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Treatment of abnormal vaginal flora in early pregnancy with clindamycin for the prevention of spontaneous preterm birth: a systematic review and metaanalysis.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2011 Sep; Vol. 205 (3), pp. 177-90. Date of Electronic Publication: 2011 Apr 02. - Publication Year :
- 2011
-
Abstract
- The purpose of this study was to determine whether the administration of clindamycin to women with abnormal vaginal flora at <22 weeks of gestation reduces the risk of preterm birth and late miscarriage. We conducted a systematic review and metaanalysis of randomized controlled trials of the early administration of clindamycin to women with abnormal vaginal flora at <22 weeks of gestation. Five trials that comprised 2346 women were included. Clindamycin that was administered at <22 weeks of gestation was associated with a significantly reduced risk of preterm birth at <37 weeks of gestation and late miscarriage. There were no overall differences in the risk of preterm birth at <33 weeks of gestation, low birthweight, very low birthweight, admission to neonatal intensive care unit, stillbirth, peripartum infection, and adverse effects. Clindamycin in early pregnancy in women with abnormal vaginal flora reduces the risk of spontaneous preterm birth at <37 weeks of gestation and late miscarriage. There is evidence to justify further randomized controlled trials of clindamycin for the prevention of preterm birth. However, a deeper understanding of the vaginal microbiome, mucosal immunity, and the biology of BV will be needed to inform the design of such trials.<br /> (Published by Mosby, Inc.)
- Subjects :
- Female
Humans
Pregnancy
Pregnancy Complications, Infectious drug therapy
Premature Birth drug therapy
Vaginosis, Bacterial drug therapy
Anti-Bacterial Agents therapeutic use
Clindamycin therapeutic use
Pregnancy Complications, Infectious prevention & control
Premature Birth prevention & control
Vagina microbiology
Vaginosis, Bacterial prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6868
- Volume :
- 205
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 22071048
- Full Text :
- https://doi.org/10.1016/j.ajog.2011.03.047