Evidence map›Paper›PMID 41346565›Full record

Observational studyJournal of pregnancy2025

Characterization of Vaginal Microbial Colonization in Cervical Insufficiency Patients and Its Relation to Preterm Birth: An Observational Cohort Study.

Fanny Mikula, Arlena Witt, Ricarda Heemann, Sonja Granser, Florian Heinzl, Alex Farr, Philipp Foessleitner

Abstract readObservational Study
In one paragraph

Observational study in Journal of pregnancy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Fanny MikulaDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5062-0097
Arlena WittDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Ricarda HeemannDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0006-2801-9266
Sonja GranserDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0001-7706-1464
Florian HeinzlDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0523-5696
Alex FarrDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-4628-9052
Philipp FoessleitnerDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8409-1119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cervical insufficiency is one of the main risk factors for preterm birth. It has been suggested that a more diverse vaginal microbial colonization might lead to cervical insufficiency and subsequently further increase the risk for preterm birth. To date, the microbial colonization in women with cervical insufficiency has not been sufficiently categorized. Therefore, this study is aimed at describing the vaginal microbial colonization in this high-risk collective and exploring a possible association with preterm birth. Methods and Study Design: All women treated for cervical insufficiency from June 2021 until March 2024 at the Division for Obstetrics and Feto-Maternal Medicine of the Medical University of Vienna were evaluated for inclusion. Vaginal bacterial/fungal culture results during pregnancy were used for the characterization of the vaginal microbial colonization and categorized in 17 predefined microbial groups. Results: We included 118 women with cervical insufficiency with available vaginal culture results, of whom 58.5% experienced preterm birth. Conclusion: Cervical insufficiency is associated with a diverse vaginal microbial colonization. Especially colonization with coagulase-negative staphylococci,

Indexed as

Premature BirthUterine Cervical IncompetenceVaginaAdultCohort StudiesFemaleHumansLactobacillusPregnancyRisk Factorscervical incompetencecervical insufficiencypreterm birthspontaneous preterm birthvaginal microbial colonization

Identifiers

PMID41346565
PMCPMC12674884

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Registered trials

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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.