Evidence map›Paper›PMID 36944953›Full record

SynthesisBMC women's health2023

Vulvovaginal yeast infections during pregnancy and perinatal outcomes: systematic review and meta-analysis.

Ranjana M S Gigi, Diana Buitrago-Garcia, Katayoun Taghavi, Cara-Mia Dunaiski, Janneke H H M van de Wijgert, Remco P H Peters, Nicola Low

Open access · goldFull text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Species Distribution ofPathogens (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. A Comprehensive Overview ofJournal of fungi (Basel, Switzerland) · 2025
    Review
  8. Antifungal susceptibility profiles ofMicrobiology spectrum · 2025
    Article
  9. Article
  10. Placental Molecular Expression of Different Pathogenic Vaginal Infections.International journal of molecular sciences · 2025
    Article
  11. Article
  12. Conservative approach for intra-amnioticCase reports in perinatal medicine · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Second trimester vaginalFrontiers in global women's health · 2024
    Article
  17. Vulvovaginitis in pregnant women.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Review
  18. Review
  19. 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

7 authors at 5 institutions in 4 countries.

Ranjana M S GigiInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Diana Buitrago-GarciaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Katayoun TaghaviInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Cara-Mia DunaiskiSchool of Health Sciences, Namibia University of Sciences and Technology, Windhoek, Namibia.
Janneke H H M van de WijgertJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Remco P H PetersResearch Unit, Foundation for Professional Development, East London, South Africa.
Nicola LowInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. nicola.low@unibe.ch.
Institute of Social and Preventive Medicine · CHUniversity of Bern · CHNamibia University of Science and Technology · NAUniversity of Pretoria · ZAUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVulvovaginal yeast infections in pregnancy are common and can cause extensive inflammation, which could contribute to adverse pregnancy outcomes. Symptomatic yeast infections are likely to cause more inflammation than asymptomatic. The objective of this study was to investigate associations between symptomatic and asymptomatic vulvovaginal yeast infections in pregnancy and perinatal outcomes.

methodsWe did a systematic review and searched eight databases until 01 July 2022. We included studies reporting on pregnant women with and without laboratory confirmed vulvovaginal yeast infection and preterm birth or eight other perinatal outcomes. We used random effects meta-analysis to calculate summary odds ratios (OR), 95% confidence intervals (CI) and prediction intervals for the association between yeast infection and outcomes. We described findings from studies with multivariable analyses. We assessed the risk of bias using published tools.

resultsWe screened 3909 references and included 57 studies. Only 22/57 studies reported information about participant vulvovaginal symptoms. Preterm birth was an outcome in 35/57 studies (49,161 women). In 32/35 studies with available data, the summary OR from univariable analyses was 1.01 (95% CI 0.84-1.21, I

conclusionsWe did not find strong statistical evidence of an increased risk for preterm birth or eight other adverse perinatal outcomes, in pregnant women with either symptomatic or asymptomatic vulvovaginal yeast infection. The available evidence is insufficient to make recommendations about testing and treatment of vulvovaginal yeast infection in pregnancy. Future studies should assess vulvovaginal symptoms, yeast organism loads, concomitant vaginal or cervical infections, and microbiota using state-of-the-art diagnostics. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020197564.

Indexed as

Premature BirthFemaleHumansInfant, NewbornInflammationPregnancyPregnancy OutcomeSaccharomyces cerevisiaeVaginaAdverse perinatal outcomesPregnancyPreterm birthSystematic reviewVaginal candidaVaginal yeast

Identifiers

PMID36944953
PMCPMC10029297
OpenAlexW4328108941

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read57
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.