Pregnancy | June 8, 2018 | Author: Naturopath
Pregnancy and breastfeeding can be a wonderful experience for any women, but unfortunately some women will experience complications. In recent years there has been a growing focus on the impact of the gut microbiome on human health and disease, suggesting that an imbalanced state of the gut bacteria, termed “dysbiosis”, may be associated with growing number of conditions such as inflammatory bowel disease, irritable bowel syndrome, obesity, type 2 diabetes, allergies, and neurological disorders. Hippocrates himself, the father of modern medicine, stated, “All disease begins in the gut.”
It has been found that during pregnancy the composition of the bacteria in the gut, vagina and placenta changes.
Additionally, an imbalance of the microbiome could contribute to pregnancy complications.
One way to manipulate the gut bacteria during pregnancy in order to improve pregnancy outcomes is to take probiotic supplementation.
You have probably heard of the term ‘probiotics’ – the type of good bacteria defined by the World Health Organization (WHO) as ‘Live microorganisms which when administered in adequate amounts confer a health benefit on the host’. It is the type of beneficial bacteria that can be found in in the form of dietary supplements and fermented foods.
Probiotics include many strains and species of bacteria, alone or in combination; the most commonly used are live bacteria such as Lactobacillus and Bifidobacterium species. Supplements can be taken as capsules, tablets, powders, and sachets.
Probiotics taken during pregnancy may help lower the risk of:
Preeclampsia is a serious pregnancy complication that can occur during the second half of pregnancy or the ﬁrst few days after the birth. It is characterised by high blood pressure and damage to multiple organs in the body, and can severely affect both the mother and her unborn baby. Data on more than 70,000 pregnancies from a Norwegian study revealed that probiotic intake was associated with a 20% lower risk of developing preeclampsia.
Probiotics species: Lactobacillus acidophilus, Lactobacillus rhamnosus GG, Bifidobacterium lactis
Good for: pregnant women at high risk for developing preeclampsia – first pregnancy, women with a history of high blood pressure, preeclampsia or kidney disease, women whose sisters and mothers had preeclampsia, women carrying multiple babies, women younger than 20 years and older than age 40, and women who are obese or have a BMI of 30 or greater.
When should I start? Late pregnancy.
This form of diabetes occurs during pregnancy, affecting between 12% and 14% of pregnant women. It usually occurs around the 24th to 28th week of pregnancy.
Gestational diabetes causes high blood sugar that usually returns to normal soon after delivery, but can put you at risk for type 2 diabetes later in life, as well as result in preterm delivery or in delivering a very large baby.
Probiotic supplementation in women with gestational diabetes is associated with significant reductions in insulin resistance – insulin is the hormone that controls your blood sugar levels. In insulin resistance, your body cells do not respond properly to insulin and thus cannot easily absorb sugar from the blood. As a result, blood sugar levels remain high.
Probiotics species: Bifidobacterium, Lactobacillus rhamnosus
Good for: women diagnosed with gestational diabetes or women at risk - 40 years or over, have a personal or family history of type 2 diabetes or a first-degree relative (mother or sister) who has had gestational diabetes, overweight, have had elevated blood glucose levels in the past, have previously given birth to a large baby (weighing more than 4.5kg), taking some types of anti-psychotic or steroid medications, and have gained weight too rapidly in the first half of pregnancy.
When should I start? From 14 to 16 weeks’ gestation.
This painful inflammation of the breast usually occurs within the first 6 to 12 weeks after giving birth and can make you feel like you have the flu. It affects 1 in 5 breastfeeding mothers, and many stop breastfeeding earlier than planned due to the condition. One study showed that probiotics are as effective as antibiotics in treating mastitis. It has also been suggested that the anti inflammatory properties of probiotics may prevent the development of mastitis, but studies are still ongoing.
Probiotics species: Lactobacillus Fermentum
Good for: women with mastitis.
When should I start? The first 2 months following birth.
The prevalence of this inflammatory skin condition is increasing in infants.
More than 50% of eczema sufferers show signs within their first 12 months of life.
Eczema can significantly affect the child’s quality of life due to itching and scratching, sleep disturbances, pain, bleeding, and dietary limitations.
Taking probiotics during pregnancy has been found to reduce the incidence of eczema in the offspring by almost 80%.
Probiotics species: Lactobacillus rhamnosus GG
Good for: pregnant women at high risk for having an allergic child - high risk for allergy in a child is defined as biological parent or sibling with existing or history of allergic rhinitis, asthma, eczema, or food allergy.
When should I start? Start taking probiotics at 34–36 weeks of gestation and continue in the postpartum period until the baby was 3–6 months of age (or until weaned).
Urinary tract infection (UTI), often called cystitis, is an infection in part of the urinary system mostly in the lower urinary tract - the bladder. The vast majority of UTIs are caused by E. coli bacteria, a type of bacteria that usually live in the digestive tracts of humans and animals but can invade the urinary tract, attach to the lining of the bladder and lead to inflammation. Around 50% of women and 5% of men will experience at least one UTI in their lifetime. UTI is a common complication of pregnancy, and can result in risks to both the foetus and the mother. Probiotics inhibit the growth of bacteria that are likely to cause UTIs, replenish your normal flora, and stimulate your immune function. Preliminary studies using probiotics supplements show promise for prevention and treatment of UTIs.
Probiotics species: Lactobacillus
Good for: pregnant women with cystitis or with a history of recurrent cystitis.
When should I start? Data is not available.
Vaginal colonisation of Group B Streptococcal is a leading cause of infections in newborns.
It is transmitted to the baby via the amniotic fluid during delivery and can lead to potentially life-threatening conditions.
A study from Taiwan showed that probiotics given to pregnant women who were tested positive for Group B Strep infection reduced the vaginal and rectal colonisation rate.
Probiotics species: Lactobacillus rhamnosus, Lactobacillus reuteri
Good for: women who test positive for Group B Strep infection.
When should I start? For prevention - early in pregnancy; for treatment - soon after diagnosis.
Probiotic supplementation is considered safe in pregnancy and breastfeeding, but in some cases they may cause mild stomach upset. Nevertheless, complications of pregnancy can have devastating effects, so if you are pregnant or breastfeeding, you should always talk with your doctor before taking a probiotic supplement.
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