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Are probiotics safe for use during pregnancy and lactation?
Canadian Family Physician Medecin De Famille Canadien
|March 16, 2011
Summary
Probiotic use during pregnancy and lactation appears safe, with no increased adverse fetal outcomes reported in studies. Further research is needed for Saccharomyces species, but probiotics are unlikely to transfer to breast milk.
Area of Science:
- Microbiology
- Obstetrics and Gynecology
- Perinatal Health
Background:
- Growing public and medical interest in probiotics for general health.
- Pregnant women frequently inquire about the safety of probiotics for conditions like bacterial vaginosis and diarrhea during pregnancy and lactation.
Purpose of the Study:
- To evaluate the safety of probiotic supplementation for pregnant and lactating women.
- To address concerns regarding the use of probiotics for specific conditions during pregnancy.
Main Methods:
- Review of existing meta-analyses and randomized controlled trials (RCTs) focusing on probiotic use in late pregnancy.
- Analysis of data regarding systemic absorption and adverse fetal outcomes.
- Assessment of available literature on probiotic transfer into breast milk.
Main Results:
- Probiotic supplementation shows minimal systemic absorption in healthy individuals.
- Meta-analyses and RCTs in the third trimester of pregnancy did not reveal increased adverse fetal outcomes.
- No published studies specifically address the use of Saccharomyces species during pregnancy.
- Probiotics are unlikely to be transferred into breast milk.
Conclusions:
- Current evidence suggests probiotic supplementation is generally safe for pregnant and lactating women.
- While generally safe, specific probiotic strains like Saccharomyces require further investigation for use during pregnancy.
- The risk of probiotic transfer to breast milk appears to be low.
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