More and more mothers who give birth via cesarean section, asking about the so-called vaginal inoculation, however, prove whether its good for baby?
Vaginal seeding is a procedure that resolved mothers who have given birth to children by caesarean section to “reward the child with your own bacteria.” It happens this way: one hour before surgery in the vagina injected saline-soaked gauze, and then this tampon cause vaginal otdelemoe on the skin and the oral cavity of the baby. What is the benefit — and is there any procedure risks? This question tries to answer the author of the book Science Based Medicine.
Why do vaginal sowing?
The author and supporter of the idea of vaginal seeding — Dr. Maria Dominguez-Bello, a Professor at new York school of medicine, which specializiruetsya on the study of microflora. She has published numerous studies of the microbiome (microflora) of a person, including the microbiome of the newborn. Vaginal sowing, it recommends that in its work 2010. During the experiment, the microbiome of four children born through the vagina, compared with the microbiome of six babies who were born by caesarean section. The authors concluded that “children born by natural childbirth had a bacterial community similar to the microbiome of the vagina of their mothers, and those born via caesarean babies had a bacterial community similar to those that can be detected on the skin surface — there was dominated by staphylococci, propionic bacteria”.
The study was quickly picked up by those who believe that between children born through natural childbirth, and “cesarani” there are significant differences in terms of health. Studies have found a link between caesarean and napolimagazine proportion of cases of obesity, asthma and autoimmune diseases. There is also some interesting research linking changes in human microflora with different pathologies.
Thus, there is reason to believe that changing the microbiome of the newborn can bring health benefits. However, in medicine, should pay for everything: any intervention entails risk, and vaginal seeding is not an exception to this rule.
What is the reason to refuse from this procedure?
What is the potential harm of vaginal culture? Kids are born naturally. We don’t check mothers at potential pathogens that can harm the newborn?
Actually, check. In the U.S., for example, pregnant women tested for group B strep, hepatitis B, chlamydia and HIV. Some tested for herpes and gonorrhea. In Russia, pregnant women are also carefully checked. All these infections can be passed to baby via vaginal secretions and cause complications and even death.
The most common cause of serious bacterial infection in infants — Streptococcus group B(pneumonia, blood stream infection and meningitis). Hepatitis Vyzyvaet in most cases, liver failure, and often ends in death. Chlamydia is one of the most common causes of blindness. Herpes is threatened by life-threatening systemic infections and meningitis. Gonorrhea also is not very fun, and AIDS in the explanation does not need.
And, in the case of imperfect verification or lack of it, all of these pathogens can be transferred to the newborn through the procedure of vaginal seeding. Indeed, in most situations, the risk is likely to be low, but if the vaginal sowing will become a widespread practice, and this procedure will encourage all women, many babies will be harmed.
Superior whether the use of vaginal sowing its risks?
In medicine you need to constantly weigh the risks and benefits of intervention. There are many types of treatment — for example, bone marrow transplantation, which carry extreme risks, even mortality risks, but can give the chance for a cure from a fatal disease. Some treatments give minor amount of the therapeutic effect and significant risk. Vaginal flogged should be considered in the same way as any other interference.
At this stage there is only speculation about the benefits of vaginal seeding. First, while there is no evidence that possible differences in the microbiome of newborns are directly linked with a slightly increased risk of some diseases in children born of caesarean section. Second, studies that suggest the existence of these differences is only part of what can be quite unconvincing literature. Recently, evidence emerged that questioned the fact that the method of delivery in principle, plays an important role — some scientists claim that the more value has the mother, which led to the fact that she was with caesarean.
The original work in 2010, which found differences in the microflora between newborns born through cesarean and born in a natural way, saw ten babies. The 2017 study published in the journal NatureMedicine, studied 81 children and found that any potential differences disappear within a few weeks. This does not mean that minor differences identified up to six weeks will not matter for health in the long term, but evidence is still lacking.
Even if proven differences were, we have no sufficient evidence that vaginal sowing can be an adequate substitute for natural childbirth. A pilot study studied only 18 children. Among the 11, those born via caesarean, only four have undergone the procedure vaginal seeding. Scientists have discovered small differences between the four and the seven babies born the natural way, within thirty days of life, and now the same author is conducting a more detailed study. Meanwhile, to make definite statements.
Conclusion: to do or not
Microflora — a hot topic. As in the case of, for example, with epigenetics, at every step people succumb to rampant passion and enthusiasm ahead of the reality. This can give the desired result, but now, to put it mildly, it is premature to promote innovative intervention in the body of the newborn. Quite a real possibility of harm should serve as a limiting factor in the application of vaginal seeding at least until then, until we have more information.
Here vs vaginal sowing was supported by the representatives of the American College of obstetricians and gynecologists. And here is a comment from the so-called “holistic psychologist”: “Some animals consciously expose their infants to contact with the faeces of the mother. Animals do not commit universities and do not give birth in hospitals… They resort to their natural wisdom!”