Childbirth as a determining factor in the formation of the neonatal microbiota

Authors

DOI:

https://doi.org/10.33448/rsd-v14i7.49242

Keywords:

Microbiota, Natural Childbirth, Infant, Cesarean Section, Breast Feeding.

Abstract

The objective of this study was to analyze the composition of the neonatal microbiome resulting from the mode of delivery and its pathophysiological repercussions. The systematic review followed the PRISMA protocol and utilized the PubMed database. The research included studies conducted in humans, published between 2019 and 2024, encompassing original articles, meta-analyses, and systematic reviews. This study excluded duplicate, incomplete, or thematically incongruent articles. The final selection included 421 results, and after screening, 5 met the eligibility criteria and aligned with the established objectives. The selected articles highlighted differences in the microbiota composition of infants born via vaginal delivery versus cesarean section, with these disparities being linked to physiological impacts on the immune, intestinal, and neurological axes. Among the key studies, 2 investigated possibilities for microbiota restoration, emphasizing breastfeeding and Vaginal Microbiota Transfer (VMT). Finally, the articles confirmed a relationship between the mode of delivery and neonatal microbiome modulation, reinforcing the need for further research to assess the long-term consequences of this association.

References

Alcazar, C. G., Paes, V. M., Shao, Y., Oesser, C., Miltz, A., Lawley, T. D., Brocklehurst, P., Rodger, A., & Field, N. (2022). The association between early-life gut microbiota and childhood respiratory diseases: A systematic review. The Lancet Microbe, 3(11), e867–e880. https://doi.org/10.1016/S2666-5247(22)00184-7

Bacelar, B. N., Oliveira, I. E. G., Guedes, C. C., Tokarski, I. C., Martins, L. T., Galvão, A. B. Z., de Lavor, B. S. A., Silva Neto, B. A. C., Lins, S. D. M., Coelho, B. A. G., & Camargo, T. R. (2023). O impacto das cesarianas desnecessárias na saúde materna e neonatal no Brasil. Brazilian Journal of Development, 9(8), 23276–23286. https://doi.org/10.34117/bjdv9n8-011

Coelho, G. D. P., Ayres, L. F. A., Barreto, D. S., Henriques, B. D., Prado, M. R. M. C., & Passos, C. M. D. (2021). Acquisition of microbiota according to the type of birth: An integrative review. Revista Latino-Americana de Enfermagem, 29, e3446. https://doi.org/10.1590/1518.8345.4466.3446

Crossetti, M. G. M. (2012). Revisión integradora de la investigación em enfermería: el rigor científico que se le exige. Rev. Gaúcha Enferm., 33(2), 8–9.

Dombrowska-Pali, A., Wiktorczyk-Kapischke, N., Chrustek, A., Olszewska-Słonina, D., Gospodarek-Komkowska, E., & Socha, M. W. (2024). Human milk microbiome – A review of scientific reports. Nutrients, 16(10), 1420. https://doi.org/10.3390/nu16101420

Fasano, A., Chassaing, B., Haller, D., Flores Ventura, E., Carmen-Collado, M., Pastor, N., Koren, O., & Berni Canani, R. (2024). Microbiota during pregnancy and early life: Role in maternal-neonatal outcomes based on human evidence. Gut Microbes, 16(1), 2392009. https://doi.org/10.1080/19490976.2024.2392009

Galazzo, G., van Best, N., Bervoets, L., Dapaah, I. O., Savelkoul, P. H., Hornef, M. W., Lau, S., Hamelmann, E., & Penders, J. (2020). Development of the microbiota and associations with birth mode, diet, and atopic disorders in a longitudinal analysis of stool samples, collected from infancy through early childhood. Gastroenterology, 158(6), 1584–1596. https://doi.org/10.1053/j.gastro.2020.01.024

Inchingolo, F., Inchingolo, A. M., Latini, G., Ferrante, L., de Ruvo, E., Campanelli, M., Longo, M., Palermo, A., Inchingolo, A. D., & Dipalma, G. (2024). Difference in the intestinal microbiota between breastfed infants and infants fed with artificial milk: A systematic review. Pathogens, 13(7), 533. https://doi.org/10.3390/pathogens13070533

Lai, M. Y., Chang, Y. H., Lee, C. C., & Neonatal Microbiome Outcomes Study Group (NEMO). (2024). The impact of gut microbiota on morbidities in preterm infants. Kaohsiung Journal of Medical Sciences, 40(9), 780–788. https://doi.org/10.1002/kjm2.12878

Liu, S., Luo, X., Zhou, L., Xie, R. H., & He, Y. (2024). Microbiota transplantation in restoring cesarean-related infant dysbiosis: A new frontier. Gut Microbes, 16(1), 2351503. https://doi.org/10.1080/19490976.2024.2351503

Manos, J. (2022). The human microbiome in disease and pathology. APMIS, 130(12), 690–705. https://doi.org/10.1111/apm.13225

Martínez-Martínez, A. B., Lamban-Per, B. M., Lezaun, M., Rezusta, A., & Arbones-Mainar, J. M. (2024). Exploring functional products and early-life dynamics of gut microbiota. Nutrients, 16(12), 1823. https://doi.org/10.3390/nu16121823

Morin, C., Bokobza, C., Fleiss, B., Hill-Yardin, E. L., Van Steenwinckel, J., & Gressens, P. (2024). Preterm birth by cesarean section: The gut-brain axis, a key regulator of brain development. Developmental Neuroscience, 46(3), 179–187. https://doi.org/10.1159/000534124

Notarbartolo, V., Carta, M., Accomando, S., & Giuffrè, M. (2023). The first 1000 days of life: How changes in the microbiota can influence food allergy onset in children. Nutrients, 15(18), 4014. https://doi.org/10.3390/nu15184014

OMS – Organização Mundial da Saúde. (2015). Declaração da OMS sobre taxas de cesáreas. Genebra: Organização Mundial da Saúde.

Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. Editora UAB/NTE/UFSM.

Pereira-Santos, M., Santana, M. S., Oliveira, D. S., Filho, R. A. N., Lisboa, C. S., Almeida, L. M. R., Gomes, D. R., Queiroz, V. A. O., Demétrio, F., & Oliveira, A. M. (2017). Prevalência e fatores associados à interrupção precoce do aleitamento materno exclusivo: Metanálise de estudos epidemiológicos brasileiros. Revista Brasileira de Saúde Materno Infantil, 17(1), 69–78. https://doi.org/10.1590/1806-93042017000100004

Podlesny, D., & Fricke, W. F. (2021). Strain inheritance and neonatal gut microbiota development: A meta-analysis. International Journal of Medical Microbiology, 311(3), 151483. https://doi.org/10.1016/j.ijmm.2021.151483

Saeed, N. K., Al-Beltagi, M., Bediwy, A. S., El-Sawaf, Y., & Toema, O. (2022). Gut microbiota in various childhood disorders: Implication and indications. World Journal of Gastroenterology, 28(18), 1875–1901. https://doi.org/10.3748/wjg.v28.i18.1875

Shao, Y., Garcia-Mauriño, C., Clare, S., Dawson, N. J. R., Mu, A., Adoum, A., Harcourt, K., Liu, J., Browne, H. P., Stares, M. D., Rodger, A., Brocklehurst, P., Field, N., & Lawley, T. D. (2024). Primary succession of Bifidobacteria drives pathogen resistance in neonatal microbiota assembly. Nature Microbiology, 9(10), 2570–2582. https://doi.org/10.1038/s41564-024-01804-9

Shaterian, N., Abdi, F., Ghavidel, N., & Alidost, F. (2021). Role of cesarean section in the development of neonatal gut microbiota: A systematic review. Open Medicine, 16(1), 624–639. https://doi.org/10.1515/med-2021-0270

Słabuszewska-Jóźwiak, A., Szymański, J. K., Ciebiera, M., Sarecka-Hujar, B., & Jakiel, G. (2020). Pediatrics consequences of caesarean section: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(21), 8031. https://doi.org/10.3390/ijerph17218031

Snyder, H. (2019). Literature review as a research methodology: Na overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039

Socała, K., Doboszewska, U., Szopa, A., Serefko, A., Włodarczyk, M., Zielińska, A., Poleszak, E., Fichna, J., & Wlaź, P. (2021). The role of microbiota-gut-brain axis in neuropsychiatric and neurological disorders. Pharmacological Research, 172, 105840. https://doi.org/10.1016/j.phrs.2021.105840

Tonon, K. M., Morais, T. B., Taddei, C. R., Araújo-Filho, H. B., Abrão, A. C. F. V., Miranda, A., & de Morais, M. B. (2021). Gut microbiota comparison off vaginally and cesarean born infants exclusively breastfed by mothers secreting α1-2 fucosylated oligosaccharides in breast milk. PLoS One, 16(2), e0246839. https://doi.org/10.1371/journal.pone.0246839

Winovitch, K. C., Padilla, L., Ghamsary, M., Lagrew, D. C., & Wing, D. A. (2011). Persistent pulmonary hypertension of the newborn following elective cesarean delivery at term. The Journal of Maternal-Fetal & Neonatal Medicine, 24(11), 1398–1402. https://doi.org/10.3109/14767058.2010.551681

Xi, M., Yan, Y., Duan, S., Li, T., Szeto, I. M., & Zhao, A. (2024). Short-chain fatty acids in breast milk and their relationship with the infant gut microbiota. Frontiers in Microbiology, 15, 1356462. https://doi.org/10.3389/fmicb.2024.1356462

Zhou, L., Qiu, W., Wang, J., Zhao, A., Zhou, C., Sun, T., Xiong, Z., Cao, P., Shen, W., Chen, J., Lai, X., Zhao, L. H., Wu, Y., Li, M., Qiu, F., Yu, Y., Xu, Z. Z., Zhou, H., Jia, W., ... He, Y. (2023). Effects of vaginal microbiota transfer on the neurodevelopment and microbiome of cesarean-born infants: A blinded randomized controlled trial. Cell Host & Microbe, 31(7), 1232–1247.e5. https://doi.org/10.1016/j.chom.2023.05.022

Published

2025-07-23

Issue

Section

Review Article

How to Cite

Childbirth as a determining factor in the formation of the neonatal microbiota. Research, Society and Development, [S. l.], v. 14, n. 7, p. e7014749242, 2025. DOI: 10.33448/rsd-v14i7.49242. Disponível em: https://rsdjournal.org/rsd/article/view/49242. Acesso em: 5 dec. 2025.