Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

Robson, Stephen; Vally, Hassan; Abdel-Latif, Mohamed E; Yu, Maggie; Westrupp, Elizabeth

doi:10.1542/peds.2015-1400

Cited by 20 publications

(20 citation statements)

References 34 publications

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“…Our results are consistent with other studies regarding full-term, preterm, breech presentation children or twins, and these studies also found no significant difference in developmental and behavioral outcomes between cesarean and vaginal-delivered groups (Asztalos et al, 2016; Bahl et al, 2007; Dekeunink et al, 2016; Haque et al, 2008; Joseph et al, 2015; Kimura et al, 2017; Robson et al, 2015; Spinillo et al, 1992; Zhu et al, 2014). However, previous studies have found some negative outcomes due to cesarean delivery.…”

Section: Discussionsupporting

confidence: 93%

“…In contrast, it usually takes 5–7 days for women to get recovered after cesarean section (Donowitz & Wenzel, 1980; Rortveit et al, 2003). Therefore, women after vaginal delivery have more time and energy to take care of the newborn and establish a good maternal-child interaction, which may benefit neonatal neurological development (Robson et al, 2015; Rowe-Murray & Fisher, 2001). In addition, women after vaginal delivery have fewer complications (Arikan et al, 2012) and can begin breastfeeding sooner than cesarean born infants.…”

Section: Introductionmentioning

confidence: 99%

“…However, the existing research evidence is not consistent relating to the effects of cesarean section on child health outcomes. For example, some studies have shown that the cesarean section was not associated with a reduction in risk of death or neurodevelopmental delay in children (Asztalos et al, 2016; Bahl et al, 2007; Dekeunink et al, 2016; Haque et al, 2008; Joseph et al, 2015; Kimura et al, 2017; Robson et al, 2015; Spinillo et al, 1992; Whyte et al, 2004; Zhu et al, 2014), while others argued that cesarean section significantly reduced the risk of children neurodevelopmental delay in a specific case (Molkenboer et al, 2006). Some other studies showed that cesarean section may have a negative impact on the baby’s respiratory system and immune system (Lee et al, 2014; Shearer, 1993).…”

Section: Introductionmentioning

confidence: 99%

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Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey

Zhou

Ding

Yang³

et al. 2019

PeerJ

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ObjectiveIt is controversial whether the mode of delivery is associated with developmental outcome, and little was known about growth and development of cesarean children in poor rural areas in China. We aim to measure the development of both cesarean and vaginal-delivered children by Ages and Stages Questionnaires (ASQ) and explore the association between mode of delivery and developmental outcome in poor rural areas in China.MethodsData were collected from a cross-sectional community-based survey, which recruited 1,755 vaginal delivered and cesarean children ages 1 to 59 months in eight counties of China. Caregivers of those children completed the Chinese version of ASQ-3 (ASQ-C) while physical examination andquestionnaires on socio-demographic and neonatal characteristics were conducted. Multivariate logistic regressions were used to measure the association between developmental delay and mode of delivery as well as each socio-demographic factor, respectively, after adjusting other socio-demographic characteristics.ResultsThe prevalence of suspected overall developmental delay was 23.4% in the cesarean group, compared with 21.3% in the vaginal delivered group, yet without statistical difference (p < 0.05). Developmental delay was also not significantly different between cesarean and vaginal delivered group in five ASQ domains of communication (7.7% vs. 7.8%, p = 0.949), fine motor (7.0% vs. 6.1%, p = 0.538), gross motor (8.5% vs. 6.4%, p = 0.154), problem solving (7.2% vs. 6.7%, p = 0.722) and personal social (8.0% vs. 7.9%, p = 0.960).ConclusionsOur findings suggest that cesarean delivery does not increase or decrease the risk of suspected developmental in children delay as compared with vaginal delivery.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey

Zhou

Ding

Yang³

et al. 2019

PeerJ

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“…non‐medically indicated nullipara, low‐risk multiparous) have contributed to the mixed findings. Whether an association is manifested at younger or older ages is conflicting , and our dataset has too few children at older ages to examine this issue.…”

Section: Exposurementioning

confidence: 99%

Cesarean birth is not associated with early childhood body mass index

et al. 2016

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SummaryCesarean birth leads to a markedly different microbiome compared to vaginal birth, and the microbiome has been implicated in childhood obesity. Among mothers who had a previous cesarean, we compared anthropometry of 3-to 6-year-old children who were subsequently born by cesarean section versus vaginal birth. This large population-based study involved linking de-identified administrative perinatal and anthropometric data. Children's weight and height were collected at community-based clinics and converted to age-and sex-adjusted z-scores of height-for-age (HFAz), weight-for-age (WFAz) and BMI-for-age (BMIz). The average treatment effect (ATE) of cesarean versus vaginal birth was calculated from augmented inverse probability weighted analyses accounting for a wide range of confounding variables. There was little evidence of an effect of cesarean birth on HFAz (ATE = 0.26 95%CI À0.35, 0.87, n = 3993), WFAz (ATE = 0.35, 95%CI À0.19, 0.89, n = 4817) or BMIz (ATE = 0.11, 95%CI À0.25, 0.46, n = 3909). Cesarean section was not associated with anthropometry among children aged 3-6 years.

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“…In contrast, it usually takes 5-7days for women to get recovered after cesarean section (Donowitz ,Wenzel 1980;Rortveit et al 2003). Therefore, women after vaginal delivery have more time and energy to take care of the newborn and establish a good maternal-child interaction, which may benefit neonatal neurological development (Robson et al 2015;Rowe-Murray ,Fisher 2001).…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

2019

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It is controversial whether the mode of delivery is associated with developmental outcome, and little was known about growth and development of cesarean children in poor rural areas in China. We aim to measure the development of both cesarean and vaginal-delivered children by Ages and Stages Questionnaires (ASQ) and explore the association between mode of delivery and developmental outcome in poor rural areas in China. METHODS: Data were collected from a cross-sectional community-based survey, which recruited 1755 vaginal delivered and cesarean children ages 1 to 59 months in eight counties of China. Caregivers of those children completed the Chinese version of ASQ-3 (ASQ-C) while physical examination andquestionnaires on socio-demographic and neonatal characteristics were conducted. Multivariate logistic regressions were used to measure the association between developmental delay and mode of delivery as well as each socio-demographic factor, respectively, after adjusting other socio-demographic characteristics. RESULTS: The prevalence of suspected overall developmental delay was 23.4% in the cesarean group, compared with 21.3% in the vaginal delivered group, yet without statistical difference (p>0.05). Developmental delay was also not significantly different between cesarean and vaginal delivered group in five ASQ domains of communication (7.7% vs. 7.8%, p=0.949), fine motor (7.0% vs. 6.1%, p=0.538), gross motor (8.5% vs. 6.4%, p=0.154), problem solving (7.2% vs. 6.7%, p=0.722) and personal social (8.0% vs. 7.9%, p=0.960). CONCLUSIONS: Our findings suggest that cesarean delivery does not increase or decrease the risk of suspected developmental in children delay as compared with vaginal delivery.

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Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

Cited by 20 publications

References 34 publications

Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey

Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey

Cesarean birth is not associated with early childhood body mass index

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

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