Intended for healthcare professionals


“Vaginal seeding” of infants born by caesarean section

BMJ 2016; 352 doi: (Published 23 February 2016) Cite this as: BMJ 2016;352:i227

Re: “Vaginal seeding” of infants born by caesarean section

A sensible article and points I raise when teaching medical students. However I would like to point the authors to a recent article that they did not refer to which shows early evidence that the vaginal swab technique after caesarean section may partically restore/replete microbiota in infants. I believe mothers in this study were screened for potentially pathological vaginal flora to increase safety. (

Competing interests: On the Advisory Board of Human Rights in Childbirth (NGO) and on the Board of Directors of the International MotherBaby Childbirth Organisation (UN recognised NGO). Both are charities.

24 February 2016
Amali Lokugamage
Consultant Obstetrician and Gynaecologist
Whittington Health NHS Trust and University College London Medical School
Department of Obstetrics and Gynaecology, Whittington Hospital, London , N19 5NF