Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy.
Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.
Int J Environ Res Public Health. 2021 May 23;18(11):5569. doi: 10.3390/ijerph18115569.
(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.
(1) 背景:本研究的目的是全面分析母亲的口腔微生物组、分娩和喂养方式与新生儿口腔微生物组形成之间的关系。(2) 方法:本系统评价包括对 MEDLINE(PubMed)数据库(2010 年至 2020 年 7 月)的检索。研究在 PROSPERO 中以注册号 CRD42021241044 进行了注册。(3) 结果:在 571 项研究中,有 11 项符合纳入标准。纳入的研究根据(i)儿童的分娩方式、(ii)母亲在分娩期间接触抗生素和消毒剂、以及(iii)喂养类型进行分类。(4) 结论:根据本系统评价提供的分析,这些论文的解读表明,分娩方式、母亲在分娩期间接触消毒剂和抗生素、母亲超重、妊娠糖尿病以及喂养类型等因素与母亲和新生儿早期口腔微生物组的变化相关。由于关于母亲饮食和母亲口腔健康对新生儿早期口腔微生物组建立和发育的影响尚无证据,因此需要更多的研究来加深对该主题的认识和理解,并制定支持孕妇的预防和治疗策略。