Ep. 56 - Vaginal Seeding (microbiome of newborns after planned CSection)

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From The Heart

Lyanne

63 episodes

5 days ago

I have always loved supporting women become mothers. I started attending births as a midwifery student at the age of 18. I do not lack passion! I was a midwife for 13 years and left what I like doing because I could no longer support recommendations that lack evidence and where my heart knows they could be harmful. We see systems as superior and must be right and adhered to for safety. The opposite can be true. This podcast is to help you advocate for yourself and your family by giving you lots of resources and expansion. I want you to feel confident in your decisions.

Health & Fitness

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Ep. 56 - Vaginal Seeding (microbiome of newborns after planned CSection)

From The Heart

19 minutes 8 seconds

1 month ago

Ep. 56 - Vaginal Seeding (microbiome of newborns after planned CSection)

In this episode, I discuss:

- what is vaginal seeding

- medical recommendations (realities of medicine) and pathogens

- research, where it's at

- ways of impacting the microbe of your baby (there are multiple ways)

- differences of babies born vaginally or by CSection in the longterm (specifically breech)

References:

- Partial restoration of the microbiota of cesarean-born infants via vaginal microbial transfer Dominguez-Bello et al 2016 https://www.nature.com/articles/nm.4039

- Oral administration of maternal vaginal microbes at birth to restore gut microbiome development in infants born by caesarean section: A pilot randomised placebo-controlled trial. Wilson et al. 2021 https://pubmed.ncbi.nlm.nih.gov/34186487/

- Naturalization of the microbiota developmental trajectory of Cesarean-born neonates after vaginal seeding. Song et al. 2021

https://www.cell.com/med/fulltext/S2666-6340(21)00203-8

- Effects of vaginal seeding on gut microbiota, body mass index, and allergy risks in infants born through cesarean delivery: a randomized clinical trial. Liu et al. 2022

https://pubmed.ncbi.nlm.nih.gov/36334724/

- Maternal Bacterial Engraftment in Multiple Body Sites of Cesarean Section Born Neonates after Vaginal Seeding-a Randomized Controlled Trial.

- Maternal Bacterial Engraftment in Multiple Body Sites of Cesarean Section Born Neonates after Vaginal Seeding-a Randomized Controlled Trial. Mueller et al. 2023

https://pubmed.ncbi.nlm.nih.gov/37074174/

The word I was looking for was antiseptic solution (detergent! :P )

In my practice I had only seen one of these studies before switching to a practice of everyone using the antiseptic solution pre-operatively. We are quick to jump to products!

Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. Haas et al. 2020.

The reason why endometriosis (uterine infection) is increasing is because CSection rates are going up (let's get to the root cause of the issue!). The biggest risk factors for infection is having had many vaginal exams after membranes have ruptures (water breaking).

Studies need to look at if antiseptic solutions are best given as prophylaxis to everyone or to those is risk factors or those who already have uterine infection before surgery.

In addition, how does the antiseptic affect the vaginal flora of mothers and babies (both with rupture membranes and intact membranes). Sunshine and gardening (soil) impacts our skin microbiome (things to possibly indulge in before birth and skin to skin with babe). Reducing sugar and yeast is good for our gut microbiome.

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