Role of the vaginal microbiota in preterm premature rupture of membranes

Guseinova G.E., Khodzhaeva Z.S., Muravyeva V.V.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia
The authors have carried out a systems analysis of the information available in the current literature on the vaginal microbiome and the role of dysbiotic disorders in the genesis of premature rupture of membranes (PROM) when the length of pregnancy is 22-36 weeks and 6 days. The paper includes the data published over the past 10 years in the foreign and Russian literary sources found in Pubmed on this problem. It presents the results of some studies of the vaginal microbiome in pregnant women with PROM and the identification of predictors for this complication. The results of ongoing studies confirm that it is necessary to investigate the vaginal microbiota composition at early gestational ages; the timely diagnosis of the abnormal vaginal microbiota will be able to substantially reduce the frequency of obstetric and neonatal complications. Further investigations are required to identify the most significant microbiological predictors in order to determine pregnant women at high risk for PROM.

Keywords

vaginal microbiota
dysbiosis
premature rupture of membranes
lactobacilli

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Received 19.06.2019

Accepted 21.06.2019

About the Authors

Gulnara E. Guseynova, graduate student in the Department of Pregnancy Pathology, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Healthcare of Russian Federation. Phone: +7 (967)153-18-81. E-mail: marysca666@rambler.ru
117997, Russia, Moscow, Akademika Oparina str. 4.
Zulfiya S. Khodzhaeva, M.D., Professor, Head of High Risk Pregnancy Dept,
National Medical Research Center for Obstetrics, Gynecology and Perinatology
named after Academician V.I. Kulakov Ministry of Healthcare of Russian Federation. Phone: +7 (916)407-75-67. E-mail: zkhodjaeva@mail.ru
117997, Russia, Moscow, Akademika Oparina str. 4.
Vera V. Muravieva, senior researcher, PhD in the Laboratory of microbiology, Departament of microbiology and clinical pharmacology, National Medical Research Center
for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Healthcare of Russian Federation.
Phone: +7 (495)438-25-33. Е-mail:v_muravieva@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str. 4.

For citation: Guseinova G.E., Khodzhaeva Z.S., Muravyeva V.V. Role of the vaginal microbiota in preterm premature rupture of membranes.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020;1: 20-5. (In Russian).
https://dx.doi.org/10.18565/aig.2020.1.20-25

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