBMJ open · 2026
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  18. BMJ open · 2025
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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

8 authors at 2 institutions in 1 country.

O T Van GerwenDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA.
M C Craig-KuhnDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.ORCID 0000-0002-5400-8193
A T JonesDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
J A SchroederDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
J DeaverLister Hill Library of the Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
P BuekensDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
P J KissingerDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
C A MuznyDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA.
Tulane University · USUniversity of Alabama at Birmingham · US

Funding

Agency for Healthcare Research and Quality T32HS013852AHRQ HHS T32 HS013852
6 · The paper itself

Abstract

backgroundTrichomoniasis commonly affects women of childbearing age and has been linked to several adverse birth outcomes.

objectiveTo elucidate the association between trichomoniasis in pregnant women and adverse birth outcomes, including preterm delivery, prelabour rupture of membranes and low birthweight. SEARCH STRATEGY: MEDLINE, EMBASE and ClinicalTrials.gov were systematically searched in December 2020 without time or language restrictions. SELECTION CRITERIA: Original research studies were included if they assessed at least one of the specified adverse birth outcomes in pregnant women with laboratory-diagnosed trichomoniasis. DATA COLLECTION AND ANALYSIS: Estimates from included articles were either extracted or calculated and then pooled to produce a combined estimate of the association of trichomoniasis with each adverse birth outcome using the random effects model. Heterogeneity was assessed using the I MAIN

resultsLiterature search produced 1658 publications after removal of duplicates (n = 770), with five additional publications identified by hand search. After screening titles and abstracts for relevance, full text of 84 studies was reviewed and 19 met inclusion criteria for meta-analysis. Significant associations were found between trichomoniasis and preterm delivery (OR 1.27; 95% CI 1.08-1.50), prelabour rupture of membranes (OR 1.87; 95% CI 1.53-2.29) and low birthweight (OR 2.12; 95% CI 1.15-3.91).

conclusionsTrichomoniasis in pregnant women is associated with preterm delivery, prelabour rupture of membranes and low birthweight. Rigorous studies are needed to determine the impact of universal trichomoniasis screening and treatment during pregnancy on reducing perinatal morbidity. TWEETABLE ABSTRACT: This systematic review and meta-analysis found that in the setting of pregnancy, trichomoniasis is significantly associated with multiple adverse birth outcomes, including preterm delivery, low birthweight, and prelabour rupture of membranes.

Indexed as

Pregnancy OutcomeTrichomonas vaginalisFemaleHumansInfant, Low Birth WeightInfant, NewbornPregnancyPregnancy Complications, ParasiticPremature BirthPremature Rupture of Fetal MembranesTrichomonas VaginitisAdverse birth outcomespregnancytrichomoniasis

Identifiers

PMID34036690
PMCPMC9704755
OpenAlexW3164325962

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.