Influence of Pregnancy History on the Vaginal Microbiome of Pregnant Women in their First Trimester. Academic Article uri icon

Overview

abstract

  • Pregnancy permanently alters maternal anatomy, physiology and immunity. We evaluated if the vaginal microbiome differed between women with a first or subsequent conception. Relative abundance of bacteria in the vaginal microbiome in first trimester pregnant women, 52 with their first known conception, 26 with a prior spontaneous or induced abortion but no deliveries and 77 with at least one prior birth, was determined by classifying DNA sequences from the V1-V3 region of bacterial 16 S rRNA genes. Lactobacillus crispatus was the numerically most abundant bacterium in 76.4% of women with a first conception, 50.0% with only a prior spontaneous or scheduled abortion and 22.2% with a prior birth (p ≤ 0.01). L. iners was the most abundant bacterium in 3.8% of women with a first conception as compared to 19.2% (p = 0.03) and 20.8% (p = 0.03) in those with a prior abortion or birth, respectively. Gardnerella as the most abundant bacterial genus increased from 3.8% in women with a first conception to 15.4% and 14.3% in those with a prior abortion or birth, respectively (p > 0.05). L. iners dominance was also associated with a history of spontaneous abortion (p ≤ 0.02). The composition of the vaginal microbiome and its influence on pregnancy outcome varies with pregnancy history.

publication date

  • August 31, 2017

Research

keywords

  • Bacteria
  • Pregnancy Trimester, First
  • RNA, Ribosomal, 16S
  • Sequence Analysis, DNA
  • Vagina

Identity

PubMed Central ID

  • PMC5579028

Scopus Document Identifier

  • 85028646956

Digital Object Identifier (DOI)

  • 10.1128/AEM.02272-07

PubMed ID

  • 28860491

Additional Document Info

volume

  • 7

issue

  • 1