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Fetal fibronectin and bacterial vaginosis are associated with preterm birth in women who are symptomatic for preterm labor
The purpose of this study was to codify the relationship between bacterial vaginosis/fetal fibronectin and preterm labor/birth. In this prospective study, 185 women who were symptomatic for preterm labor were assessed for bacterial vaginosis and fetal fibronectin. These women comprised 4 groups: gro...
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Published in: | American journal of obstetrics and gynecology 2004-06, Vol.190 (6), p.1582-1587 |
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container_end_page | 1587 |
container_issue | 6 |
container_start_page | 1582 |
container_title | American journal of obstetrics and gynecology |
container_volume | 190 |
creator | Stevens, Amy O Chauhan, Suneet P Magann, Everett F Martin, Rick W Bofill, James A Cushman, Julie L Morrison, John C |
description | The purpose of this study was to codify the relationship between bacterial vaginosis/fetal fibronectin and preterm labor/birth.
In this prospective study, 185 women who were symptomatic for preterm labor were assessed for bacterial vaginosis and fetal fibronectin.
These women comprised 4 groups: group A (n
=
23 women; +bacterial vaginosis/+fetal fibronectin); group B (n
=
31 women; −bacterial vaginosis/+fetal fibronectin); group C (n
=
47 women; +bacterial vaginosis/−fetal fibronectin); and group D (n
=
84 women; −bacterial vaginosis/−fetal fibronectin). The time interval from gestational age at testing until delivery was significantly shorter for groups A and B versus groups C and D (
P ≤ .05 and
P < .001, respectively). Similarly, delivery at |
doi_str_mv | 10.1016/j.ajog.2004.03.059 |
format | article |
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In this prospective study, 185 women who were symptomatic for preterm labor were assessed for bacterial vaginosis and fetal fibronectin.
These women comprised 4 groups: group A (n
=
23 women; +bacterial vaginosis/+fetal fibronectin); group B (n
=
31 women; −bacterial vaginosis/+fetal fibronectin); group C (n
=
47 women; +bacterial vaginosis/−fetal fibronectin); and group D (n
=
84 women; −bacterial vaginosis/−fetal fibronectin). The time interval from gestational age at testing until delivery was significantly shorter for groups A and B versus groups C and D (
P ≤ .05 and
P < .001, respectively). Similarly, delivery at <32 weeks of gestation was increased in group B (26%) compared with groups A (9%), C (2%), and D (5%;
P < .009; odds ratio, 165.90; 95% CI, 30.02, 916.08).
Women who are symptomatic for preterm labor should be considered for fetal fibronectin and bacterial vaginosis testing.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2004.03.059</identifier><identifier>PMID: 15284741</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Bacterial vaginosis ; Biomarkers - analysis ; Cohort Studies ; Female ; Fetal fibronectin ; Fibronectins ; Gestational Age ; Glycoproteins - analysis ; Glycoproteins - metabolism ; Humans ; Incidence ; Infant, Newborn ; Infant, Premature ; Obstetric Labor, Premature - epidemiology ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Pregnancy Outcome ; Preterm birth ; Probability ; Prospective Studies ; Risk Assessment ; Sensitivity and Specificity ; Severity of Illness Index ; Statistics, Nonparametric ; Vaginosis, Bacterial - diagnosis ; Vaginosis, Bacterial - epidemiology</subject><ispartof>American journal of obstetrics and gynecology, 2004-06, Vol.190 (6), p.1582-1587</ispartof><rights>2004 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c267t-e4defb48b6d1d40d659ca1368a26b76fb136a60800a8ab50dc01fca7b86edc253</citedby><cites>FETCH-LOGICAL-c267t-e4defb48b6d1d40d659ca1368a26b76fb136a60800a8ab50dc01fca7b86edc253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15284741$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stevens, Amy O</creatorcontrib><creatorcontrib>Chauhan, Suneet P</creatorcontrib><creatorcontrib>Magann, Everett F</creatorcontrib><creatorcontrib>Martin, Rick W</creatorcontrib><creatorcontrib>Bofill, James A</creatorcontrib><creatorcontrib>Cushman, Julie L</creatorcontrib><creatorcontrib>Morrison, John C</creatorcontrib><title>Fetal fibronectin and bacterial vaginosis are associated with preterm birth in women who are symptomatic for preterm labor</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The purpose of this study was to codify the relationship between bacterial vaginosis/fetal fibronectin and preterm labor/birth.
In this prospective study, 185 women who were symptomatic for preterm labor were assessed for bacterial vaginosis and fetal fibronectin.
These women comprised 4 groups: group A (n
=
23 women; +bacterial vaginosis/+fetal fibronectin); group B (n
=
31 women; −bacterial vaginosis/+fetal fibronectin); group C (n
=
47 women; +bacterial vaginosis/−fetal fibronectin); and group D (n
=
84 women; −bacterial vaginosis/−fetal fibronectin). The time interval from gestational age at testing until delivery was significantly shorter for groups A and B versus groups C and D (
P ≤ .05 and
P < .001, respectively). Similarly, delivery at <32 weeks of gestation was increased in group B (26%) compared with groups A (9%), C (2%), and D (5%;
P < .009; odds ratio, 165.90; 95% CI, 30.02, 916.08).
Women who are symptomatic for preterm labor should be considered for fetal fibronectin and bacterial vaginosis testing.</description><subject>Adult</subject><subject>Bacterial vaginosis</subject><subject>Biomarkers - analysis</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fetal fibronectin</subject><subject>Fibronectins</subject><subject>Gestational Age</subject><subject>Glycoproteins - analysis</subject><subject>Glycoproteins - metabolism</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Obstetric Labor, Premature - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnancy Outcome</subject><subject>Preterm birth</subject><subject>Probability</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Statistics, Nonparametric</subject><subject>Vaginosis, Bacterial - diagnosis</subject><subject>Vaginosis, Bacterial - epidemiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kMFu1DAQhi1ERZe2L8AB-cQtYewkjiNxQVULSJW40LM1tietV0m82NlW5enxsiu4cbE98vf_0nyMvRNQCxDq47bGbXyoJUBbQ1NDN7xiGwFDXymt9Gu2AQBZDU2vz9nbnLeHUQ7yDTsXndRt34oN-3VLK058DDbFhdwaFo6L5xbdSimUnyd8CEvMIXNMxDHn6AKu5PlzWB_5LlHhZm5DKlMJP8eZyvkY_-D5Zd6tccY1OD7G9Bef0MZ0yc5GnDJdne4Ldn978-P6a3X3_cu36893lZOqXytqPY221VZ54VvwqhscikZplMr2arTljQo0AGq0HXgHYnTYW63IO9k1F-zDsXeX4s895dXMITuaJlwo7rNRqu9U8VFAeQRdijknGs0uhRnTixFgDsbN1hyMm4NxA40pxkvo_al9b2fy_yInxQX4dASo7PgUKJnsAi2OfEhFuPEx_K__N6WmlSg</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Stevens, Amy O</creator><creator>Chauhan, Suneet P</creator><creator>Magann, Everett F</creator><creator>Martin, Rick W</creator><creator>Bofill, James A</creator><creator>Cushman, Julie L</creator><creator>Morrison, John C</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Fetal fibronectin and bacterial vaginosis are associated with preterm birth in women who are symptomatic for preterm labor</title><author>Stevens, Amy O ; Chauhan, Suneet P ; Magann, Everett F ; Martin, Rick W ; Bofill, James A ; Cushman, Julie L ; Morrison, John C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-e4defb48b6d1d40d659ca1368a26b76fb136a60800a8ab50dc01fca7b86edc253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Bacterial vaginosis</topic><topic>Biomarkers - analysis</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fetal fibronectin</topic><topic>Fibronectins</topic><topic>Gestational Age</topic><topic>Glycoproteins - analysis</topic><topic>Glycoproteins - metabolism</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Obstetric Labor, Premature - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Pregnancy Outcome</topic><topic>Preterm birth</topic><topic>Probability</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Statistics, Nonparametric</topic><topic>Vaginosis, Bacterial - diagnosis</topic><topic>Vaginosis, Bacterial - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stevens, Amy O</creatorcontrib><creatorcontrib>Chauhan, Suneet P</creatorcontrib><creatorcontrib>Magann, Everett F</creatorcontrib><creatorcontrib>Martin, Rick W</creatorcontrib><creatorcontrib>Bofill, James A</creatorcontrib><creatorcontrib>Cushman, Julie L</creatorcontrib><creatorcontrib>Morrison, John C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stevens, Amy O</au><au>Chauhan, Suneet P</au><au>Magann, Everett F</au><au>Martin, Rick W</au><au>Bofill, James A</au><au>Cushman, Julie L</au><au>Morrison, John C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal fibronectin and bacterial vaginosis are associated with preterm birth in women who are symptomatic for preterm labor</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2004-06</date><risdate>2004</risdate><volume>190</volume><issue>6</issue><spage>1582</spage><epage>1587</epage><pages>1582-1587</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>The purpose of this study was to codify the relationship between bacterial vaginosis/fetal fibronectin and preterm labor/birth.
In this prospective study, 185 women who were symptomatic for preterm labor were assessed for bacterial vaginosis and fetal fibronectin.
These women comprised 4 groups: group A (n
=
23 women; +bacterial vaginosis/+fetal fibronectin); group B (n
=
31 women; −bacterial vaginosis/+fetal fibronectin); group C (n
=
47 women; +bacterial vaginosis/−fetal fibronectin); and group D (n
=
84 women; −bacterial vaginosis/−fetal fibronectin). The time interval from gestational age at testing until delivery was significantly shorter for groups A and B versus groups C and D (
P ≤ .05 and
P < .001, respectively). Similarly, delivery at <32 weeks of gestation was increased in group B (26%) compared with groups A (9%), C (2%), and D (5%;
P < .009; odds ratio, 165.90; 95% CI, 30.02, 916.08).
Women who are symptomatic for preterm labor should be considered for fetal fibronectin and bacterial vaginosis testing.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>15284741</pmid><doi>10.1016/j.ajog.2004.03.059</doi><tpages>6</tpages></addata></record> |
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issn | 0002-9378 1097-6868 |
language | eng |
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source | ScienceDirect Freedom Collection |
subjects | Adult Bacterial vaginosis Biomarkers - analysis Cohort Studies Female Fetal fibronectin Fibronectins Gestational Age Glycoproteins - analysis Glycoproteins - metabolism Humans Incidence Infant, Newborn Infant, Premature Obstetric Labor, Premature - epidemiology Pregnancy Pregnancy Complications, Infectious - epidemiology Pregnancy Outcome Preterm birth Probability Prospective Studies Risk Assessment Sensitivity and Specificity Severity of Illness Index Statistics, Nonparametric Vaginosis, Bacterial - diagnosis Vaginosis, Bacterial - epidemiology |
title | Fetal fibronectin and bacterial vaginosis are associated with preterm birth in women who are symptomatic for preterm labor |
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