DIKUL - logo
E-viri
Celotno besedilo
Recenzirano
  • The vaginal microbiome, vag...
    Witkin, SS

    BJOG : an international journal of obstetrics and gynaecology, January 2015, 2015-Jan, 2015-01-00, 20150101, Letnik: 122, Številka: 2
    Journal Article

    Ascending bacterial infection is implicated in about 40–50% of preterm births. The human vaginal microbiota in most women is dominated by lactobacilli. In women whose vaginal microbiota is not lactobacilli‐dominated anti‐bacterial defence mechanisms are reduced. The enhanced proliferation of pathogenic bacteria plus degradation of the cervical barrier increase bacterial passage into the endometrium and amniotic cavity and trigger preterm myometrial contractions. Evaluation of protocols to detect the absence of lactobaciili dominance in pregnant women by self‐measuring vaginal pH, coupled with measures to promote growth of lactobacilli are novel prevention strategies that may reduce the occurrence of preterm birth in low‐resource areas.