“…Further, milk samples from mothers who sometimes fed infants indirectly via pumped milk show decreased alpha diversity, reduced prevalence of Bifidobacterium, and increased levels of Enterobacteriaceae and Pseudomonadaceae (Moossavi et al, 2019b). Additionally, ethnicity and geographical location (Kumar et al, 2016;Ojo-Okunola et al, 2019), diet (Padilha et al, 2019a), social network size of mother-infant pairs (Meehan et al, 2018), human milk oligosaccharides and other metabolites (Gómez-Gallego et al, 2018;Moossavi et al, 2019a), as well as maternal secretor status (Cabrera-Rubio et al, 2019) have been shown to affect microbial populations in breast milk.…”