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Identification and Impact of Vaginal Flora Anomalies Among Pregnant Woman

Not Applicable
Completed
Conditions
Vaginosis, Bacterial
Registration Number
NCT00484653
Lead Sponsor
Assistance Publique Hopitaux De Marseille
Brief Summary

This is a prospective multicentric study including six clinical units of Gynecology and Obstetrics (5 public health hospital and one private team), one research team in clinical microbiology and one Center of Clinical investigation (CIC).

There is a correlation between premature delivery and bacterial vaginosis. So, the anomalies of vaginal flora are a potential target for the campaign against prematurity.

The main objective of this study is to achieve an objective and reproducible technique of identification and quantification by molecular biology of lactobacilla and all the other micro-organisms involved in vaginal flora anomalies.

The secondary objectives are the exhaustive culture of bacteria, the characterisation of intermediate vaginal flora and bacterial vaginosis among pregnant woman by PCR targeting the ribosomic ADN 16S coupled with clonage techniques.

The number of patient to include is 1000 (time of inclusions: 24 months). The vaginal smears will be realized until 32 weeks of gestation (Max: 3 taking of vaginal smears by patient).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1000
Inclusion Criteria
  • Pregnant patients aged more than 18 years and more than 14 weeks of gestation but less than 28 weeks.
  • Multiple pregnancy won't be included.
  • Patient with a risk of premature delivery with a short cervix or a cervix measured at less than 25 mm (measure done by vaginal ultrasound of the cervix).
  • Or patient with a past of premature delivery and/or of late abortion.
  • Symptomatic or asymptomatic patient.
  • Patients consulting for pregnancy follow up or hospitalized in a unit of Gynecology and Obstetrics involved in the study.
  • social security cover
  • written informed consent
Exclusion Criteria
  • antecedents : treated hypertension, Foetal malformation, APLS known, diabetes, renal disease, SLE
  • treated with antibiotics the inclusion's day
  • dropping consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
identification and quantification by molecular biology of lactobacilla and all the other micro-organisms involved in vaginal flora anomalies24 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (6)

Hôpital Nord-OB/GYN Department

🇫🇷

Marseille, France

Centre médicochirurgical et obstétrical

🇫🇷

Schiltigheim, France

Hôpital Saint Joseph

🇫🇷

Marseille, France

CHU Antoine BECLERE

🇫🇷

Clamart, France

Hôpital de la Conception

🇫🇷

Marseille, France

Centre Hospitalier Poissy-Saint-Germain

🇫🇷

Poissy, France

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