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Manipulating the baby biome: What are the issues?
Lai-Yang Lee1,2, Suzanne M Garland1,2,3,4, Michelle L Giles1,5
1Department of Infectious Diseases and Microbiology, The Royal Women's Hospital, Melbourne, Victoria, Australia.
Summary
Vaginal seeding, transferring the vaginal microbiome to infants born via C-section, is gaining attention. This approach may pose risks, necessitating a harm reduction strategy for interested mothers.
Area of Science:
- Microbiology
- Neonatal care
- Obstetrics
Background:
- Vaginal seeding is a practice where the vaginal microbiome is transferred to infants delivered via cesarean section.
- This procedure aims to colonize the infant's gut with maternal microbes, mimicking vaginal birth.
- Public and healthcare provider interest in vaginal seeding is increasing.
Purpose of the Study:
- To discuss the potential risks associated with vaginal seeding.
- To propose a harm minimization strategy for managing requests for vaginal microbiome transfer after cesarean delivery.
Main Methods:
- Literature review on vaginal seeding and microbiome transfer.
- Risk-benefit analysis of the procedure.
- Development of a harm reduction protocol.
Main Results:
- Vaginal seeding carries potential risks, including pathogen transmission.
- A harm minimization approach is crucial for managing maternal requests.
- Evidence supporting the benefits of vaginal seeding is limited.
Conclusions:
- Healthcare providers should be prepared to discuss the risks and benefits of vaginal seeding.
- A harm reduction strategy can guide management of women requesting this procedure.
- Further research is needed to establish the safety and efficacy of vaginal seeding.