Evidence mapPaperPMID 39683623Full record

ReviewNutrients2024

Probiotics in the Prophylaxis of Premature Rupture of Membranes and Cervical Incompetence.

Constantin-Cristian Vaduva, Ana-Maria Petrescu, Laurentiu Mihai Dira, Dan Ruican, Razvan Cosmin Pana

Abstract readReview
In one paragraph

Review in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Dynamic changes in the pregnancy microbiome and their role in preterm birth.Frontiers in cellular and infection microbiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Constantin-Cristian VaduvaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0000-0001-7526-1756
Ana-Maria PetrescuDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy, 200349 Craiova, Romania.
Laurentiu Mihai DiraDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0000-0003-1766-0534
Dan RuicanClinic of Obstetrics and Gynecology, Filantropia Clinical Hospital, 200143 Craiova, Romania.ORCID 0000-0002-7183-3144
Razvan Cosmin PanaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy, 200349 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Premature rupture of membranes (PROM) and cervical incompetence (CI) are major contributors to preterm birth, a leading cause of neonatal morbidity and mortality. BACKGROUND/

objectivesDisorders of the vaginal microbiota, such as bacterial vaginosis, have been associated with an increased risk of PROM, CI, and subsequent preterm birth. Probiotics, particularly Lactobacillus strains, have been proposed as a preventive strategy to restore and maintain a healthy vaginal microbiome. This review aims to summarize the latest evidence on the role of probiotics in the prevention of PROM and CI.

methodsA comprehensive review was conducted to evaluate the effectiveness of probiotic interventions in the prevention of PROM and CI, yielding 1809 records from 2005 to 2024. Seven relevant studies were selected by searching medical databases and focusing on studies that investigated the restoration of healthy vaginal flora, the reduction of pathogenic bacteria colonization, and the modulation of immune responses by probiotics.

resultsThe studies analyzed suggest that probiotics may help restore healthy vaginal flora, reduce pathogenic bacterial colonization, and modulate immune responses, thereby reducing the risk of membrane rupture and cervical insufficiency. Evidence from randomized controlled trials and observational studies shows that the use of probiotics is associated with a lower incidence of PROM and preterm birth, especially in high-risk groups.

conclusionsProbiotics emerge as a potential non-invasive and cost-effective strategy to improve pregnancy outcomes in women at risk of preterm birth due to PROM. According to our research, probiotic prophylaxis of cervical insufficiency has not yet been sufficiently investigated. Despite the promising findings, further research is needed to determine standardized probiotic formulations, optimal timing, and routes of administration. Personalized probiotic therapies may represent the future of preterm birth prevention as they offer targeted interventions based on individual microbiome composition.

Indexed as

Premature BirthPremature Rupture of Fetal MembranesProbioticsUterine Cervical IncompetenceVaginaFemaleHumansLactobacillusMicrobiotaPregnancyVaginosis, Bacterialcervical incompetence (CI)premature rupture of membranes (PROM)preterm birthprobioticsvaginal microbiota

Identifiers

PMID39683623
PMCPMC11644756

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.