Evidence map›Paper›PMID 38268221›Full record

Observational studyActa obstetricia et gynecologica Scandinavica2024

The maternal microbiome in pregnancy, delivery, and early-stage development of neonatal microbiome after cesarean section: A prospective longitudinal study.

Philipp Foessleitner, Petra Pjevac, Sonja Granser, Lukas Wisgrill, Lisa Pummer, Fanny Eckel, David Seki, David Berry, Bela Hausmann, Alex Farr

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04489056 (The Human Microbiome in pPROM, Preterm Birth and the Neonatal Infant), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.1field-weighted citation impact, top 9% 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.

NCT04489056 unknown statusnot on this map

The Human Microbiome in pPROM, Preterm Birth and the Neonatal Infant: a Prospective Longitudinal Pilot-study

TypeobservationalSponsorMedical University of ViennaRan2020 to 2021Enrolled100ConditionsVaginal MicrobiomeArmsSwabs for microbiome analysis
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
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

10 authors at 3 institutions in 1 country.

Philipp FoessleitnerDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-8409-1119
Petra PjevacJoint Microbiome Facility, Medical University of Vienna and University of Vienna, Vienna, Austria.
Sonja GranserDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.
Lukas WisgrillDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Intensive Care Medicine, and Neuropediatrics, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.
Lisa PummerDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Intensive Care Medicine, and Neuropediatrics, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.
Fanny EckelDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5062-0097
David SekiUniversity of Vienna, Center for Microbiology and Environmental Systems Science, Department of Microbiology and Ecosystem Science, Vienna, Austria.
David BerryJoint Microbiome Facility, Medical University of Vienna and University of Vienna, Vienna, Austria.
Bela HausmannJoint Microbiome Facility, Medical University of Vienna and University of Vienna, Vienna, Austria.
Alex FarrDepartment of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, and Comprehensive Center for Pediatrics (CCP), Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-4628-9052
Comprehensive Cancer Center Vienna · ATUniversity of Vienna · ATMedical University of Vienna · AT

Funding

Medizinische Universitӓt Wien
6 · The paper itself

Abstract

introductionChanges within the maternal microbiome during the last trimester of pregnancy and the determinants of the subsequent neonatal microbiome establishment after delivery by elective cesarean section are described. MATERIAL AND

methodsMaternal vaginal and rectal microbiome samples were collected in the last trimester and before cesarean section; intrauterine cavity, placenta, neonatal buccal mucosa, skin, and meconium samples were obtained at birth; neonatal sample collection was repeated 2-3 days postnatally. Microbial community composition was analyzed by 16S rRNA gene amplicon sequencing. Relative abundance measurements of amplicon sequencing variants and sum counts at higher taxonomic levels were compared to test for significant overlap or differences in microbial community compositions. CLINICALTRIALS: gov ID: NCT04489056.

resultsA total of 30 mothers and their neonates were included with available microbiome samples for all maternal, intrauterine cavity and placenta samples, as well as for 18 of 30 neonates. The composition of maternal vaginal and rectal microbiomes during the last trimester of healthy pregnancies did not significantly change (permutational multivariate analysis of variance [PERMANOVA], p > 0.05). No robust microbial signature was detected in the intrauterine cavity, placenta, neonatal buccal mucosa, skin swabs, or meconium samples collected at birth. After birth, the neonatal microbiome was rapidly established, and significantly different microbial communities were detectable 2-3 days postnatally in neonate buccal mucosa and stool samples (PERMANOVA, p < 0.01).

conclusionsMaternal vaginal and rectal microbiomes in healthy pregnancies remain stable during the third trimester. No microbial colonization of the neonate was observed before birth in healthy pregnancies. Neonatal microbiomes in infants delivered by cesarean section displayed a taxonomic composition distinct from maternal vaginal and rectal microbiomes at birth, indicating that postnatal exposure to the extrauterine environment is the driving source of initial neonatal microbiome development in this cohort.

Indexed as

Gastrointestinal MicrobiomeMicrobiotaCesarean SectionFemaleHumansInfant, NewbornLongitudinal StudiesPregnancyProspective StudiesRNA, Ribosomal, 16SRNA, Ribosomal, 16Shealthy pregnancymicrobial community assemblyneonatal microbiomeplacental microbiomerectal microbiomevaginal microbiome

Identifiers

PMID38268221
PMCPMC11019516
OpenAlexW4391228461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.