Through the Microbial Looking Glass: Premature Labor, Preeclampsia, and Gestational Diabetes: A Scoping Review.
Journal
The Journal of perinatal & neonatal nursing
ISSN: 1550-5073
Titre abrégé: J Perinat Neonatal Nurs
Pays: United States
ID NLM: 8801387
Informations de publication
Date de publication:
Historique:
entrez:
25
1
2019
pubmed:
25
1
2019
medline:
18
12
2019
Statut:
ppublish
Résumé
The influence of microbial factors on adverse perinatal outcomes has become the focal point of recent investigations, with particular interest in the role of the microbiome and probiotic interventions. The purpose of this scoping review was to identify and critique the most recent evidence about these factors as they relate to pregnancies complicated by preeclampsia (PEC), preterm birth (PTB), and gestational diabetes mellitus (GDM). Four databases (PubMed, EMBASE, Web of Science, and Cochrane) were searched for articles published in English in the last 10 years with the concepts of the microbiome, probiotics, and PEC, PTB, or GDM. Forty-nine articles were eligible for full-text review. Five articles were excluded, leaving 44 articles that met all the eligibility criteria. The relationships between the microbiome and the risk for PEC, PTB, and GDM are not fully elucidated, although probiotic interventions seem beneficial in decreasing PEC and GDM risk. Probiotic interventions targeting bacterial vaginosis and elimination of infection in women at risk for PTB appear to be beneficial. More research is needed to understand the contributions of the microbiome to adverse perinatal outcomes. Probiotic interventions appear to be effective in reducing risk for select outcomes.
Identifiants
pubmed: 30676461
doi: 10.1097/JPN.0000000000000375
pii: 00005237-201901000-00009
pmc: PMC6349420
mid: NIHMS1508583
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
35-51Subventions
Organisme : NICHD NIH HHS
ID : R21 HD095320
Pays : United States
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