Evidence map›Paper›PMID 41361302›Full record

ArticleBMC medicine2025

Maternal probiotics intake during pregnancy and exclusive colostrum breastfeeding are associated with a reduced risk of neonatal jaundice.

Bekalu Kassie Alemu, Chi Chiu Wang, Liona C Poon, Yao Wang

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Bekalu Kassie AlemuDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, 1/F, Special Block E, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin NT, Hong Kong, Special Administrative Region, China.
Chi Chiu WangDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, 1/F, Special Block E, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin NT, Hong Kong, Special Administrative Region, China.
Liona C PoonDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, 1/F, Special Block E, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin NT, Hong Kong, Special Administrative Region, China.
Yao WangDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, 1/F, Special Block E, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin NT, Hong Kong, Special Administrative Region, China. yaowang1@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal jaundice (NJ), characterized by significantly increased bilirubin levels, is a prevalent global neonatal condition affecting 60-80% of newborns. It imposes long-term adverse effects on neurodevelopment and overall health. Current clinical treatments, such as phototherapy, primarily focus on symptom management, whereas the preventive strategies for NJ remain largely lacking. Infant breastfeeding is associated with NJ. However, whether maternal probiotics use and infant colostrum feeding may reduce the NJ risk has yet to be determined and warrants further investigation in large-scale cohorts. Therefore, this study aimed to evaluate whether they have any preventive effect.

methodsWe investigated the relationship of maternal probiotic intake and baby feeding type with NJ onset using the CHILD cohort, a prospective birth cohort recruited 3624 mothers and 3542 paired infants. Probiotic intake during pregnancy and its patterns (increased, maintained, or decreased compared to preconception) were obtained via questionnaires. The NJ conditions (yes/no) and feeding modes (exclusive colostrum, formula-only, or mixed feeding) were collected from hospital birth records. Bivariate and multivariable logistic regressions were employed to evaluate the risk using adjusted odds ratio (AOR) with 95% confidence intervals (CI) after adjustment for confounders. P < 0.05 indicates statistical significance.

resultsA total of 2596 healthy controls and 433 NJ cases with complete data were included from the CHILD cohort for analysis. Interestingly, probiotic intake during pregnancy was associated with a remarkably reduced odds of NJ (AOR 0.78 (0.61, 0.98), P = 0.041) compared to participants who never used probiotics. Neonates with exclusive colostrum feeding also had a significantly lower incidence of NJ than other feeding modes (AOR 0.34 with (95%CI) (0.27,0.44), P < 0.001). Further stratification analysis on probiotic intake showed that mothers who increased (AOR 0.53 (0.32, 0.89), P = 0.016) or maintained (AOR 0.44 (0.24, 0.80), P < 0.007) probiotic intake during pregnancy had a lower risk of NJ compared to those who decreased intake.

conclusionsThis cohort-based evidence highlights that maternal probiotic intake and exclusive colostrum feeding are important modifiable factors associated with reduced NJ risk.

Indexed as

Breast FeedingColostrumJaundice, NeonatalProbioticsAdultFemaleHumansInfant, NewbornMalePregnancyProspective StudiesRisk FactorsCHILD cohortCohort studyColostrumExclusive breastfeedingFetal healthMicrobiomeModifiable lifestyle interventionNeonatal jaundiceProbiotics

Identifiers

PMID41361302
PMCPMC12798091

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.