Microbiome, Human
Conditions
Keywords
Microbiome,, maternal and offspring, healthy, whole genome sequencing of GBS strain., GBS test by(Q-PCR)
Brief summary
In view of the current status of prevention and research on GBS disease in mothers and infants at home and abroad, this project intends to explore the characteristics of vaginal microbiota of GBS-colonized pregnant women in southern China, the impact of IAP prevention of GBS-EOD on vaginal flora, and the effect of IAP prevention of GBS-EOD on intestinal flora and immune production in offspring, so as to improve the ability to prevent and treat GBS-related diseases in mothers and infants and promote maternal and infant health.
Detailed description
This project intends to explore the characteristics of vaginal microbiota of GBS-colonized pregnant women in southern China, the impact of IAP prevention of GBS-EOD on vaginal flora, and the effect of IAP prevention of GBS-EOD on intestinal flora and immune production in offspring, so as to improve the ability to prevent and treat GBS-related diseases in mothers and infants and promote maternal and infant health.
Interventions
For pregnant women with GBS colonization, antibiotics are used to prevent infection
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women are 18 to 40 years; * 35 to 41 weeks of pregnancy; * Singleton pregnancy; * Plan for vaginal delivery and postpartum care in the research hospital; * Pregnant women who volunteered to participate in the study.
Exclusion criteria
* Have infectious diseases, serious infections and clinical diseases; * Use of antibiotics in the past 2 weeks; * Long-term use of drugs due to digestion, immunity, blood, chronic diseases; * Sexual behavior, vaginal douching and topical medication within 24 hours before sampling; * Any medical or non-medical condition that the investigator considers inappropriate to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intestinal flora | The offspring are born on the 3rd day after birth | Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the gut microbiome of offspring. |
| Secretory IgA | The offspring are born on the 3rd day after birth | Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the secretory IgA of offspring. |
| Calprotectin | The offspring are born on the 3rd day after birth | Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the cailprotectin of offspring. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The effect of IAP to prevent GBS-EOD. | Vaginal flora on days 3rd after delivery. | Analyze the effect of IAP (intrapartum antibiotics prophylaxis) to prevent GBS-EOD on maternal vaginal microbiome. |
| The characteristics of vaginal microbiome of pregnant women. | Vaginal flora on days 3rd after delivery. | Analyze the characteristics of vaginal microbiome of pregnant women colonized by Group B Streptococcus (GBS). |
Countries
China