Gut bacteria in babies may predict T1

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Amity Island

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Relationship to Diabetes
Type 1
As part of their study, the scientists compared the gut bacteria, known as the microbiome, of babies who went on to develop type 1 diabetes with that of a control group who remained healthy up to the age of 20, and found significant differences by the age of 12 months between the two groups.

 
As part of their study, the scientists compared the gut bacteria, known as the microbiome, of babies who went on to develop type 1 diabetes with that of a control group who remained healthy up to the age of 20, and found significant differences by the age of 12 months between the two groups.


My consultant said that if I needed a C section I should ‘swab’ the baby in order to ensure they received the normal birth bacteria. Babies born by section are more likely to develop Type 1.
 
My consultant said that if I needed a C section I should ‘swab’ the baby in order to ensure they received the normal birth bacteria. Babies born by section are more likely to develop Type 1.
Wow, that’s news. Though, I believe breast feeding during my infancy, possibly was an issue for me?
Some women have issue with this?

I was a home birth. As was my younger non D sister. (Long story. But due to my mum’s previous profession as a dancer.) She had a hard time with my older sisters hospital birth by midwife’s misconceptions.This put her off the experience. In that environment.)

OK, I’ll elaborate. There was a “Victorian attitude” at the time. (1968.) & pointed out by HCPs. Nurses. (“Fallen woman.”)
I don’t blame my mum. There was a phone call sent out come “time” & a midwife came out. My dad was on the verge of “hands on.”

Hey, here I am.! 🙂
 
My consultant said that if I needed a C section I should ‘swab’ the baby in order to ensure they received the normal birth bacteria.
I thought that was still a speculative idea, not well supported by evidence?
 
Yes, breastfeeding was something my consultant mentioned too when I asked her what I could do to reduce the risk of my children getting Type 1. It helps establish the microbiome and colostrum helps seal the gut.
 
I thought that was still a speculative idea, not well supported by evidence?

Both my OB and diabetes consultant recommended it and the midwives I mentioned it to weren’t fazed by the idea so I clearly wasn’t the first one to ask. As it happens, all of my children were born naturally, but I’d have definitely swabbed them if not.
 
Both my OB and diabetes consultant recommended it and the midwives I mentioned it to weren’t fazed by the idea so I clearly wasn’t the first one to ask. As it happens, all of my children were born naturally, but I’d have definitely swabbed them if not.
It sounded plausible to me the first time I heard it. Google produces this which doesn't sound very positive, but perhaps there's been some evidence since 2016 that I'm not seeing. (Maybe the risks of infections turn out not to be so bad, or maybe with some testing or something they can be reduced enough.)

 
Babies would get those same bacteria from a natural birth. They don’t get infected. The bacteria are passed to the baby from their mother and seed their microbiome, and swabbing them is just replicating this.
 
Babies would get those same bacteria from a natural birth. They don’t get infected. The bacteria are passed to the baby from their mother and seed their microbiome, and swabbing them is just replicating this.
I think the problem has been that if the baby picks up bad bacteria from a natural birth, (and it’s not unknown for strep bacteria etc to be present) it just gets treated, and is 'one of those things'. If health professionals are involved in seeding, and the baby picks up bad bacteria, someone is going to sue, so officially, hospitals have been wary of promoting it.
 
I think the problem has been that if the baby picks up bad bacteria from a natural birth, (and it’s not unknown for strep bacteria etc to be present) it just gets treated, and is 'one of those things'. If health professionals are involved in seeding, and the baby picks up bad bacteria, someone is going to sue, so officially, hospitals have been wary of promoting it.

I was told the swabbing had to be done by me not a midwife for that reason - because it was an ‘extra’ procedure that I could choose to do.

Pregnant women are screened for Strep B.
 
My first was born with group b strep, and due to the fact that the next 3 were footling breech I was sectioned for all of those. Sections cut down the risk of group b and intravenous antibiotics were given at the time. I wouldn’t have been given those antibiotics if I hadn’t tested positive for group b during all of my pregnancies. So I was shocked when my daughter at the beginning of her pregnancy was told that they don’t test for that anymore! However during the last couple of weeks before her due date they reintroduced it on a trial basis. I very nearly lost my daughter because there was so little education around this at that time 25 years ago. I would hate to see that happen again
 
I was told the swabbing had to be done by me not a midwife for that reason - because it was an ‘extra’ procedure that I could choose to do.

Pregnant women are screened for Strep B.
Not routinely in the UK because Strep B is often transient so having it present or absent at 37 weeks does not mean the same will be true at birth. Pregnant women only get routinely screened for Strep B here if they have previously had known Strep B
 
If they had a quicker way to get a result I think that they would probably bring in labour screening
 
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