“Vaginal seeding” of infants born by caesarean section

We read with interest the editorial by Cunnington et al (February 2016) on vaginal seeding after caesarean section. Although the contemporary evidence does not advocate introduction to medical practice, the logic in exposing the infant to the vaginal microbiota warranted debate. Indeed, similar logic prevailed with faecal enemas to treat Clostridium difficile infection. However, the concluding statement “the simplicity of vaginal seeding means that mothers can easily do it themselves” is questionable from a practical point. Following caesarean section, women often remain relatively immobile for several hours while the epidural wears off. Furthermore, those having undergone unplanned caesareans may be exhausted following prolonged or difficult labours. We, therefore, find it hard to believe that physically performing the seeding will be simple for all mothers. Perhaps this will emerge as a role for the father?