Maternal and Neonatal Oral Microbiome Developmental Patterns and Correlated Factors: A Systematic Review-Does the Apple Fall Close to the Tree?

Int J Environ Res Public Health. 2021 May 23;18(11):5569. doi: 10.3390/ijerph18115569.

Abstract

(1) Background: The purpose of the study was to comprehensively analyze the relationship between the mother's oral microbiome, modes of delivery and feeding, and the formation of the newborn child's oral microbiome. (2) Methods: This systematic review included a search through MEDLINE (PubMed) database (from 2010 to July 2020). Research was registered in PROSPERO under the number CRD42021241044. (3) Results: Of the 571 studies, 11 met the inclusion criteria. Included studies were classified according to (i) child's delivery mode, (ii) maternal exposure to antibiotics and disinfectants, and (iii) feeding type. (4) Conclusions: The interpretation of these papers shows that the type of delivery, maternal exposure to disinfectants and antibiotics during delivery, maternal health classed as overweight, gestational diabetes mellitus, and feeding type are correlated to changes in the maternal and neonatal early oral microbiomes, based on the analysis provided in this systematic review. Because no evidence exists regarding the impact of maternal diet and maternal oral health on the establishment and development of the early oral newborn microbiome, more studies are needed to deepen the knowledge and understanding of the subject and develop preventive and therapeutic strategies of support to pregnant women.

Keywords: antibiotics; breastfeeding; c-section; early life; newborn; one thousand days; oral health; oral microbiome; pregnancy; vaginal delivery.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Diabetes, Gestational*
  • Female
  • Humans
  • Infant, Newborn
  • Malus*
  • Microbiota*
  • Overweight
  • Pregnancy
  • Trees