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Related Experiment Videos

Probiotics for preventing preterm labour.

M Othman1, J P Neilson, Z Alfirevic

  • 1University of Liverpool, Division of Perinatal and Reproductive Medicine, First Floor, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK, L8 7SS. m.s.othman@liv.ac.uk

The Cochrane Database of Systematic Reviews
|January 27, 2007
PubMed
Summary
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Probiotics may effectively treat vaginal infections in pregnant women, reducing risk by 81%. However, more research is needed to confirm their effectiveness in preventing preterm birth and related complications.

Area of Science:

  • Obstetrics and Gynecology
  • Microbiology
  • Perinatology

Background:

  • Preterm birth is a leading cause of neonatal mortality, with maternal infections increasing the risk of preterm labor.
  • Probiotics, live microorganisms conferring health benefits, can combat pathogens and modulate immune responses.
  • Local vaginal treatments with probiotics may offer a safe alternative for preventing preterm labor during pregnancy.

Purpose of the Study:

  • To assess the efficacy and safety of probiotics in preventing preterm labor and birth.

Main Methods:

  • A systematic review of randomized controlled trials was conducted using the Cochrane Pregnancy and Childbirth Group's Trials Register.
  • Trials involving pregnant women or those planning pregnancy, using probiotics for urogenital infections, were included.

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  • Data extraction and analysis were performed using standard review methodology.
  • Main Results:

    • Two trials were included in the review, with one ongoing study excluded from analysis.
    • One trial used oral probiotics, while the other used vaginal yogurt for bacterial vaginosis.
    • Probiotics demonstrated an 81% reduction in genital infections (RR 0.19; 95% CI 0.08 to 0.48).

    Conclusions:

    • Probiotics show promise in treating vaginal infections during pregnancy.
    • Current data are insufficient to determine the impact of probiotics on preterm birth rates and complications.