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Cesarean or Vaginal Birth Does Not Impact the Longitudinal Development of the Gut Microbiome in a Cohort of Exclusively Preterm Infants

Overview of attention for article published in Frontiers in Microbiology, June 2017
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • High Attention Score compared to outputs of the same age and source (96th percentile)

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1 blog
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102 X users
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Title
Cesarean or Vaginal Birth Does Not Impact the Longitudinal Development of the Gut Microbiome in a Cohort of Exclusively Preterm Infants
Published in
Frontiers in Microbiology, June 2017
DOI 10.3389/fmicb.2017.01008
Pubmed ID
Authors

Christopher J. Stewart, Nicholas D. Embleton, Elizabeth Clements, Pamela N. Luna, Daniel P. Smith, Tatiana Y. Fofanova, Andrew Nelson, Gillian Taylor, Caroline H. Orr, Joseph F. Petrosino, Janet E. Berrington, Stephen P. Cummings

Abstract

The short and long-term impact of birth mode on the developing gut microbiome in neonates has potential implications for the health of infants. In term infants, the microbiome immediately following birth across multiple body sites corresponds to birth mode, with increased Bacteroides in vaginally delivered infants. We aimed to determine the impact of birth mode of the preterm gut microbiome over the first 100 days of life and following neonatal intensive care unit (NICU) discharge. In total, 867 stool samples from 46 preterm infants (21 cesarean and 25 vaginal), median gestational age 27 weeks, were sequenced (V4 region 16S rRNA gene, Illumina MiSeq). Of these, 776 samples passed quality filtering and were included in the analysis. The overall longitudinal alpha-diversity and within infant beta-diversity was comparable between cesarean and vaginally delivered infants. Vaginally delivered infants kept significantly more OTUs from 2 months of life and following NICU discharge, but OTUs lost, gained, and regained were not different based on birth mode. Furthermore, the temporal progression of dominant genera was comparable between birth modes and no significant difference was found for any genera following adjustment for covariates. Lastly, preterm gut community types (PGCTs) showed some moderate differences in very early life, but progressed toward a comparable pattern by week 5. No PGCT was significantly associated with cesarean or vaginal birth. Unlike term infants, birth mode was not significantly associated with changes in microbial diversity, composition, specific taxa, or overall microbial development in preterm infants. This may result from the dominating effects of NICU exposures including the universal use of antibiotics immediately following birth and/or the lack of Bacteroides colonizing preterm infants.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 150 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 1%
Unknown 148 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 31 21%
Researcher 22 15%
Student > Master 21 14%
Student > Bachelor 14 9%
Student > Doctoral Student 7 5%
Other 23 15%
Unknown 32 21%
Readers by discipline Count As %
Medicine and Dentistry 28 19%
Agricultural and Biological Sciences 26 17%
Biochemistry, Genetics and Molecular Biology 17 11%
Immunology and Microbiology 16 11%
Nursing and Health Professions 8 5%
Other 19 13%
Unknown 36 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 65. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 June 2017.
All research outputs
#692,048
of 26,372,509 outputs
Outputs from Frontiers in Microbiology
#382
of 30,242 outputs
Outputs of similar age
#13,910
of 337,001 outputs
Outputs of similar age from Frontiers in Microbiology
#17
of 522 outputs
Altmetric has tracked 26,372,509 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 30,242 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 337,001 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 522 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.