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The Postpartum Maternal and Newborn Microbiomes
Abby D Mutic1, Sheila Jordan, Sara M Edwards
1Abby D. Mutic is a Certified Nurse-Midwife, Doctoral Candidate, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. She can be reached via e-mail at abby.mutic@emory.edu Sheila Jordan is Pre-Doctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. Sara M. Edwards is PhD Candidate, Instructor, Laney Graduate School and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. Erin P. Ferranti is an Assistant Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. Taylor A. Thul is Doctoral Student, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. Irene Yang is an Assistant Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Insights
Changes to the maternal and newborn microbiome after birth can impact health. Nurses play a key role in promoting healthy microbiomes for mothers and infants, influencing long-term health outcomes.
Area of Science:
- Microbiology
- Maternal-Newborn Health
- Public Health
Background:
- Postnatal period brings significant biological and environmental shifts to maternal and newborn microbiomes.
- Factors like sleep deprivation, diet, perineal injury, and infections disrupt microbial balance and gut-brain communication.
- These disruptions can increase pathogen susceptibility and contribute to conditions like postpartum depression.
Purpose of the Study:
- To examine the factors influencing the rapidly changing postnatal microbiomes of mothers and newborns.
- To highlight the critical role of maternal-newborn nurses in fostering healthy microbiomes.
- To underscore the impact of these microbial changes on maternal-infant dyad health outcomes.
Main Methods:
- Review of existing literature on maternal and infant microbiome development.
- Analysis of factors affecting microbial community composition post-birth.
- Exploration of the nurse's role in microbiome management.
Main Results:
- Postnatal changes in gut and skin microbiomes are rapid and influenced by birth mode, feeding, and infant care practices.
- Maternal health issues (e.g., sleep, diet, infections) directly impact the mother-baby dyad's microbiome.
- Disrupted gut-brain communication is linked to postpartum depression.
Conclusions:
- Maternal-newborn nurses are pivotal in guiding mothers and infants toward healthy microbiome development.
- Interventions promoting healthy microbiomes can positively influence immediate and long-term health for the mother-baby dyad.
- Understanding microbiome dynamics is crucial for preventing adverse maternal and infant health outcomes.
Abstract:
Biological and environmental changes to maternal and newborn microbiomes in the postnatal period can affect health outcomes for the mother-baby dyad. Postpartum sleep deprivation and unmet dietary needs can alter commensal bacteria within the body and disrupt gut-brain communication. Perineal injury and breast infections also change microbial community composition, potentiating an environment favoring pathogen growth. The gut microbiome refers to the collection of microorganisms working in harmony. Disruptions within the gut microbiome and gut-brain communication may lead to postpartum depression, a potentially devastating sequela. Postnatal newborn changes to the gut and skin microbiome materialize quickly after birth and are profoundly influenced by mode of birth, feeding method, and bathing and skin care practices. During the newborn period, infant microbiomes are highly vulnerable and susceptible to multiple influences. Maternal-newborn nurses have a valuable role in helping mothers and newborns promote healthy microbiomes. Factors that influence the rapidly changing postnatal microbiome of the mother and her newborn, and the role nurses have to positively influence immediate and long-term health outcomes are presented.
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