metabolic pathways revealed that lipid metabolism was significantly increased in subjects with sPTB (p<0.05) while lipoic and linolenic acid metabolism were increased in subjects with iPTB (p<0.05). CONCLUSION: Causal inference analysis in a longitudinal cohort enabled us to delineate an association of the placental microbiome with sPTB, which appears distinct from indicated births at akin gestational ages.
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