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Babies are being fed mother’s poo in effort to boost gut bacteria

Researchers are testing whether adding a sample of a mother's faeces to their baby's first feed can restore gut microbes missing from children born by C-section, but they warn this should not be attempted at home
Baby
A baby born by Caserean section
Martin Valigursky / Alamy

Some babies born by Caesarean section in Finland are being given tiny doses of their mothers’ faeces in an attempt to improve their gut bacteria.

The team running the study has warned women not to copy the idea on their own, as there can be dangerous microbes in faeces. The doctors conducting the work tested for these microbes, ruling out a third of the mothers from the trial after this screening.

“This is not something to do yourself at home,” says Willem de Vos at the University of Helsinki, Finland. “There may be pathogens in the mother’s microbiome.”

As knowledge of the bacteria in our gut has grown, there has been increasing interest in trying to change which species are present. Some studies have shown that babies born by C-sections have different gut bacteria than those born vaginally, perhaps because they aren’t as exposed to their mothers’ microbes while they are born. It has been proposed that this is why such children have slightly higher rates of conditions such as allergies, asthma and obesity.

Some groups have tried to mimic vaginal birth by wiping the mouths of babies born by C-sections with their mother’s vaginal fluid. While this did make their gut bacteria more like those of vaginally born babies, it didn’t make them identical. That may be because it is their mothers’ faecal bacteria that usually colonises the gut as women often defecate while in labour, and people delivering babies in the past would commonly have had faecal bacteria on their hands, says de Vos.

His team recruited 17 women who needed a C-section for medical reasons. Three weeks beforethe operation, they each gave a stool sample, which was tested for a range of harmful microbes before being frozen. Ten women were ruled out from the study, six of whom because there were signs of harmful microbes in the samples, such as group B streptococci bacteria.

For the rest, a few milligrams of their faeces was mixed with some drops of their breast milk and given to the babiesin their first feed. After three months, these infants’ gut bacteria were more similar to those of babies born vaginally than those who didn’t have this intervention, according to data from other studies. The team is now conducting a placebo-controlled trial with forty babies.

In a larger ongoing , babiesare brushed with a gauze that has had contact with a swab put into the mother’s anus.

Some researchers say administering faecal bacteria carries risks. “No matter how well you screen for harmful bacteria, you are limited in what you can detect,” says Peter Brocklehurst at the University of Birmingham in the UK.

There have also been questions over the original idea behind the intervention. C-section babies may have different gut bacteria not because of how they were born, but due to the reasons the mother needed the surgery in the first place, says Kjersti Aagaard at Baylor College of Medicine in Houston, Texas. “We seem awfully ready to label women who have caesareans as endangering their babies, but we have no evidence that’s true.”

“People have jumped on the bandwagon that the microbiome is the mechanism – that’s still far from proven” says Brocklehurst. “Until it’s proven, why would you try to manipulate that? You could do more harm than good.”

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Topics: Faeces / Microbiome