The mom’s microbiological present

During the gestation, the mothers bring all that necessary for thecorrect development of the baby. Did you know that also implies to microorganisms? For the good maturation of our intestines and immune system, we  need a contribution microbiological from mom. Enter and discover the different bacterial species  that gives us our mother in our first days of life.

STERILE PREGNACY?

For a long time it was believed that the uterus and amniotic sac that containing the fetus are a sterile place without any microbiological presence. Moreover, the mere presence of microorganisms was associated with a disease or a risk to the baby. So, it was believed that the fetus was conducted in a completely sterile environment during 40 weeks of gestation and came into first contact with some type of bacteria during birth.

Today, thanks to technological advances and genetic studies, it has been observed that this dogma was not true. Fetuses are in contact with bacteria throughout gestation. Generally it is non-pathogenic bacteria that are transmitted by the mother during pregnancy and after delivery.

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Ultrasound of the placenta. In red are the bacterial communities, while in blue are observed them veins. (Image of Wolfgang Moroder)

This maternal microbiological transmission is a widespread phenomenon in many groups of the animal kingdom, such as Porifera, mollusks, arthropods and chordates. The presence of this phenomenon throughout the animal kingdom and the ease with which these organisms to reach the fetus, show that this transmission is a very old process and represents an evolutionary advantage to organisms.

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Different organisms that maternal transmission has been observed. A) Pea Aphid (Acyrothosiphon pisum). b) Common chicken (Gallus gallus domesticus). c) Red Salmon (Oncorhynchus nerka) and d) River turtle Podocnemis expansa. (Image: Lisa Funkhouser).

TRANSMISSION ROUTES

There are different ways why does the mother get the baby the first bacterial communities. So the baby’s contact with his future microbiome is given for the first time through bacteria of the placenta. Then and during the delivery, some bacterial strains are transferred through the birth canal, skin and finally, through breast milk.

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The differents transmission routes of microbiological communities. (Image: Lisa Funkhouser)

MICROBIOME OF THE PLACENTA

Is relatively recently,  that the presence of bacterial communities in this organ is known. Yet it is noteworthy that it is a small microbiome in terms of abundance. Generally, it is non-pathogenic microorganisms, but their variation could be related to common disorders in pregnancy such as premature births.

Initially it was believed that these bacterial communities would be related to the vaginal microbiota of the mother, but it has been observed that placental bacteria are more similar to those of the mother oral microbiota. According to research, the bacteria come from the mouth of the mother to the fetus through the bloodstream. So good oral health is essential for the proper development of the baby.

In the following diagram represent the main bacterial species identified in the human placenta. 

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The major bacterial phyla observed in the placenta. Own image.

TRANSMISSION DURING CHILDBIRTH

As it is well known, during labor, a major transfer of bacteria occurs. Most of these bacteria are related to the vaginal and fecal microbiota of progenitor. During pregnancy, the vaginal microbiome of the mother varies and becomes less diverse, being more predominant the presence of bacteria such as Lactobacillus sp.

Still, it is noteworthy that this transmission will vary depending on the type of delivery, that is, babies born vaginally present similar microbiome to that of the vagina of the mother microbiota (Very rich in Lactobacillus sp., Prevotella sp., Bacteroides and Bifidobacterium sp.), while those born by Caesarean section present a more similar microbiome to the microbiota of breast skin, rich in Clostridium sp., Staphylococcus sp., Propionibacterium sp. and Corynebacterium sp.

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The first baby’s microbiome depends on the type of chilbirth. In this diagram we can observe the differents bacterial communities that are involved in each one. (Own image)

SKIN CONTACT

As in other cases, skin with skin contact produces a transmission of microorganisms between two humans. In this case, it can be through the type of delivery (C-section), by contact with the external vulvar area of mother and by contact with the outer skin of his mother.

Some of the bacteria that are acquired at birth and are commonly in the skin of adult humans are Staphylococcus sp. Corynebacterium sp. and Propionibacterium sp.

MILK WITH BACTERIA

Another of the myths about esteril pregnancy was breast milk. Until recently it was thought that breast milk was sterile and bacteria that were in the samples were due to cross-contamination through the skin of the mother and the baby’s mouth. Today, thanks to the discovery of certain anaerobic bacteria, has concluded that the mother also provides certain bacterial communities by human milk.

There are a variety of microorganisms in milk and generally vary depending on the type of feeding and origin of the mother (See the different abundances of microorganisms in different mothers in the figure below). Still, it has been observed that during the early months of breastfeeding, breast milk is rich in Staphylococcus sp., Streptococcus sp. and Lactococcus sp.; while from six months of lactation milk is rich in typical microorganisms of the oral microbiota as Veillonella sp., Leptotrichia sp. and Prevotella sp.

Figure 1
Differences in the abundance of the bacterial species found in the breast milk of 16 analyzed subjects. (Image: Katherin Hunt)

Thus, it is expected that breastfed infants present a different intestinal and fecal microbiota than the artificialfed babys. These bacteria favor the baby against diarrhea, respiratory diseases and reduce the risk of obesity. BE CAREFULL! This does not mean that a child fed with artificial milk is worse than a breastfed, as many of these bacteria also can be purchased by other means.

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All these bacterial transmissions by the mother let the baby start the maturation of their immune system and the development of good intestinal microbiota. Our mothers always give it best to us!

REFERENCES

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