Evidence map›Paper›PMID 36251068›Full record

SynthesisArchives of gynecology and obstetrics2023

Effect of bacterial vaginosis on preterm birth: a meta-analysis.

Trishna Mohanty, Prakash Prabhakarrao Doke, Sana Rafiq Khuroo

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Fetal Heart Rate at 12 Weeks' Gestation and the Risk of Preterm Birth: A Prospective Validation Study.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  6. Article
  7. Role of vulvovaginal infection in women with short cervix: An observational clinical trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Observational
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Prevalence ofInternational journal of women's health · 2026
    Article
  14. Article
  15. Article
  16. Vaginal microbiome and its implications in preterm birth.Obstetrics & gynecology science · 2025
    Review
  17. Sialidases derived frombioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Article
  20. 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

3 authors at 3 institutions in 1 country.

Trishna MohantyCardiovascular Health Office, India Hypertension Control Initiative-World Health Organization, Jalandhar, 144001, India.ORCID 0000-0001-9351-1819
Prakash Prabhakarrao DokeBharati Vidyapeeth Deemed University Medical College, Pune, 411043, India. prakash.doke@gmail.com.ORCID 0000-0002-3812-002X
Sana Rafiq KhurooDepartment of Community Medicine, Government medical college, Karan Nagar, Srinagar, 190010, India.ORCID 0000-0002-3743-0456
Bharati Vidyapeeth Deemed University · INGovernment Medical College · INWorld Health Organization - India · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

purposeBacterial vaginosis is a common genital tract disorder. It can lead to preterm birth, but its contribution is equivocal. Bacterial vaginosis is curable and, if diagnosed and appropriately treated, may reduce preterm births. The study desired to confirm the association between bacterial vaginosis and preterm birth.

methodsIt was a meta-analysis. We included articles published from 2008 to 2022. The authors included studies that measured the association between bacterial vaginosis and preterm birth by relative risk/risk ratio (RR) or odds ratio (OR). We excluded studies with qualitative data. The study utilized five search engines, PubMed, Scopus, Google Scholar, Cochrane, and LILAC. We used the statistical package for social sciences (SPSS) to draw forest and funnel plots separately for RR and OR.

resultsAfter an extensive search, the study included 20 articles yielding 26 relevant results with a total of 290,397 observations. This meta-analysis proves that bacterial vaginosis is undoubtedly associated with preterm birth. The overall relative risk of preterm delivery is about two-fold as overall OR1.79 (95% Confidence Interval 1.32-2.43). The overall RR of preterm birth is 1.44 (95% Confidence Interval 1.19-1.73).

conclusionOur study shows a significant association between bacterial vaginosis and preterm birth. The study concludes that investigation for bacterial vaginosis and management should be a part of the routine examination of a pregnant woman. The health system must initiate this strategy soon to reduce the prevalence of preterm births and consequent neonatal mortality.

Indexed as

Pregnancy Complications, InfectiousPremature BirthVaginosis, BacterialFemaleHumansInfant, NewbornPregnancyBacterial vaginosisNugent scoreOverall odds ratioOverall relative riskPreterm birth

Identifiers

PMID36251068
OpenAlexW4306404633

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.