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Bacterial vaginosis and preterm delivery
Authors:Menard J-P  Bretelle F
Affiliation:1. Service de pharmacologie clinique, hôpital Bretonneau, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France;2. Université François-Rabelais, 37032 Tours, France;1. Inserm UMR 1153, équipe EPOPé, recherche en epidémiologie périnatale, obstétricale et pédiatrique, 75014 Paris, France;2. Service de gynécologie-obstétrique, hôpital St-Joseph, 74014 Paris, France;3. Maternité Port Royal, groupe hospitalier Cochin-Broca-Hôtel Dieu, AP–HP, 75014 Paris, France;1. Centre d’études et de recherches en psychopathologie, URI Octogone, université Toulouse II–Le Mirail, 5, allées Antonio-Machado, 31058 Toulouse cedex 9, France;2. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, États-Unis;3. Harvard Medical School, Boston, Massachusetts, États-Unis;1. Département de gynécologie-obstétrique, hôpital Bicêtre, AP–HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France;2. Université Paris-Sud, UMRS 1018, 94807 Villejuif, France;1. Assistance Publique-hôpitaux de Paris, hôpital Louis-Mourier, service de gynécologie-Obstétrique, 178, rue des Renouillers, 92700, Colombes, France;2. Université de Paris, Inserm IAME-U1137, Paris, France;3. FHU PREMA, Paris, France
Abstract:Bacterial vaginosis (BV) is an imbalance of vaginal flora. There is a statistical association between BV in early pregnancy and the occurrence of obstetric complications including preterm delivery. If screening and treatment of asymptomatic BV in patients at low risk are not recommended, the management of patients at high risk of prematurity is controversial. Using molecular tool, a rational and objective approach to the imbalance of vaginal flora, would reassess the relationship between VB and obstetric complications.
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