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Maternal gut microbiota in the postpartum Period: A Systematic review
Wasana Weerasuriya1, Julia E Saunders2, Lilla Markel2
1Department of Obstetrics and Gynecology, College of Medicine, University of Florida (UF), Gainesville, FL, USA.
The postpartum maternal gut microbiome, dominated by Firmicutes and Bacteroides, is influenced by delivery timing, diet, and supplements. Changes in gut bacteria are linked to maternal health conditions like inflammatory bowel disease and postpartum depression.
Area of Science:
- Reproductive Health
- Microbiome Research
- Maternal Health
Background:
- Emerging literature highlights the importance of the maternal gut microbiota postpartum.
- Understanding postpartum gut microbiome composition and diversity is crucial for maternal health.
Approach:
- A comprehensive literature synthesis was performed on studies measuring postpartum maternal gut microbiota in stool samples.
- Searches were conducted across multiple databases (PubMed, Embase, etc.) without publication time limits.
- 27 primary research articles were included after screening 2512 articles.
Key Points:
- Firmicutes was the predominant phylum, and Bacteroides the predominant genus in the early postpartum period.
- Factors such as delivery timing, probiotic use, triclosan exposure, and diet influenced the gut microbiota.
- Gut microbiota changes were associated with conditions including inflammatory bowel disease, postpartum depression, and gestational diabetes.
Conclusions:
- Limited data exists on the postpartum maternal gut microbiome and its influence on maternal health.
- Further research is needed to understand postpartum gut microbiome variations, influencing factors, and health implications.
- Investigating the postpartum gut microbiome can offer new insights for improving maternal health outcomes.
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