L. rhamnosus GR-1 and L. reuteri RC-14 and pregnancy

What 3 graded rows on l. rhamnosus gr-1 and l. reuteri rc-14 agree on for pregnancy, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the L. rhamnosus GR-1 and L. reuteri RC-14 page, with its PubMed record.

Your question

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L. rhamnosus GR-1 and L. reuteri RC-14 and pregnancy

3 rows · 553 people

Mostly no difference: 2 of 3 rows, and most of the people. 1 found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 1
  • No effect× 2
Rows
3
Trials
3
People
553

Where they differ

From the rows
Trial sizeWhen published

The best-graded row, grade C, is a randomized trial of 110 people (2016) and found an improvement. 2 rows are graded No effect, our grade for adequately powered trials that found no effect.

The 2 rows that found no difference were larger: a median of 222 people, against 110 people for the row that found an improvement.

The 2 rows that found no difference are newer (2020 to 2021) than the row that found an improvement (2016).

The rows

1 improved · 2 no difference
  1. No effectBacterial vaginosis in early pregnancy · No difference

    RCT · n 304 · 2020 · 304 pregnant women recruited at 9 to 14 weeks in the UK; 238 analysed

    2.5 billion CFU of each strain once daily · Recruitment to end of pregnancy

    Bacterial vaginosis at 18 to 20 weeks did not differ: 15% on probiotic vs 9% on placebo (adjusted odds ratio 1.82, 95% CI 0.64 to 5.19); no change in colonisation or vaginal microbiome.

    Row on the L. rhamnosus GR-1 and L. reuteri RC-14 page · PubMed 30932317 (opens PubMed)

  2. No effectGroup B strep colonisation in pregnancy (pilot) · No difference

    Pilot RCT · n 139 · 2021 · 139 pregnant midwifery clients in Toronto; 113 analysed

    2 capsules daily from 23 to 25 weeks · 12 weeks

    GBS colonisation at 35 to 37 weeks did not differ: 15.8% vs 21.43% (p = .48); the trial's main aim was feasibility.

    Row on the L. rhamnosus GR-1 and L. reuteri RC-14 page · PubMed 31362572 (opens PubMed)

  3. Grade CGroup B strep colonisation late in pregnancy · Improved

    RCT · n 110 · 2016 · 110 GBS-positive pregnant women at 35 to 37 weeks in Taiwan; 99 completed

    2 capsules at bedtime · Until delivery

    GBS changed from positive to negative in 21 women (42.9%) on probiotic vs 9 (18.0%) on placebo (p=0.007).

    Row on the L. rhamnosus GR-1 and L. reuteri RC-14 page · PubMed 27590374 (opens PubMed)

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