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    Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: US Preventive Services Task Force Recommendation Statement

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    Authors
    US Preventive Services Task Force
    Owens, Douglas K.
    Pbert, Lori
    UMass Chan Affiliations
    Prevention Research Center
    Department of Population and Quantitative Health Sciences, Division of Preventive And Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2020-04-07
    Keywords
    screening
    bacterial vaginosis
    pregnant
    pregnancy
    recommendation
    Bacterial Infections and Mycoses
    Female Urogenital Diseases and Pregnancy Complications
    Health Services Administration
    Health Services Research
    Maternal and Child Health
    Preventive Medicine
    Women's Health
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    Link to Full Text
    https://doi.org/10.1001/jama.2020.2684
    Abstract
    Importance: Bacterial vaginosis is common and is caused by a disruption of the microbiological environment in the lower genital tract. In the US, reported prevalence of bacterial vaginosis among pregnant women ranges from 5.8% to 19.3% and is higher in some races/ethnicities. Bacterial vaginosis during pregnancy has been associated with adverse obstetrical outcomes including preterm delivery, early miscarriage, postpartum endometritis, and low birth weight. Objective: To update its 2008 recommendation, the USPSTF commissioned a review of the evidence on the accuracy of screening and the benefits and harms of screening for and treatment of bacterial vaginosis in asymptomatic pregnant persons to prevent preterm delivery. Population: This recommendation applies to pregnant persons without symptoms of bacterial vaginosis. Evidence Assessment: The USPSTF concludes with moderate certainty that screening for asymptomatic bacterial vaginosis in pregnant persons not at increased risk for preterm delivery has no net benefit in preventing preterm delivery. The USPSTF concludes that for pregnant persons at increased risk for preterm delivery, the evidence is conflicting and insufficient, and the balance of benefits and harms cannot be determined. Conclusions and Recommendation: The USPSTF recommends against screening for bacterial vaginosis in pregnant persons not at increased risk for preterm delivery. (D recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for bacterial vaginosis in pregnant persons at increased risk for preterm delivery. (I statement).
    Source

    US Preventive Services Task Force, Owens DK, Davidson KW, Krist AH, Barry MJ, Cabana M, Caughey AB, Donahue K, Doubeni CA, Epling JW Jr, Kubik M, Ogedegbe G, Pbert L, Silverstein M, Simon MA, Tseng CW, Wong JB. Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: US Preventive Services Task Force Recommendation Statement. JAMA. 2020 Apr 7;323(13):1286-1292. doi: 10.1001/jama.2020.2684. PMID: 32259236. Link to article on publisher's site

    DOI
    10.1001/jama.2020.2684
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29455
    PubMed ID
    32259236
    Notes

    Full author list omitted for brevity. For the full list of authors, see article.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1001/jama.2020.2684
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    UMass Chan Faculty and Researcher Publications
    Prevention Research Center Publications
    Population and Quantitative Health Sciences Publications

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