Early Opportunities for Prevention: Infections of Pregnant Women and Young Infants
2001

Role of Infectious Agents in Adverse Consequences of Pregnancy

publication Evidence: low

Author Information

Author(s): Anne Schuchat, Sharon Hillier, Kathryn Edwards, Stephanie Schrag, Miriam Labbok

Primary Institution: Centers for Disease Control and Prevention

Hypothesis

Do infectious agents increase the risk of preterm delivery and low birth weight in infants?

Conclusion

Most antimicrobial treatments during pregnancy did not show a beneficial effect in reducing preterm deliveries or low birth weight.

Supporting Evidence

  • Numerous studies have shown that sexually transmitted infections can increase the risk of preterm delivery.
  • Only two out of approximately 15 clinical trials found that antimicrobial treatment during pregnancy had a positive impact.
  • Breast-feeding reduces illness and death from infectious diseases.
  • Exclusive breast-feeding is associated with the greatest reduction in illness and death from infectious agents.

Takeaway

Infections during pregnancy can lead to problems for babies, but most treatments to prevent this don't work well.

Methodology

The review assessed various studies on sexually transmitted and other genital tract infections related to pregnancy outcomes.

Limitations

Many trials focused on single infections rather than the broader interactions among multiple pathogens.

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