Prenatal and postnatal administration of prebiotics and probiotics

Kristin Sohn1, Mark A Underwood1

  • 1Department of Pediatrics, University of California Davis School of Medicine, Sacramento, CA, USA.

Insights

Beneficial gut bacteria are crucial for infant health, protecting against pathogens and inflammation. Modulating the maternal and neonatal microbiome with prebiotics, probiotics, and synbiotics can improve pregnancy and infant outcomes.

Area of Science:

  • Microbiology
  • Neonatal Health
  • Gastroenterology

Background:

  • Neonatal gut microbiome colonization by beneficial bacteria is vital for mucosal barrier integrity.
  • Maternal and neonatal microbiomes are influenced by diet, environment, and maternal factors.
  • Pregnancy dysbiosis is linked to adverse maternal and infant outcomes, including pre-eclampsia and childhood atopy.

Purpose of the Study:

  • To investigate the role of the neonatal gut microbiome in infant health and disease.
  • To explore the impact of maternal and neonatal dysbiosis on pregnancy and neonatal outcomes.
  • To evaluate the safety and feasibility of enteral prebiotics, probiotics, and synbiotics in modulating the microbiome.

Main Methods:

  • Review of literature on neonatal gut microbiome development and dysbiosis.
  • Analysis of factors influencing maternal and neonatal microbiome composition.
  • Examination of studies on the administration of prebiotics, probiotics, and synbiotics during pregnancy and infancy.

Main Results:

  • Neonatal gut dysbiosis is associated with infant conditions like colic, necrotizing enterocolitis, and sepsis.
  • Maternal dysbiosis during pregnancy increases risks for various complications.
  • Enteral administration of prebiotics, probiotics, and synbiotics shows promise for microbiome modulation.

Conclusions:

  • Establishing a healthy neonatal microbiome is critical for preventing disease and promoting long-term health.
  • Interventions targeting the maternal and neonatal microbiome may offer a safe and effective strategy to improve pregnancy and infant outcomes.
  • Further research into microbiome modulation holds potential for enhancing neonatal care.

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