The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect

Gestational diabetes mellitus (GDM) is a growing public health concern that affects many pregnancies globally. The condition is associated with adverse maternal and neonatal outcomes including gestational hypertension, preeclampsia, placental abruption, preterm birth, stillbirth, and fetal growth re...

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Main Authors: Stephanie Dias, Carmen Pheiffer, Sumaiya Adam
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/11/9/2217
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author Stephanie Dias
Carmen Pheiffer
Sumaiya Adam
author_facet Stephanie Dias
Carmen Pheiffer
Sumaiya Adam
author_sort Stephanie Dias
collection DOAJ
description Gestational diabetes mellitus (GDM) is a growing public health concern that affects many pregnancies globally. The condition is associated with adverse maternal and neonatal outcomes including gestational hypertension, preeclampsia, placental abruption, preterm birth, stillbirth, and fetal growth restriction. In the long-term, mothers and children have an increased risk of developing metabolic diseases such as type 2 diabetes and cardiovascular disease. Accumulating evidence suggest that alterations in the maternal microbiome may play a role in the pathogenesis of GDM and adverse pregnancy outcomes. This review describes changes in the maternal microbiome during the physiological adaptations of pregnancy, GDM and adverse maternal and neonatal outcomes. Findings from this review highlight the importance of understanding the link between the maternal microbiome and GDM. Furthermore, new therapeutic approaches to prevent or better manage GDM are discussed. Further research and clinical trials are necessary to fully realize the therapeutic potential of the maternal microbiome and translate these findings into clinical practice.
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spelling doaj.art-f7d9f450636242a8bcec11ed06a7c1ed2023-11-19T12:02:13ZengMDPI AGMicroorganisms2076-26072023-08-01119221710.3390/microorganisms11092217The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and EffectStephanie Dias0Carmen Pheiffer1Sumaiya Adam2Biomedical Research and Innovation Platform (BRIP), South African Medical Research Council, Tygerberg, Cape Town 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council, Tygerberg, Cape Town 7505, South AfricaDepartment of Obstetrics and Gynaecology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South AfricaGestational diabetes mellitus (GDM) is a growing public health concern that affects many pregnancies globally. The condition is associated with adverse maternal and neonatal outcomes including gestational hypertension, preeclampsia, placental abruption, preterm birth, stillbirth, and fetal growth restriction. In the long-term, mothers and children have an increased risk of developing metabolic diseases such as type 2 diabetes and cardiovascular disease. Accumulating evidence suggest that alterations in the maternal microbiome may play a role in the pathogenesis of GDM and adverse pregnancy outcomes. This review describes changes in the maternal microbiome during the physiological adaptations of pregnancy, GDM and adverse maternal and neonatal outcomes. Findings from this review highlight the importance of understanding the link between the maternal microbiome and GDM. Furthermore, new therapeutic approaches to prevent or better manage GDM are discussed. Further research and clinical trials are necessary to fully realize the therapeutic potential of the maternal microbiome and translate these findings into clinical practice.https://www.mdpi.com/2076-2607/11/9/2217gestational diabetes mellitusmaternal microbiomepregnancy complicationsadverse maternal outcomesadverse neonatal outcomes
spellingShingle Stephanie Dias
Carmen Pheiffer
Sumaiya Adam
The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
Microorganisms
gestational diabetes mellitus
maternal microbiome
pregnancy complications
adverse maternal outcomes
adverse neonatal outcomes
title The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
title_full The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
title_fullStr The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
title_full_unstemmed The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
title_short The Maternal Microbiome and Gestational Diabetes Mellitus: Cause and Effect
title_sort maternal microbiome and gestational diabetes mellitus cause and effect
topic gestational diabetes mellitus
maternal microbiome
pregnancy complications
adverse maternal outcomes
adverse neonatal outcomes
url https://www.mdpi.com/2076-2607/11/9/2217
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