Qualitative systematic evaluation of postpartum vaginal microecology
Objective:To analyze the changes in four core themes of postpartum vaginal microecosystem,including the structural characteristics of postpartum flora,the distribution of community state types(CST),biodiversity,and the differences between pregnant and non-pregnant bacterial genera.How:Using Vaginal/Vaginas/Reproductive tract Microbiota/Flora,Microbiome Microbiotas/Microbial/Microbiome/Microbiomes,Postpartum Period Postpartum/Puerperium in 9 Chinese English database retrieval,a total of 1783 articles,ultimately selected 10 articles were included in the analysis,Critical Appraisal Skills Program(CASP)was used to evaluate the quality of documents.Results:10 articles included 4 core topics in the analysis,the postpartum reproductive tract flora showed a characteristic flora structure,with anaerobic bacteria as the dominant bacteria,mostly composed of CST Ⅲ and CST Ⅳ-A.The diversity of postpartum vaginal microecological bacteria was not significantly different from that of non-pregnant healthy women,and the α diversity and β diversity were the highest compared with pregnancy.The abundance of lactobacillus decreased after delivery,but the variety increased.Conclusion:It is suggested that effective treatment measures can be taken to improve the transformation of postpartum vaginal microenvironment to healthy non-pregnant women as soon as possible.
postpartumVaginal microecologyQualitative system evaluation