We support the World Health Organisation’s recommendation for exclusive breastfeeding for the first six months of life and continued breastfeeding along with the introduction of nutritionally adequate and safe complementary (solid) foods at 6 months together with continued breastfeeding up to two years of age and beyond.

Nurturing Gut Microbiome Diversity to Support C-Section Children’s Stronger Immunity



Nourishing Every Milestone: Understanding Your C-Section Child Health and Needs

Welcoming your child, regardless of how they enter the world, is joyful. Research shows that C-section children may have unique gut microbiome and immunity differences compared to non C-section children1. Understanding their unique nutritional and developmental needs can empower you to nourish every milestone with confidence.

In this article, we’ll share simple, science-backed ways to support C-section child health, helping you nurture their immunity, well-being, and overall development in the early years.


Gut Microbiome in Children: The Foundation of Immunity

Your toddler’s gut microbiome is like a little garden, filled with helpful bacteria supporting digestion, immunity , and brain development. When this ecosystem is healthy and balanced, it helps children absorb nutrients more efficiently and build strong natural defences against common illnesses.

Every child’s gut develops in its unique way. Studies show that children born via C-section may experience a slightly slower introduction to certain beneficial bacteria, such as Bifidobacterium infantis. This delay can affect the maturity of their immune system, making them more prone to allergies, asthma, orinfections in early life.13


How a C-section shapes a Child’s Gut Microbiome Diversity

During vaginal delivery, children naturally receive a variety of beneficial bacteria from the mother’s birth canal, helping to build a balanced gut microbiome. For C-section children, the gut microbiome develops differently:

  • Lower levels of beneficial bacteria – Studies show that C-section children often have reduced levels of Bifidobacterium and Lactobacillus , which are important for digestion and immune balance.16

  • Higher colonisation of hospital-associated bacteria – Instead of maternal microbes, early exposure may include microbes from the skin, air, or hospital surfaces, such as Clostridium or Enterococcus species, which are bad bacteria the child is exposed to.18

  • Delayed microbial diversity – The gut microbiome takes longer to reach the same balance and diversity as in vaginally delivered children, sometimes persisting into early childhood.17

Why does this matter for immunity?

  • A balanced microbiome trains the immune system to distinguish between a 'friend' and a 'foe'.19

  • When the gut has fewer good bacteria and more bad microbes, children may face slightly higher risks of allergies, asthma, or metabolic conditions later in life.19

  • Early nutritional support can help close this gap and strengthen immune development in C-section children.19

  • Supported by the right exposure and good lifestyle habits, your child’s gut can thrive and lay the foundation for lifelong wellness.2,3


Simple Steps to Support Your Child’s Immunity at Home

Supporting immune health in early childhood is simple and starts with everyday habits at home. The right choices now can set the foundation for wellbeing as your child grows. To support your toddler’s immunity:

  • Provide a variety of healthy foods to meet their growing needs.

  • Keep them well-hydrated with water and other age-appropriate fluids.

  • Encourage regular outdoor play and active movement for stronger immunity.

  • Maintain practical hygiene while letting your child explore and build resilience.

These home practices play an important role in the journey of C-section children’s health, complementing nutrition to ensure toddlers thrive.9


Supporting Healthy Digestion: Practical Approaches

Nutrition and daily routines lay the groundwork for resilient health. Tailored, healthy strategies for C-section children ensure the unique needs of the child are met. Since digestive comfort impacts mood and energy, gentle dietary and lifestyle habits can be beneficial to support gut health and overall early development.

  • Maintain regular meal and snack timings to support digestion rhythms.

  • Use gentle abdominal massages and warm baths to ease discomfort.

  • Encourage daily physical activity and playful movement.

  • Limit heavy processed foods that can aggravate digestion.

  • Monitor any food reactions and maintain a simple food diary for discussion with your doctor.

C-section child health: Mum and child playing together


Conclusion

Nurturing C-section children goes beyond tummy troubles or immunity. It’s about caring for their whole growth journey with compassion and knowledge. Focusing on gently growing their stronger immunity with the right habits and nutrition helps build a strong foundation that shapes their development in later years.

You can confidently support every milestone with the right nutrition, engaging play, and attention to your child’s unique needs. Remember, caring for C-section child health is a special journey. With your love and support, their potential is limitless.

Try Enfagrow A+ Pro C-Biome, specially formulated with 2x higher 2’-FL*, prebiotics and MFGM & DHA to strengthen immunity & support holistic brain development in C-section children^.

Stronger Immunity, Sharper mind.

Stronger Immunity, Sharper mind

Ready to support your child’s gut and immune health naturally?

Join the Enfamama A+ Club expert tips and guide to help little ones thrive every day.


Disclaimers:

*Compared to Enfagrow A+ Pro Stage 3, 2’-FL level per serving.
^DHA is an important building block for the development of the brain and eyes for children up to 3 years of age.




References:

  1. Chenchen Zhang, Lixiang Li, et al, The Effects of Delivery Mode on the Gut Microbiota and Health: State of Art, December 23, 2021, https://pmc.ncbi.nlm.nih.gov/articles/PMC8733716/#:~:text=The%20delivery%20mode%20is%20an,cesarean%20section%20related%20gut%20diseases . Accessed August 2025

  2. Mona-Lisa Wernroth, Sari Peura, et al, Development of gut microbiota during the first 2 years of life, Published 31 May 2022, https://www.nature.com/articles/s41598-022-13009-3 , Accessed August 2025

  3. Yue Jiang, Yuanyuan Li, The role of nutrition and gut microbiome in childhood brain development and behavior, Frontiers in Nutrition, Section: Nutrition, Psychology and Brain Health, Volume 12, 09 June 2025, https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1590172/full Accessed August 2025

  4. Prof. Hania Szajewska, MD & Kristina Campbell, MSc, A pediatrician’s perspective on C-section births and the gut microbiome, ISAPP Science Blog, International Scientific Association for Probiotics and Prebiotics, 18 July 2022, https://isappscience.org/a-pediatricians-perspective-on-c-section-births-and-the-gut-microbiome/ , Accessed August 2025

  5. Francesco Inchingolo, Alessio Danilo Inchingolo, et al, The Impact of Cesarean Section Delivery on Intestinal Microbiota: Mechanisms, Consequences, and Perspectives—A Systematic Review, International Journal of Molecular Sciences, 15 January 2024, https://pmc.ncbi.nlm.nih.gov/articles/PMC10816971/ , Accessed August 2025

  6. Elvira Verduci, Jutta Köglmeier, Immunomodulation in Children: The Role of the Diet, Journal of Pediatric Gastroenterology and Nutrition, 16 April 2021, https://pmc.ncbi.nlm.nih.gov/articles/PMC9770123/ , Accessed August 2025

  7. Hamid Jan Jan Mohamed, Eric Kim Hor Lee, et al, Brain–immune–gut benefits with early life supplementation of milk fat globule membrane, JGH Open, 1 June 2022,, https://pmc.ncbi.nlm.nih.gov/articles/PMC9260205/ , Accessed August 2025

  8. Qiqi Ren, et al, A combination of phospholipids and long chain polyunsaturated fatty acids supports neurodevelopmental outcomes in infants: a randomized, double-blind, controlled clinical trial, 13 June 2024, https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2024.1358651/full , Accessed August 2025

  9. Claire McCarthy, MD, Boosting your child's immune system, Harvard Health Publishing, 11 September 2024, https://www.health.harvard.edu/blog/boosting-your-childs-immune-system-202110122614 , Accessed August 2025

  10. Ruyi Zhang, Ning Ding, Xicui Feng, Wenli Liao, The gut microbiome, immune modulation, and cognitive decline: insights on the gut-brain axis, Frontiers in Immunology, 10 July 2024, https://pmc.ncbi.nlm.nih.gov/articles/PMC11794507/ , Accessed August 2025

  11. Panggung Sutapa, Kukuh Wahyudin Pratama, et al, Improving Motor Skills in Early Childhood through Goal-Oriented Play Activity, International Journal of Environmental Research and Public Health, 17 November 2021, https://pmc.ncbi.nlm.nih.gov/articles/PMC8625902/ , Accessed August 2025

  12. Recovery From C-Section in Singapore, Enfagrow, https://www.enfagrow.com.sg/blogs/pregnancy-postnatal/road-c-section-recovery-singapore , Accessed August 2025

  13. PMC. The Effects of Delivery Mode on the Gut Microbiota and Health: State of Art. https://pmc.ncbi.nlm.nih.gov/articles/PMC8733716/ , Accessed August 2025

  14. Physoc.Org. Does C-section impact on the early life microbiome and immune system? https://www.physoc.org/magazine-articles/does-c-section-impact-on-the-early-life-microbiome-and-immune-system/ , Accessed August 2025

  15. Frontiers. The promotion mechanism of prebiotics for probiotics: A review. https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2022.1000517/full , Accessed August 2025

  16. PMC. Acquisition of microbiota according to the type of birth: an integrative review. https://pmc.ncbi.nlm.nih.gov/articles/PMC8294792/#:~:text=The%20number%20of%20Bifidobacteria%20was,infants%20born%20through%20C%2Dsections.&text=The%20initial%20colonization%20and%20acquisition,and%20Escherichia%20coli.&text=The%20study%20reports%20Bifidobacterium's%20presence,infants%20born%20via%20C%2Dsection.&text=The%20newborns%20harbored%20bacterial%20communities,early%20stage%20of%20community%20development , Accessed August 2025

  17. PMC. The prenatal gut microbiome: Are we colonized with bacteria in utero? https://pmc.ncbi.nlm.nih.gov/articles/PMC5583026/ , Accessed August 2025

  18. PMC. Stunted microbiota and opportunistic pathogen colonisation in caesarean section birth. https://pmc.ncbi.nlm.nih.gov/articles/PMC6894937/#:~:text=The%20disrupted%20transmission%20of%20the%20maternal%20gastrointestinal,pathogens%20circulating%20in%20healthcare%20and%20hospital%20environments , Accessed August 2025

  19. PMC. The importance of the microbiome in pediatrics and pediatric infectious diseases. https://pmc.ncbi.nlm.nih.gov/articles/PMC6588283/ , Accessed August 2025

  20. PUBMED. Enhanced Brain Myelination and Cognitive Development in Young Children Associated with Milk Fat Globule Membrane (MFGM) Intake: A Temporal Cohort Study. https://pubmed.ncbi.nlm.nih.gov/39483872/ , Accessed September 2025

Join Enfamama A+ Club