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Updated: Jun 27, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
The Human Milk Microbiome in Mothers of Very-Low-Birth-Weight Infants: A Systematic Review of Recent Clinical Studies
Vilma Ivanauskienė1, Aušrelė Kudrevičienė1, Vaida Aleksejūnė1
1Department of Neonatology, Faculty of Medicine, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania.
Insights
The mother's milk microbiome in very low birth weight infants is dominated by specific bacteria like Staphylococcus. Its composition changes over time and influences infant gut health, but links to necrotizing enterocolitis require more study.
Area of Science:
- Microbiology
- Neonatal Health
- Human Milk Oligosaccharides
Background:
- Preterm birth affects 1 in 10 neonates globally, impacting infant microbiota development.
- Human milk microbiota (HMM) composition and role in VLBW infants are not fully understood.
- VLBW infants (<1500g) face disrupted microbiota development due to clinical factors.
Purpose of the Study:
- Summarize recent evidence (2021-2025) on the maternal milk microbiome (MOM) in mothers of VLBW infants.
- Evaluate the potential role of MOM microbiome in neonatal health.
- Characterize HMM in VLBW infants.
Main Methods:
- Systematic literature review.
- Searched PubMed and Google Scholar.
- Used predefined criteria and keywords.
Main Results:
- MOM microbiota in VLBW infants is dominated by Staphylococcus, Enterococcus, Streptococcus, Enterobacteriaceae, and Acinetobacter.
- Lower levels of Veillonella, Clostridium sensu stricto, Pseudomonas, Haemophilus, and Bifidobacterium were observed.
- Microbiota diversity increases over lactation; feeding type influences infant gut colonization and immune development.
Conclusions:
- The MOM microbiome composition in VLBW infants is characterized by specific bacterial genera.
- Microbiota diversity and feeding type impact infant gut colonization and immunity.
- Further multi-omic research is needed to clarify mechanisms and clinical implications, especially regarding necrotizing enterocolitis (NEC).
Abstract:
Preterm birth remains a major global health concern, affecting approximately one in ten neonates, with an estimated 15 million infants born prematurely each year. Prematurity and clinical factors such as antibiotics, cesarean delivery, and limited access to mother's own milk disrupt microbiota development in VLBW infants; although human milk supplies nutrients and a microbial community, its composition and clinical role are not yet well understood. However, the composition and clinical significance of the human milk microbiota (HMM) in VLBW infants remain insufficiently characterized.
Background:
This review aims to summarize recent evidence (2021-2025) on the microbiome of MOM in mothers of VLBW (<1500 g) preterm infants and to evaluate its potential role in neonatal health.
Methods:
The study used a systematic literature review, searching PubMed and Google Scholar with predefined criteria and keywords.
Results And Conclusions:
MOM microbiota of VLBW in infants is dominated by Staphylococcus, Enterococcus, Streptococcus, Enterobacteriaceae, and Acinetobacter, with lower levels of Veillonella, Clostridium sensu stricto, Pseudomonas, Haemophilus, and Bifidobacterium; its diversity increases over lactation, and feeding type influences infant gut colonization and immune development, though links to necrotising enterocolitis (NEC) remain limited. Further research using multi-omic approaches is needed to clarify these mechanisms and their clinical implications.
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