HIV Infections Clinical Trial
Official title:
Genital Tract Infections, the Vaginal Microbiome and Gestational Age at Birth Among Pregnant Women in South Africa
Verified date | November 2023 |
Source | University of Bern |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This cohort study plans to investigate associations between the presence of multiple lower genital tract microorganisms in pregnancy and gestational age at birth. The study enrols pregnant women at one public health care facility in East London, South Africa. At enrolment and 30-34 weeks of pregnancy, participants provide swabs for testing for sexually transmitted infections, vaginal yeasts and genital mycoplasmas; for microscopy and Nugent scoring; and for 16S ribosomal ribonucleic acid gene sequencing and quantification. The primary outcome is gestational age at birth. Statistical analyses include: regression modelling to explore associations between specific microorganisms (including microbiota) and gestational age at birth; construction of an index of vaginal inflammation, using data about microorganism load and inflammatory potential; classification and regression tree analysis to examine which combinations of microorganisms contribute to earlier gestational age at birth.
Status | Active, not recruiting |
Enrollment | 603 |
Est. completion date | September 30, 2024 |
Est. primary completion date | April 30, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Living in Buffalo City Metropolitan Municipality - Intend to deliver in the same municipality - <27 weeks of gestation at enrolment, confirmed by ultrasound - Provide written informed consent Exclusion Criteria: - Participation in any other research study - Inability to understand and speak a local language (English, Afrikaans, or isiXhosa). |
Country | Name | City | State |
---|---|---|---|
South Africa | Empilweni Gompo Community Health Centre | East London | Eastern Cape |
Lead Sponsor | Collaborator |
---|---|
University of Bern | Foundation for Professional Development, Louisiana State University Health Sciences Center in New Orleans, University of Alabama at Birmingham, University of Cape Town, University of Pretoria, University of Southern California, Utrecht University |
South Africa,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Prevalence of microorganisms | Number of women with a specific microorganism / number of women tested | Measured at enrolment visit and at 30-34 week visit | |
Other | Incidence of microorganisms | Number of women with new detection of a specific microorganism per 1000 woman years of follow-up | Measured at 30-34 week visit | |
Primary | Gestational age at birth | Gestational age in days, estimated using data from obstetric ultrasound at enrolment visit | Recorded within 2 weeks of delivery | |
Secondary | Preterm birth | Number of babies liveborn before 37 completed weeks of pregnancy, estimated using data from obstetric ultrasound at enrolment visit | Recorded within 2 weeks of birth | |
Secondary | Low birth weight | Number of babies with birth weight <2500g | Measured within 72 hours of birth | |
Secondary | Miscarriage | Number of foetuses delivered dead before 28 completed weeks of pregnancy or with birth weight below 1000g. Gestational age estimated using data from obstetric ultrasound at enrolment visit | Collected throughout pregnancy until delivery | |
Secondary | Stillbirth | Number of foetuses delivered dead at or after 28 completed weeks of pregnancy or with birth weight above 1000g at delivery. Gestational age estimated using data from obstetric ultrasound at enrolment visit | Collected throughout pregnancy until delivery |
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