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Published on: July 28, 2023
C-section and the Neonatal Gut Microbiome Acquisition: Consequences for Future Health
Silvia Arboleya1,2, M Suárez3, N Fernández2,3
1Department of Microbiology and Biochemistry of Dairy Products, Instituto de Productos Lácteos de Asturias (IPLA-CSIC), Villaviciosa, Spain.
Insights
Caesarean delivery (CS) significantly impacts infant gut microbiome development, altering microbial diversity. This review explores CS effects and strategies to restore the infant gut microbiome for long-term health.
Area of Science:
- Microbiology
- Pediatrics
- Obstetrics
Background:
- Human gut microbiota assembly during infancy is crucial for health.
- Caesarean delivery (CS) disrupts optimal microbial colonization.
- Rising CS rates worldwide exceed WHO recommendations.
Purpose of the Study:
- Review clinical parameters for appropriate CS recommendations.
- Discuss CS impact on infant gut microbiome acquisition and long-term health.
- Analyze strategies for gut microbiota restoration post-CS.
Main Methods:
- Literature review of clinical parameters and microbiome studies related to CS.
- Analysis of microbial changes in infants following different delivery modes.
- Evaluation of strategies for mitigating CS effects on the microbiome.
Main Results:
- CS delivery alters the infant gut microbiome composition and diversity.
- Medical practices surrounding CS further influence microbial acquisition.
- Both early and long-lasting health effects are observed in mother and infant dyads.
Conclusions:
- CS delivery necessitates careful clinical consideration due to microbiome disruption.
- Strategies are needed to minimize the negative impact of CS on infant microbiome development.
- Future research should focus on microbiome restoration to promote infant health.
Background:
The human gut microbiota is assembled during infancy with an increase in diversity and stability. The correct colonization and the establishment of this microbiome are linked to the early and future health status of the individual. It is known that caesarean delivery alters this optimal microbial foundation. C-section (CS) is a common obstetrician surgery; however, it is not without risk for the mother/infant dyad. The World Health Organization recommends not exceeding 10-15% of the total deliveries; nevertheless, this rate has been increasing rapidly worldwide in the last decades.
Summary:
This review discloses the clinical parameters for correct CS recommendation. Moreover, the major microbial changes in the infant gut microbiome acquisition as a consequence of delivery mode and medical practices surrounding it, as well as, the early and long-lasting effects for both mother and babies are discussed. In addition, some strategies for the gut microbiota restoration are analysed. The aim of this review is to show the need for the development of strategies for minimizing or limiting the impact of caesarean on the microbiome development, favouring future health.
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