Irish Independent

Breast pumps ‘can increase the risk of children getting asthma’

- John von Radowitz

USING a breast pump can introduce the “wrong” kind of bacteria into babies and increase their risk of childhood asthma, a study suggests.

Researcher­s found milk from the devices contained higher levels of potentiall­y harmful bugs than “directly fed” breast milk.

At the same time, the proportion of bacteria transferre­d from the baby’s mouth during natural breastfeed­ing was reduced.

Increasing evidence suggests this “oral” bacteria contribute­s to a healthy gut “microbiome”, or microbial community, in babies.

Canadian lead scientist Dr Shirin Moossavi, from the University of Manitoba, said: “Increased exposure to potential pathogens in breast milk could pose a risk of respirator­y infection in the infant, potentiall­y explaining why infants fed pumped milk are at increased risk for paediatric asthma compared to those fed exclusivel­y at the breast.”

Once considered sterile, breast milk is now known to contain a complex cocktail of bacteria that may be important in establishi­ng a thriving population of “friendly” bugs in the infant gastrointe­stinal tract.

Disruption to the infant microbiome could leave a child vulnerable to allergies, asthma or obesity, experts believe.

However, the pathways through which bacteria become establishe­d in the infant gut have not been clear.

For the study, the researcher­s looked for bacterial genes in breast milk samples from

393 healthy mothers three to four months after giving birth.

The team found the bacterial content of milk being fed to the mothers’ babies differed greatly from infant to infant.

Milk administer­ed from breast pumps contained higher levels of potentiall­y harmful “opportunis­tic pathogens” like Stenotroph­omonas and Pseudomona­daceae.

In contrast, direct breastfeed­ing without a pump was associated with microbes typically found in the mouth, as well as greater bacterial richness and diversity.

The research is published in the journal ‘Cell Host & Microbe’.

Senior author Dr Meghan Azad, from the Children’s Hospital Research Institute of Manitoba, said: “This study considerab­ly expands our understand­ing of the human milk microbiota and the factors that might influence it.

“The results will inspire new research about breastfeed­ing and human milk, especially related to pumping.”

The new evidence suggests infant mouth microbes play an important role in determinin­g what kind of bacteria are found in mothers’ milk, said the scientists.

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Milk from the devices may pass on harmful bacteria to babies

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