Worldwide, 10% of babies are born preterm, defined as birth before 37
weeks’ gestation. We have had little success in developing strategies to
prevent preterm births, the majority of which are due to infection or are
idiopathic. An emerging hypothesis is that the maternal microbiome – the
bacteria that inhabit the mother’s body and play vital functions in
normal health – contributes to the etiology of preterm birth. Here, we
highlight the latest data revealing correlations between preterm birth and
maternal intestinal, vaginal, cervical, and placental microbiomes. Additionally,
we describe the most commonly used comparative microbiome analysis methods and
highlight important issues to consider when conducting such studies.