Evidence map›Paper›PMID 31676793›Full record

ArticleNature communications2019

Impact of delivery mode-associated gut microbiota dynamics on health in the first year of life.

Marta Reyman, Marlies A van Houten, Debbie van Baarle, Astrid A T M Bosch, Wing Ho Man, Mei Ling J N Chu, Kayleigh Arp, Rebecca L Watson, Elisabeth A M Sanders, Susana Fuentes and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 270 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
270citing papers in PubMed, 3 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

270 citing papers in PubMed, 3 syntheses or guidelines pooled it, 451 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Improving immune-related health outcomes post-cesarean birth with a gut microbiome-based program: A randomized controlled trial.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
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  13. Promotion of long-term health in early life.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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210 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Marta ReymanDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0001-6241-3271
Marlies A van HoutenSpaarne Gasthuis Academy Hoofddorp and Haarlem, Hoofddorp, The Netherlands.
Debbie van BaarleNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Astrid A T M BoschDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.
Wing Ho ManDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.
Mei Ling J N ChuDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.
Kayleigh ArpDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.
Rebecca L WatsonMedical Research Council/University of Edinburgh Centre for Inflammation Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Elisabeth A M SandersDepartment of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands.
Susana Fuentes *National Institute for Public Health and the Environment, Bilthoven, The Netherlands.ORCID http://orcid.org/0000-0002-9455-4965
Debby Bogaert *Department of Paediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital of University Medical Centre, Utrecht, the Netherlands. D.Bogaert@ed.ac.uk.
National Institute for Public Health and the Environment · NLSpaarne Ziekenhuis · NLWilhelmina Children's Hospital · NLCentre for Inflammation Research · GB

Funding

Chief Scientist Office SCAF/16/03
6 · The paper itself

Abstract

The early-life microbiome appears to be affected by mode of delivery, but this effect may depend on intrapartum antibiotic exposure. Here, we assess the effect of delivery mode on gut microbiota, independent of intrapartum antibiotics, by postponing routine antibiotic administration to mothers until after cord clamping in 74 vaginally delivered and 46 caesarean section born infants. The microbiota differs between caesarean section born and vaginally delivered infants over the first year of life, showing enrichment of Bifidobacterium spp., and reduction of Enterococcus and Klebsiella spp. in vaginally delivered infants. The microbiota composition at one week of life is associated with the number of respiratory infections over the first year. The taxa driving this association are more abundant in caesarean section born children, providing a possible link between mode of delivery and susceptibility to infectious outcomes.

Indexed as

Delivery, ObstetricPopulation DynamicsBacteriaCesarean SectionDNA, BacterialFecesFemaleGastrointestinal MicrobiomeHumansInfantInfant, NewbornPregnancyRNA, Ribosomal, 16SSequence Analysis, DNAVaginaDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID31676793
PMCPMC6825150
OpenAlexW2987191976

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.