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).

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