Evidence map›Paper›PMID 41826313›Full record

ArticleNPJ biofilms and microbiomes2026

Machine learning and the role of the vaginal and fecal microbiome in miscarriage: a matched case-control study.

Unnur Gudnadottir, Stefanie Prast-Nielsen, Nicole Wagner, Luisa W Hugerth, Vilma Kuttainen Alderheim, Anusha T Antony, Juan Du, Jorge Reis Guerreiro, Fredrik Boulund, Eva Wiberg-Itzel and 4 more

Abstract read
In one paragraph

Article in NPJ biofilms and microbiomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

14 authors.

Unnur GudnadottirDepartment of Women's and Children's Health, Karolinska Institutet, Solna, Sweden. unnur.gudnadottir@ki.se.ORCID 0000-0002-4663-9921
Stefanie Prast-NielsenCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Nicole WagnerCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Luisa W HugerthDepartment of Medical Biochemistry and Microbiology, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Vilma Kuttainen AlderheimDepartment of Women's and Children's health, Uppsala University, Uppsala, Sweden.
Anusha T AntonyDepartment of Medical Biochemistry and Microbiology, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Juan DuCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Jorge Reis GuerreiroGlobal Health Institute, Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
Fredrik BoulundCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Eva Wiberg-ItzelDepartment of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden.
Lars EngstrandCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Ina Schuppe-KoistinenCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.
Nele BrusselaersDepartment of Women's and Children's Health, Karolinska Institutet, Solna, Sweden.
Emma FranssonCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Solna, Sweden.

Funding

Åke Wiberg Stiftelse Dnr M21-0153ALF Region Stockholm, Dnr 2020-0471SciLifeLab & Wallenberg Data Driven Life Science Program KAW 2020.0239Vetenskapsrådet Dnr 2023-02868
6 · The paper itself

Abstract

Miscarriage occurs in approximately 15% of all pregnancies, and recent studies have suggested a potential role of the microbiome. A nested case-control study from the Swedish Maternal Microbiome cohort was conducted, including 34 participants who sent at least one vaginal or fecal microbiome sample and questionnaire data before miscarrying (n = 34), and matched controls (n = 105 for regression models, n = 27 for machine learning models). Non-vaccine type HPV (aOR 3.95, 95%CI 1.04-15.06) and vaginal microbiome with community state type (CST) II (aOR 6.52, 95%CI 1.58-26.98) or CST-IVB (aOR 4.18, 95%CI 1.08-16.18) in early pregnancy were associated with an increased risk of miscarriage. Furthermore, we explored six machine learning algorithms using 70% of the cohort for training and 30% for testing, for the prediction of miscarriage using vaginal (AUROC 85%), fecal (AUROC 81%) and questionnaire (AUROC 82%) data separately and combined (AUROC 82%). Our results highlight the urgency of HPV screening and vaccine development for women's reproductive health. Despite limitations, including a small number of miscarriage cases, our results indicate the potential for both vaginal and fecal microbiomes in the prediction of miscarriage.

Indexed as

Abortion, SpontaneousFecesMachine LearningMicrobiotaVaginaAdultCase-Control StudiesFemaleHumansPregnancySurveys and QuestionnairesSweden

Identifiers

PMID41826313
PMCPMC13009249

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.