Evidence map›Paper›PMID 33972766›Full record

ArticleNature microbiology2021

Fetal meconium does not have a detectable microbiota before birth.

Katherine M Kennedy, Max J Gerlach, Thomas Adam, Markus M Heimesaat, Laura Rossi, Michael G Surette, Deborah M Sloboda, Thorsten Braun

Abstract read
PubMed Publisher
In one paragraph

Article in Nature microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 4 pooled it
11.7field-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

113 citing papers in PubMed, 4 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Meconium-stained amniotic fluid.American journal of obstetrics and gynecology · 2023
    Pooled it
  4. Pooled it
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  8. Observational
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  15. Pediatric and adult point of view on the gut-kidney axis in CKD.Pediatric nephrology (Berlin, Germany) · 2026
    Review
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  17. Article
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  20. Article

53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Katherine M KennedyDepartment of Biochemistry and Biomedical Sciences, McMaster University, Ontario, Hamilton, Canada.ORCID http://orcid.org/0000-0003-1240-9703
Max J GerlachDepartment of Obstetrics and Experimental Obstetrics, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Thomas AdamLabor Berlin, Charité Vivantes GmbH, Berlin, Germany.
Markus M HeimesaatInstitute for Microbiology, Infectious Diseases and Immunology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Laura RossiFarncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Michael G SuretteDepartment of Biochemistry and Biomedical Sciences, McMaster University, Ontario, Hamilton, Canada.ORCID http://orcid.org/0000-0003-0086-4995
Deborah M SlobodaDepartment of Biochemistry and Biomedical Sciences, McMaster University, Ontario, Hamilton, Canada. sloboda@mcmaster.ca.ORCID http://orcid.org/0000-0002-7410-4756
Thorsten BraunDepartment of Obstetrics and Experimental Obstetrics, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. thorsten.braun@charite.de.ORCID http://orcid.org/0000-0002-1989-9920
Humboldt-Universität zu Berlin · DEPopulation Health Research Institute · CAMcMaster University Medical Centre · CAVivantes Klinikum · DE

Funding

CIHR MWB 141879
6 · The paper itself

Abstract

Microbial colonization of the human intestine impacts host metabolism and immunity; however, exactly when colonization occurs is unclear. Although many studies have reported bacterial DNA in first-pass meconium samples, these samples are typically collected hours to days after birth. Here, we investigated whether bacteria could be detected in meconium before birth. Fetal meconium (n = 20) was collected by rectal swab during elective breech caesarean deliveries without labour and before antibiotics and compared to technical and procedural controls (n = 5), first-pass meconium (neonatal meconium; n = 14) and infant stool (n = 25). Unlike first-pass meconium, no microbial signal distinct from negative controls was detected in fetal meconium by 16S ribosomal RNA gene sequencing. Additionally, positive aerobic (n = 10 of 20) and anaerobic (n = 12 of 20) clinical cultures of fetal meconium (13 of 20 samples positive in at least one culture) were identified as likely skin contaminants, most frequently Staphylococcus epidermidis, and not detected by sequencing in most samples (same genera detected by culture and sequencing in 2 of 13 samples with positive culture). We conclude that fetal gut colonization of healthy term infants does not occur before birth and that microbial profiles of neonatal meconium reflect populations acquired during and after birth.

Indexed as

BacteriaCesarean SectionFecesFemaleFetusGestational AgeHumansInfantInfant, NewbornMaleMeconiumMicrobiotaPregnancyRectum

Identifiers

PMID33972766
OpenAlexW3163853410

What OpenQuestion holds

Textmetadata
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.