Evidence map›Paper›PMID 34695126›Full record

Observational studyPloS one2021

Prevalence, risk factors and adverse pregnancy outcomes of second trimester bacterial vaginosis among pregnant women in Bukavu, Democratic Republic of the Congo.

Guy Mulinganya, Annelies De Vulder, Ghislain Bisimwa, Jerina Boelens, Geert Claeys, Karen De Keyser, Daniel De Vos, Erick Hendwa, Freddy Kampara, Yvette Kujirakwinja and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Effect of bacterial vaginosis on preterm birth: a meta-analysis.Archives of gynecology and obstetrics · 2023
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Prevalence and clinical correlates ofFrontiers in cellular and infection microbiology · 2024
    Article
  14. Article
  15. Second trimester vaginalFrontiers in global women's health · 2024
    Article
  16. Observational
  17. Identification and pattern of antifungal susceptibility ofIranian journal of microbiology · 2023
    Article
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

15 authors at 4 institutions in 2 countries.

Guy MulinganyaFaculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of The Congo.ORCID 0000-0001-7474-4772
Annelies De VulderDepartment of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Ghislain BisimwaFaculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of The Congo.
Jerina BoelensDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Geert ClaeysDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Karen De KeyserDepartment of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Daniel De VosLaboratory for Molecular and Cellular Technology, Burn Wound Center, Queen Astrid Military Hospital, Brussels, Belgium.
Erick HendwaDepartment of Obstetrics and Gynecology, Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of The Congo.
Freddy KamparaFaculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of The Congo.
Yvette KujirakwinjaFaculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of The Congo.
Jules MonganeFaculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of The Congo.
Innocent MubalamaDepartment of Obstetrics and Gynecology, Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of The Congo.
Mario VaneechoutteDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Steven CallensDepartment of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Piet CoolsDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.ORCID 0000-0003-2980-5307
Ghent University · BEUniversité Catholique de Bukavu · CDGhent University Hospital · BEQueen Astrid Military Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBacterial vaginosis (BV) is the most common gynecological condition in women of reproductive age and associated with adverse pregnancy outcomes. In the Democratic Republic of the Congo (DRC), neonatal mortality rate is as high as 2.8 percent with preterm birth (PTB) and low birth weight (LBW) as leading causes. Because no studies have addressed BV in DRC, we aimed to investigate the prevalence of BV, the risk factors and the association between BV and adverse pregnancy outcomes in a population of pregnant women from Bukavu, DRC.

methodsA total of 533 pregnant women in the second trimester of pregnancy were recruited in the Provincial Reference Hospital of Bukavu, DRC, between January and October 2017, and followed until delivery. Clinical and sociodemographic data of mother and newborn, and data on (vaginal) hygiene practices, sexual behavior and reproductive history were collected. BV was diagnosed by Nugent scoring of Gram-stained vaginal smears. Two multivariate regression models were built to identify risk factors for BV and to investigate BV as a risk factor for adverse pregnancy outcomes.

resultsThe prevalence of BV was 26.3% and approximately half of the women with BV were asymptomatic. Independent risk factors for BV were the use of alternatives to water for intravaginal washing, concurrent partners, unemployed status, the presence of vaginal Candida and clay consumption. BV was independently associated with both LBW and PTB of an infant with LBW.

conclusionThe prevalence of BV in Bukavu is high but in line with the global average. BV was associated with adverse pregnancy outcomes in our study population. Hence, research on modifiable risk factor-based interventions to reduce the prevalence of BV, and on screening/treatment of BV during antenatal care should be explored to reduce neonatal mortality and morbidity.

Indexed as

Pregnancy Trimester, SecondAdultCandidaCandidiasis, VulvovaginalDemocratic Republic of the CongoFemaleHumansInfantInfant, Low Birth WeightInfant MortalityInfant, NewbornPregnancyPregnancy Complications, InfectiousPregnancy OutcomePremature BirthPrenatal Care

Identifiers

PMID34695126
PMCPMC8544863
OpenAlexW3208849202

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.