Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis.
Oonagh E Keag, Jane E Norman, Sarah J Stock
https://pubmed.ncbi.nlm.nih.gov/29360829/Actively Recruiting
Led by Oulu University Hospital · Updated on 2026-07-21
460
Participants Needed
1
Research Sites
300 weeks
Total Duration
Researchers are evaluating whether giving donor-derived fecal microbiota transplantation FMT within 6 hours after birth can improve gut microbiota development and lower the risk of immune-related and metabolic diseases in infants born by elective cesarean delivery. This single-center randomized controlled trial enrolls newborns and follows them through early childhood and beyond to study these health outcomes. Newborns are randomly assigned to receive either an oral fecal microbiota transplant from a healthy female donor within 6 hours of birth or standard postnatal care without transplantation. The study excludes infants born preterm, with low birth weight, or requiring intensive care or antibiotics before intervention. Maternal eligibility criteria include age, pregnancy type, and absence of certain immunodeficiencies or anomalies. Participants are followed through 36 months with stool samples, questionnaires, growth checks, and health data from medical records. Long-term follow-up using national health registries continues until 10 years of age with parental consent. Researchers measure a combined outcome of autoimmune, allergic, respiratory diseases, and obesity, along with gut microbiota profiles and growth patterns to understand the impact of the transplantation.
CONDITIONS
Health Outcomes in C-Section Infants With Fecal Microbiota Transplantation
M
Marika Paalanne, MD, PhD
T
Terhi Ruuska-Loewald, Professor
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Oulu University Hospital
Lead Sponsor
University of Oulu
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Birth to 6 hours after delivery
Newborns receive either donor-derived fecal microbiota transplantation orally within 6 hours after birth or standard postnatal care without transplantation.
1 visit at birth
Duration - Up to 10 years
Participants are followed with stool samples, questionnaires, growth measurements, and health data collection through 36 months of age. Registry-based follow-up continues until 10 years of age with parental consent.
Scheduled visits and data collection up to 36 months; registry data used afterward
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/22623615/Oulu University Hospital
Lead Sponsor
University of Oulu
Collaborating Sponsor