Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3890
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dc.contributor.authorWeckend, Marina J.-
dc.contributor.authorSpineli, Loukia M.-
dc.contributor.authorGrylka, Susanne-
dc.contributor.authorGross, Mechthild Maria-
dc.date.accessioned2018-07-18T12:15:44Z-
dc.date.available2018-07-18T12:15:44Z-
dc.date.issued2018-07-
dc.identifier.issn1619-3997de_CH
dc.identifier.issn0300-5577de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/8294-
dc.descriptionErworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch)de_CH
dc.description.abstractBackground: Worldwide, 14.9 million infants (11%) are born preterm each year. Up to 40% of preterm births (PTBs) are associated with genital tract infections. The vaginal pH can reflect changes in the vaginal milieu and, if elevated, indicates an abnormal flora or infection. Objective: The aim of the study was to investigate whether an increased antenatal vaginal pH >4.5 in pre-labour pregnant women is associated with an increased PTB rate <37 completed weeks gestation. Search strategy Key databases included SCOPUS, EMBASE, MEDLINE, PsycInfo and the Cochrane Central Register of Controlled Trials, complemented by hand search, up to January 2017. Selection criteria Primary research reporting vaginal pH assessment in pre-labour pregnant women and PTB rate. Data collection and analysis: Data extraction and appraisal were carried out in a pre-defined standardised manner, applying the Newcastle-Ottawa scale (NOS) and Cochrane risk of bias tool. Analysis included calculation of risk difference (RD) and narrative synthesis. It was decided to abstain from pooling of the studies due to missing information in important moderators. Main results: Of 986 identified records, 30 were included in the systematic review. The risk of bias was considered mostly high (40%) or moderate (37%). Fifteen studies permitted a calculation of RD. Of these, 14 (93%) indicated a positive association between increased antenatal vaginal pH and PTB (RD range: 0.02-0.75). Conclusions: An increased antenatal vaginal pH >4.5 may be associated with a higher risk for PTB. It is recommended to conduct a randomised controlled trial (RCT) to investigate the effectiveness of antenatal pH screening to prevent PTB. Tweetable abstract Pregnant women with an increased vaginal pH >4.5 may be at higher risk to experience preterm birth.de_CH
dc.language.isoende_CH
dc.publisherDe Gruyterde_CH
dc.relation.ispartofJournal of Perinatal Medicinede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAbnormal florade_CH
dc.subjectInfectionde_CH
dc.subjectPregnancyde_CH
dc.subjectPreterm birthde_CH
dc.subjectSystematic reviewde_CH
dc.subjectVaginal pHde_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleAssociation between increased antenatal vaginal pH and preterm birth rate : a systematic reviewde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.21256/zhaw-3890-
dc.identifier.doi10.1515/jpm-2018-0097de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.embargo.end2019-11-07de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in collections:Publikationen Gesundheit

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Weckend, M. J., Spineli, L. M., Grylka, S., & Gross, M. M. (2018). Association between increased antenatal vaginal pH and preterm birth rate : a systematic review. Journal of Perinatal Medicine. https://doi.org/10.21256/zhaw-3890
Weckend, M.J. et al. (2018) ‘Association between increased antenatal vaginal pH and preterm birth rate : a systematic review’, Journal of Perinatal Medicine [Preprint]. Available at: https://doi.org/10.21256/zhaw-3890.
M. J. Weckend, L. M. Spineli, S. Grylka, and M. M. Gross, “Association between increased antenatal vaginal pH and preterm birth rate : a systematic review,” Journal of Perinatal Medicine, Jul. 2018, doi: 10.21256/zhaw-3890.
WECKEND, Marina J., Loukia M. SPINELI, Susanne GRYLKA und Mechthild Maria GROSS, 2018. Association between increased antenatal vaginal pH and preterm birth rate : a systematic review. Journal of Perinatal Medicine. Juli 2018. DOI 10.21256/zhaw-3890
Weckend, Marina J., Loukia M. Spineli, Susanne Grylka, and Mechthild Maria Gross. 2018. “Association between Increased Antenatal Vaginal pH and Preterm Birth Rate : A Systematic Review.” Journal of Perinatal Medicine, July. https://doi.org/10.21256/zhaw-3890.
Weckend, Marina J., et al. “Association between Increased Antenatal Vaginal pH and Preterm Birth Rate : A Systematic Review.” Journal of Perinatal Medicine, July 2018, https://doi.org/10.21256/zhaw-3890.


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