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Maternal Microbiome and Pregnancy Outcomes That Impact Infant Health: A Review
Anne L Dunlop1, Jennifer G Mulle, Erin P Ferranti
1Emory University School of Nursing, Atlanta, Georgia (Dr Dunlop); Department of Human Genetics, Rollins School of Public Health and School of Medicine, Emory University, Atlanta, Georgia (Dr Mulle); and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Ferranti, Ms Edwards, Ms Dunn, and Dr Corwin).
Insights
The maternal microbiome significantly impacts pregnancy outcomes and infant health. Research explores its role in adverse conditions and strategies for promoting a healthy maternal gut microbiome.
Area of Science:
- Microbiology
- Maternal-fetal medicine
- Public health
Background:
- The maternal microbiome is crucial for maternal and infant health.
- It influences the infant microbiome alongside perinatal factors.
- Dysbiosis is linked to adverse pregnancy outcomes.
Purpose of the Study:
- Review the maternal microbiome's role in adverse pregnancy outcomes.
- Identify factors influencing maternal microbiome composition.
- Explore strategies for a healthy maternal microbiome.
Main Methods:
- Literature review of existing research.
- Synthesis of findings on maternal microbiome and pregnancy.
- Identification of knowledge gaps and future research directions.
Main Results:
- Maternal microbiome influences preterm birth, preeclampsia, gestational diabetes, and excessive gestational weight gain.
- Factors like diet and lifestyle impact maternal microbiome composition.
- Limited but emerging strategies exist for promoting a healthy maternal microbiome.
Conclusions:
- The maternal microbiome is a critical factor in pregnancy success.
- Further research is essential to understand and modulate the maternal microbiome for improved outcomes.
- Targeting the maternal microbiome offers potential for enhanced maternal and child health.
Abstract:
The maternal microbiome is recognized as a key determinant of a range of important maternal and child health outcomes, and together with perinatal factors influences the infant microbiome. This article provides a summary review of research investigating (1) the role of the maternal microbiome in pregnancy outcomes known to adversely influence neonatal and infant health, including preterm birth, cardiometabolic complications of pregnancy such as preeclampsia and gestational diabetes, and excessive gestational weight gain; (2) factors with an established link to adverse pregnancy outcomes that are known to influence the composition of the maternal microbiome; and (3) strategies for promoting a healthy maternal microbiome, recognizing that much more research is needed in this area.
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