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5% of women with a SPTB but only in 31.2% of those who delivered at term ( = .0354). The vaginal concentration of TIMP-1 ( = .0419) and L-lactic acid ( = .0495) was higher in women with a SPTB as compared to those who delivered at term. dominance was associated with elevated levels of TIMP-1 ( = .0434) and TIMP-2 ( = .0161) and lower levels of D-lactic acid ( .0001) compared to when was dominant. In this exploratory study of primigravid women, elevations in vaginal TIMP-1 and L- lactic acid and dominance in the vaginal micro