- Preprint Article
- 10.64898/2026.02.19.26346663
Vaginal Microbiome and Preterm Birth in Pregnant Indian Women
- Feb 24, 2026
- medRxiv
- Abhishek Singh + 10 more +10
Abstract Objective: Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality worldwide with India alone contributing nearly 27% of the global PTB burden. Although alterations in the vaginal microbiome have been implicated in PTB its association in the Indian context is underemployed. This study aimed to investigate the association of vaginal microbiome and PTB in Indian women at the time of delivery. Study design: The vaginal swabs were collected at the time of delivery from 72 women (31 term 41 preterm) admitted to a tertiary care hospital in Western India. Microbial DNA was extracted and the V3 V4 region of the 16S rRNA gene was sequenced. Community composition alpha and beta diversity and differential taxonomic abundance were assessed using bioinformatics pipelines. Results: At the time of delivery there were no significant differences in alpha or beta diversity between term and preterm groups. Principal coordinate and unsupervised clustering analyses showed no group wise segregation. The relative abundance of individual Lactobacillus species including L. iners and L. helveticus did not differ significantly between the two groups. However a modest difference in the relative abundance of Streptococcus was observed between the two groups after adjustment. Conclusion: This study found no major microbial shifts in the vaginal microbiome associated with preterm birth in this cross sectional cohort of Indian women suggesting that vaginal dysbiosis at the time of delivery may not be a principal driver of PTB in this population. These findings underscore the need for larger longitudinal and ethnically diverse studies using standardized methodologies better to understand the microbiomes role in PTB risk. Key Words: Prematurity Lactobacillus Streptococcus bacteria association
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