Search Results (638)

Human milk bacteria contribute to gut microbiome establishment in breastfed infants. Although breastfeeding is recommended throughout infancy, temporal variation in the milk microbiome—particularly beyond solid food introduction—remains understudied. We analyzed 539 milk samples from 83 mother–infant dyads between 1 week and 12 months postpartum using full-length 16S rRNA gene sequencing. The microbiota was dominated by Streptococcus (34%), Cutibacterium (12%), and Staphylococcus (9%), with marked inter-individual variation. Microbiome profiles remained largely stable across lactation, with only six taxa showing temporal fluctuations, including increases in typical oral bacteria such as Streptococcus salivarius, Streptococcus lactarius, Rothia mucilaginosa, and Granulicatella adiacens. Richness and evenness were higher at 1 week compared to 1 month postpartum (p = 0.00003 and p = 0.007, respectively), then stabilized. Beta diversity also remained stable over time. Maternal pre-pregnancy BMI was positively associated with Gemella haemolysans (p = 0.016), while Haemophilus parainfluenzae was more abundant in milk from mothers with allergies (p = 0.003) and those who gave birth in autumn or winter (p = 0.006). The introduction of solid food was linked to minor taxonomic shifts. Overall, the milk microbiome remained robustly stable over the first year of lactation, with limited but notable fluctuations in specific taxa. This study supports the role of human milk as a consistent microbial source for infants and identifies maternal BMI, allergy status, and birth season as key variables warranting further investigation. Full article

This review aimed to be comprehensive and to critically analyze the factors that may affect the macronutrient and energy content of breast milk. Systematic reviews were prioritized, even though other types of literature reviews on the subject, as well as studies not included in these reviews, were included. Reported factors that potentially affect the macronutrient and energy content of breast milk comprise: maternal factors, such as age, nutritional status, dietary intake, smoking habits, lactation stage, circadian rhythmicity, and the use of galactagogues; obstetrical factors, such as parity, preterm delivery, multiple pregnancies, labor and delivery, and pregnancy morbidities including intrauterine growth restriction, hypertensive disorders, and gestational diabetes mellitus; and newborn factors, including sexual dimorphism, and anthropometry at birth. Some factors underwent a less robust assessment, while others underwent a more in-depth analysis. For example, the milk from overweight and obese mothers has been reported to be richer in energy and fat. A progressive decrease in protein content and an increase in fat content was described over time during lactation. The milk from mothers with hypertensive disorders may have a higher protein content. Higher protein and energy content has been found in early milk from mothers who delivered prematurely. Full article

Tetrabromobisphenol A (TBBPA) is a brominated flame retardant widely used in consumer products. TBBPA is often detected in soil, water, organisms, and even in human blood and breast milk. Hence, it is accessible to developing fetuses and nursing offspring after maternal exposure. The reported evidence for the endocrine disruption of TBBPA in the brain has raised concerns regarding its effects on neurodevelopmental and behavioral functions. This study investigated the effects of TBBPA exposure on neurodevelopment. A cell-based developmental neurotoxicity assay was performed to determine whether TBBPA is a developmental neurotoxicant. The assay revealed TBBPA to be a developmental neurotoxicant. C57BL/6N maternal mice were administered TBBPA at 0, 0.24, and 2.4 mg/kg during pregnancy and lactation, and their offspring underwent behavioral testing. The behavioral experiments revealed sex-specific effects. In females, only a deterioration of the motor ability was observed. In contrast, deteriorations in motor function, memory, and social interaction were noted in males. Furthermore, we validated changes in the expression of genes associated with behavioral abnormalities, confirming that perinatal exposure to TBBPA, at the administered doses, can affect neurodevelopment and behavior in offspring. These findings highlight the need for more in-depth and multifaceted research on the toxicity of TBBPA. Full article

Although age-related changes in the gut microbiome of pigs have been extensively studied, the dynamic patterns of fecal microbiota and SCFAs during the gestation-to-weaning period in sows remain poorly characterized. We aim to characterize the changes in fecal microbiota and SCFAs from pregnancy to weaning, and to investigate their associations with maternal weight gain during gestation. We systematically collected 100 fecal samples at four time points (day 30 of pregnancy (T1), 1–2 days before delivery (T2), day 10 after delivery (T3), and day 21 of weaning stage (T3)), and measured the body weight of sows at T1 (132 kg ± 10.8) and T2 (205 kg ± 12.1). The primary nutrient components of the diets during the gestation and lactation periods are summarized. All fecal samples were subjected to 16S rRNA gene sequencing. We found that a high proportion of crude fiber (bran) is a key feature of the gestation diet, which may affect enterotype shifts and gut microbial composition. Sows fed a high-fiber diet showed significant enrichment of gut microbiota, including genera such as Prevotellaceae_UCG-003, Prevotellaceae_NK3B31_group, and Prevotella_9 during the gestational period (LDA score > 2). Moreover, Eubacterium_coprostanoligenes_group (average relative abundance: 5.5%) and Lachnospiraceae_NK4A136_group (average relative abundance: 2.5%) were the dominant bacteria during the lactation stage. Fecal propionate and butyrate levels were lowest in late gestation, and propionate negatively and acetate positively correlated with body weight change (p < 0.05). Additionally, certain Prevotella taxa were associated with arachidonic acid metabolism and acetate production (p < 0.05). Our study identified key microbial communities across four stages from gestation to weaning and revealed that dietary patterns can shape the sow gut microbiota. Furthermore, we observed significant correlations between SCFAs and body weight change during pregnancy. These findings provide a scientific basis and theoretical support for future strategies aimed at modulating gut microbiota and targeting SCFAs to improve maternal health and productivity throughout the gestation-to-weaning period. Full article

Gender-specific cardiology has gained increasing recognition in recent years, emphasizing the need for tailored management strategies for women with cardiovascular disease. Among these, cardiomyopathies—dilated, arrhythmogenic, hypertrophic, and restrictive—pose unique challenges throughout a woman’s reproductive life, affecting contraception choices, pregnancy outcomes, and breastfeeding feasibility. Despite significant advances in cardiovascular care, there is still limited guidance on balancing maternal safety and neonatal well-being in this complex setting. This review provides a comprehensive overview of the current evidence on reproductive counseling, pregnancy management, and postpartum considerations in women with cardiomyopathies. We discuss the cardiovascular risks associated with each cardiomyopathy subtype during pregnancy, highlighting risk stratification tools and emerging therapeutic strategies. Additionally, we address the safety and implications of breastfeeding, an often overlooked but increasingly relevant aspect of postpartum care. A multidisciplinary approach involving cardiologists, gynecologists, obstetricians, and anesthesiologists is crucial to optimizing maternal and fetal outcomes. Improved risk assessment, tailored patient counseling, and careful management strategies are essential to ensuring safer reproductive choices for women with cardiomyopathy. From now on, greater attention is expected to be given to bridging existing knowledge gaps, promoting a more personalized and evidence-based approach to managing these patients throughout different stages of reproductive life. Full article

This study evaluates the effectiveness and financial impact of treating anoestrus dairy cows using a modified DO protocol. Among the 350 cows included in the study, 142 (40.6%) were identified as anoestrus. The average daily milk production, days in milk at artificial insemination (AI), number of AIs, and parity were 33.8 ± 6.8 kg, 152.6 ± 24.4 days, 1.3 ± 0.2 AIs, and 1.9 ± 0.8 lactations, respectively. To assess embryo survival in anoestrus dairy cows undergoing the modified DO protocol, two groups were established. The experimental group (E group, n = 74) received the GnRH agonist gonadorelin five days after TAI as part of the DO protocol. The control group (C group, n = 68) received only the DO protocol. The pregnancy rates and cumulative pregnancy rates were significantly higher in the E group (35.1% and 56.8%) compared with the C group (26.5% and 45.6%, p < 0.05). A binary logistic regression analysis indicated that the interaction between treatment and anoestrus status considerably affected the pregnancy rate (p < 0.001) and the occurrence of accessory corpus luteum (aCL, p < 0.0001). The UW-DairyRepro$ decision support tool utilized in this study, indicated that implementing this approach could increase the net present value (NPV) by USD 54.2/anoestrus cow/year. Full article

Background/Objectives: Dopamine partial agonists are drugs initially developed to treat schizophrenia, seeking a double effect of increased dopaminergic transmission in the prefrontal cortex and decrease in the accumbens/striatum. Of these drugs, aripiprazole, brexpiprazole, and cariprazine are currently marketed and used in schizophrenia spectrum and mood disorders. It is debated whether patients with psychiatric disorders becoming pregnant should discontinue or continue their antipsychotic treatment despite some risks for the fetus, i.e., whether it is worse to have an untreated disorder or treating it with drugs. The safety of drugs for mother and baby extend from pregnancy to the postpartum, when breastfeeding assumes great importance. We set to investigate the use of dopamine partial agonists in pregnancy and lactation. Methods: On 23 June 2025, we used suitable strategies for identifying cases and studies of cariprazine, aripiprazole, brexpiprazole, dopamine partial agonists in pregnancy, perinatal period, and/or lactation on PubMed, CINAHL, PsycInfo/PsycArticles, Scopus, and ClinicalTrials.gov. We used the PRISMA Statement in developing our review. We included case reports and clinical studies. We excluded reports without pregnancy or focused on other drugs than the above. We reached consensus on eligibility with Delphi rounds among all authors. Results: Our searches produced 386 results on the above databases. We included 24 case reports/series and 15 studies. Most studies showed no negative pregnancy outcomes. There were serious concerns about the use of dopamine D₂/D₃ partial agonists during lactation. Conclusions: The use of dopamine partial agonists during pregnancy appears to be safe, but during breastfeeding they should be better avoided. Full article

Background/Objectives: Diets high in simple carbohydrates and saturated fats, commonly consumed in Westernized countries, have been linked to a greater predisposition to metabolic disorders, which are partly attributed to oxidative stress. This study aimed to investigate the impact of an obesogenic diet consumed during the pregnancy and lactation periods on hepatic metabolism and REDOX balance in rats. Methods: Sixteen pregnant Wistar rats were divided into two groups: control (CD), which received a vivarium diet, and obesogenic (OD), which received an obesogenic diet (high-fat diet plus condensed milk), from early pregnancy to late lactation. Thirty-six hours after weaning, the rats were euthanized, and blood, adipose tissue, and liver samples were collected for analysis. Results: These results demonstrate that exposure to an obesogenic diet during pregnancy and lactation in rats leads to adverse changes in hepatic metabolic, inflammatory, and REDOX balance. This experimental animal model serves as a valuable tool for investigating the mechanisms of metabolic dysfunction associated with diets that mimic human eating habits. However, it is essential to note that these findings pertain to an experimental model and therefore require validation in clinical studies to confirm their relevance and applicability in human health. Conclusions: The consumption of an obesogenic diet during pregnancy and lactation in rats induces adverse alterations in hepatic metabolic, inflammatory, and redox homeostasis. This animal model helps investigate the mechanisms of metabolic dysfunctions associated with human dietary habits. However, these findings still need to be confirmed in clinical studies to verify their relevance in humans. Full article

Salivary cortisol is widely used to assess stress and circadian rhythms, yet its control variables in neonates, particularly regarding postnatal age, remain poorly understood. To elucidate age-specific effects of clinical variables on cortisol levels, 91 neonates with a mean (standard deviation) gestational age of 34.2 (3.8) weeks and postnatal age of 38.3 (35.4) days were categorised into Early, Medium, and Late groups by quartiles (days 10 and 56). Interactions with postnatal age were evaluated by comparing Early-to-Medium or Early-to-Late differences in regression coefficients between independent variables and cortisol levels. In the whole cohort, maternal hypertensive disorders of pregnancy and morning sampling were associated with reduced cortisol levels (both p = 0.001). Mean regression coefficients (95% CI) between variables and cortisol levels were as follows: for postconceptional age, Early, −0.102 (−0.215, 0.010) and Late, 0.065 (−0.203, 0.332) (p = 0.035); for feeding duration, Early, 0.796 (−0.134, 1.727) and Late, −0.702 (−2.778, 1.376) (p = 0.010); for time elapsed since feeding, Early, −0.748 (−1.275, −0.221) and Late, −0.071 (−1.230, 1.088) (p = 0.036); and for blood lactate, Early, 0.086 (0.048 to 0.124), Medium, 0.022 (−0.063, 0.108), and Late, −0.018 (−0.106, 0.070) (p = 0.008 and <0.001 vs. Medium and Late, respectively). The influence of postconceptional age, oral feeding, and anaerobic metabolism on salivary cortisol levels was observed during the birth transition period but not beyond 10 days of life. Given the age-specific dependence of cortisol levels on clinical variables, including postconceptional age, feeding, and oxygen metabolism, caution is warranted when interpreting findings from studies on salivary cortisol in newborn infants. Full article

The objective of the study was to assess whether supplementing dairy heifers with Se-biofortified hay during the last 40 days of pregnancy and early lactation improves performance, metabolism, oxidative status, and immune response in the dams and their calves. Ten Jersey and eight Holstein pregnant dairy heifers were divided into two groups and supplemented with Se-biofortified or a control alfalfa hay from 40 days before to 2 weeks postpartum. The calves born to the heifers were also monitored during the first month of life. Supplementation of Se-biofortified hay improved milk yield in Holstein heifers only, but had minor effects on blood parameters measured and the liver transcriptome. Similarly, we did not detect any impact of feeding Se-biofortified hay to heifers on their offspring. The data indicated a better immune system and oxidative status in Holstein compared to Jersey heifers. Overall, our data did not support the hypothesis that supplementing Se-biofortified hay to pregnant heifers improves their performance and the health of dams and offspring, at least at the dose we provided. Full article

Iodine deficiency remains one of the most serious global public health challenges, recognised as the leading cause of preventable brain damage worldwide. It is widely accepted as the primary aetiological factor underlying iodine deficiency disorders (IDD). Inadequate maternal iodine intake reduces thyroxine synthesis, impairing foetal brain development and leading to long-term deficits in cognitive function across childhood and adulthood. However, emerging evidence also suggests that excessive iodine intake may disrupt thyroid function, particularly in individuals with underlying thyroid autoimmunity, potentially leading to adverse neurodevelopmental outcomes. In this state-of-the-art review, we examine the effects of iodine nutrition during pregnancy and lactation on child cognitive outcomes. We provide an overview of the recent global iodine status, critically appraise the current evidence linking both iodine deficiency and excess to neurodevelopmental outcomes, and offer expert interpretation of the key findings. We further highlight areas of uncertainty, introduce emerging evidence from contemporary studies, and propose directions for future research to inform and optimise public health policies and clinical practice. Our findings highlight a U-shaped association, whereby both insufficient and excessive iodine exposure during pregnancy and lactation may impair optimal brain development in the offspring. Full article

Exposure to lipopolysaccharides (LPS) during pregnancy have been linked to alterations in the offspring’s central nervous system. Cherries are a source of anthocyanins, which possess neuroprotective properties. The study aimed to evaluate the neuroprotective effects of cherry juice (CJ) on memory and hippocampal cell counts in offspring exposed to LPS during gestation and the gestation-lactation periods. At postnatal day 90, rat pups were divided into five groups: Control (saline solution), LPS-G (LPS during gestation), LPS-G+CJ (LPS during gestation+CJ), LPS-GL (LPS during gestation-lactation), and LPS-GL+CJ (LPS during gestation-lactation+CJ). A battery of behavioral tests was conducted to assess short- and long-term memory and anxiety-like behavior. Histological analysis was performed on hippocampal regions. Leukocyte levels were measured as markers of systemic inflammation. Results showed that pups in the LPS-G and LPS-GL groups exhibited impaired memory, increased anxiety-like behavior, elevated leukocyte levels, and reduced cell counts in the dentate gyrus and CA1 regions, as well as in CA2 (LPS-G) and CA3 (LPS-GL). Cherry juice administration in the LPS-G+CJ and LPS-GL+CJ groups improved memory performance, normalized leukocyte levels, and restored hippocampal cell counts. These findings suggest that cherry juice exerts neuroprotective effects against LPS-induced neuroinflammation during gestation and the gestation-lactation periods. Full article

Background/Objectives: Thyroid hormone (TH) deficiency during the pregnancy and lactation periods leads to enduring memory impairments in offspring. However, the mechanisms underlying the cognitive and memory deficits induced by developmental hypothyroidism remain largely unexplored. Methods: Mice were exposed to propylthiouracil (PTU) or purified water to detect changes in hippocampal neurogenesis and differentiation of their offspring to explain the pathogenesis of impaired learning and memory. In addition, HT22 cell line were used to investigate the regulation between Maf and Mef2c. Results: Our findings indicate that developmental exposure to PTU results in abnormalities of the preferential differentiation of GABAergic interneurons and a subsequent reduction in PV⁺ inhibitory interneurons in the hippocampus of mouse pups. More significantly, we also indicate that the downregulation of Maf and the consequent alteration of Mef2c are likely responsible for the mechanisms through which developmental hypothyroidism influences the differentiation and development of PV⁺ inhibitory interneurons in offspring. Conclusions: Consequently, the aberrant development of PV⁺ interneuron in the hippocampus of mice subjected to developmental hypothyroidism potentially contributes to memory deficits during adolescence and adulthood. Full article

Porcine reproductive failure (PRF) has multiple etiological origins, primarily involving the viruses PCV2, PPV1, and PRRSV. Some emerging viruses, such as PCV3, PCV4, and novel parvoviruses (nPPVs), have also been suggested as contributors. In this study, we longitudinally evaluated 40 healthy sows (20 gilts and 20 multiparous sows) over three phases: pregnancy (PP), farrowing (FP), and their litters during lactation (LP). We detected viruses through PCR and serology in mono- and coinfections. The results showed that primary viruses were present during all three phases, with PCV2 being the most frequently detected. PCV3 positivity was highest at the time of insemination, and PPV1 was found in all. Additionally, PPV1-positive fetuses and pre-suckling piglets were identified, indicating vertical transmission. PRRSV was also present in an unstable herd, with the PRRSV2 lineage A detected and evidence of vertical transmission. The majority of coinfections were either dual or triple. The most common coinfections in the PP and LP were PCV2/PPV1 and PCV2/PCV3, while in the FF, PCV2/PPV1 and PCV2/PRRSV predominated. Notably, coinfection PCV2/PPV1 impacted the replication of PCV2. In contrast, the likelihood of detecting PRRSV decreased in fetuses coinfected with PRRSV and either PCV2, PCV3, or PPV1. The detected viruses exhibited low viral loads, indicating subclinical infections. Therefore, we propose recognizing a subclinical presentation of PRF and establishing criteria to differentiate between this and symptomatic reproductive disease. Full article

This study investigated how environmental temperature affects estrus behavior and pregnancy rates in lactating dairy cows during induced estrus. We hypothesized that higher temperatures reduce estrus expression and pregnancy rates and influence hormone levels. Fifty-eight healthy, multiparous, ovulation-synchronized cows were studied under heat stress (summer) and non-stress (winter) conditions. Cows were assigned to G7G or OvSynch (OVS) hormone protocols. Blood samples collected on insemination day measured estradiol, LH, prolactin, insulin, and IGF-1 concentrations. Estrus signs and behaviors were also recorded. We found that during summer, daily maximum temperature–humidity Index (THI) values mostly exceeded 68, confirming the presence of heat stress. Estrus behaviors—especially standing and mounting—were significantly reduced under heat stress, occurring five to seven times more frequently in winter than in summer. Estrus detection rate was 86% in winter and 53% in summer. Pregnancy rates also declined sharply in summer (10%) compared to winter (39%), with all summer pregnancies in the G7G group. Hormonal analysis showed that estradiol levels remained consistent in the G7G group, while in the OVS group, it was significantly higher in winter than in summer. No significant seasonal differences were observed in the other hormones. Our findings indicate that heat stress impairs estrus expression and pregnancy rates in dairy cows. However, we conclude that the choice of hormone synchronization protocol (G7G) and the use of an automated estrus detection system may help to improve reproductive performance. Full article