Pregnancy
Conditions
Keywords
Gut microbiome, Vaginal microbiome, Oral microbiome, Human milk microbiome, Nutritional Status
Brief summary
The purpose of this study is to determine whether a difference exists in the gut, oral, vaginal and human milk microbiome of under-nourished pregnant women as compared to healthy and obese pregnant women. In addition, the investigators are setting out to determine if a micronutrient enriched probiotic yogurt can improve the microbiome and pregnancy outcomes of under-nourished pregnant women.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Greater than 12 weeks pregnant * between the ages of 18 and 40 years
Exclusion criteria
* Less than 12 weeks pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Characterization of gut, oral, vaginal and human milk microbiomes | Monthly for an average of four months | Fecal, oral and vaginal samples were collected on a monthly basis for an average of four months. Human milk samples were collected twice; at birth and one week after. Microbial DNA will be extracted with the MoBio PowerSoil 96-well htp kit. Samples will be sequenced and changes determined by 16s rRNA profiling. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of 48-hour Dietary Recalls | Monthly on average for four months | Dietary recalls will be assessed for average daily caloric, protein, carbohydrate, fat, calcium, iron, zinc, folate and vitamin intake using ESHA Food Processor SQL software. |
| Changes in body toxin levels | Before and after intervention (approximately 100 days) | Body toxin levels (metals, pesticides) by HR-SF-ICP-MS and GC/MS |
| Changes in blood nutrient levels | before, half-way through and after intervention (approximately 100 days) | Blood nutrient levels (vitamins, macro and micr-nutrients) will be assessed by HPLC, colorimetric Biuret, chemiluminescence and HR-SF-ICP-MS |
| Analysis of anthropometric measurements | Monthly on average for four months | Changes in weight gain, mid-upper arm circumference and hemoglobin levels will be examined and changes will be linked to intervention and non-intervention via statistical analysis. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Analysis of Anthropometric Measurements | Monthly on Average for 4 months | Change in the weight gain, mid-upper arm circumference and hemoglobin measurements will be analyzed over the course of study. |
Countries
Tanzania