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| ID | Type | Description | Link |
|---|---|---|---|
| R01NR014784-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Nursing Research (NINR) | NIH |
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This is a prospective cohort, enriched with women with a prior term birth, of singleton pregnancies who will be followed for the outcome of preterm birth. The main exposure of interest is the characterization of the cervico-vaginal microbiota. Women will be recruited from a population seeking routine obstetrical care at obstetrical practices at Penn. They will have three research visits during pregnancy to complete questionnaires and collect samples of cervico-vaginal fluid and cervical cells. Outcome data will be collected about the prenatal events and timing of delivery.
Patients will be recruited around the time of their routine obstetrical visits. They will be asked to participate in three visits total. Visit one/enrollment occurs between 16 and 20 weeks of gestation, visit two at 20-24 weeks, and visit three at 24-28 weeks. At each visit, vaginal swabs will be collected. The patient will also be asked to fill out a series of surveys related to stress, anxiety,and depression in pregnancy. Research coordinators will perform chart abstraction after delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prior Preterm Birth Patients | All obstetrical patients eligible for the study that have had a prior preterm birth. | ||
| Term Birth Patients | All obstetrical patients eligible for the study that have not had a prior preterm birth. |
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| Measure | Description | Time Frame |
|---|---|---|
| Cervicovaginal Microbiota in Women With and Without Preterm Birth | Cervicovaginal Microbiota in Women With and Without Preterm Birth | Enrollment through delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Potential Modifiers of the Cervicovaginal Microbiome | Potential modifiers of the cervicovaginal microbiome: behavioral factors, stress, nutrition/obesity, vaginal infections, genetic or host immune differences, race and ethnicity, social behaviors, environmental influences | Enrollment through delivery |
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Inclusion Criteria:
- Pregnant women receiving care in University of Pennsylvania Health System
Exclusion Criteria:
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Pregnant women will be recruited from three locations: Penn ObGyn Associates, Helen O. Dickens Clinic, and Maternal Fetal Medicine at 2000 Courtyard. Potential subjects will be identified from clinical schedules and will be pre-screened in EPIC for eligibility. They may be approached during a clinical visit, or the research team may call them prior to or after a scheduled visit to introduce the study. Women can be enrolled anytime between the confirmation of pregnancy and 20 weeks/0 days gestation. For convenience, research visits can be conducted at the time of a scheduled clinical visit, or at a separate time.
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| Name | Affiliation | Role |
|---|---|---|
| Michal A Elovitz, MD | University of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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Women will self-collect samples of their cervicovaginal fluid using large cotton swabs.
Subjects who have had a previous preterm birth will also have cervical cells collected in the same manner that cells are collected for a routine pap smear.
| D000091642 | Urogenital Diseases |