学科主题公共卫生
Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China
Li, H-T1; Ye, R.2; Achenbach, T. M.3; Ren, A.4; Pei, L.5; Zheng, X.5; Liu, J-M1
关键词Caesarean Delivery On Maternal Request Childhood Mode Of Delivery Psychopathology
刊名BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
2011
DOI10.1111/j.1471-0528.2010.02762.x
118期:1页:42-48
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
关键词[WOS]CORTISOL RESPONSE ; VAGINAL DELIVERY ; STRESS-RESPONSE ; RISK-FACTORS ; CHILDREN ; DEPRESSION ; SECTION ; INFANCY ; BIRTH ; REACTIVITY
英文摘要

Objective

To prospectively examine the association between mode of delivery and childhood psychopathology.

Design

Retrospective cohort study.

Setting

Eighteen counties and three cities in China.

Population

A total of 4190 preschool children whose mothers were registered in a perinatal surveillance programme were assessed with the Child Behaviour Checklist (CBCL), an instrument to assess child emotional (internalising) and behavioural (externalising) problems.

Methods

Differences in CBCL problem scores were analysed both quantitatively and categorically among children born by caesarean delivery on maternal request (CDMR), assisted vaginal delivery (AVD), and spontaneous vaginal delivery (SVD).

Main outcome measures

The CBCL total, externalising, and internalising scores.

Results

There were significant differences in the mean scores of total (20.9, 23.0, and 25.0), externalising (7.6, 8.4, and 9.1), and internalising (4.7, 5.2, and 5.6) problems among children born by CDMR, SVD, and AVD, after adjusting for potential confounding factors (P = 0.007, 0.014, and 0.031). Children born by AVD were more likely than those born by SVD to have total (OR 1.43; 95% CI 1.10-1.86), externalising (OR 1.46; 95% CI 1.11-1.92), and internalising (OR 1.41; 95% CI 1.08-1.84) scores in the highest quartile, whereas children born by CDMR were less likely to have externalising scores in the highest quartile (OR 0.64; 95% CI 0.42-0.97). Furthermore, there were significant increasing linear trends on all problem scores, and in the odds of being in the highest quartile, from children born by CDMR to those born by SVD and AVD.

Conclusion

The likelihood of childhood psychopathological problems may be the lowest in children born by CDMR, followed by those born by SVD, whereas the highest probability was observed in those born by AVD.

语种英语
WOS记录号WOS:000285205600008
项目编号2007CB5119001
资助机构Major State Basic Research Project, China
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50394
专题北京大学公共卫生学院_流行病与卫生统计学系
北京大学第一临床医学院_老年病内科
北京大学第二临床医学院_检验科
作者单位1.Peking Univ, Inst Reprod & Child Hlth, Hlth Sci Ctr, Dept Epidemiol, Beijing 100191, Peoples R China
2.Peking Univ, Inst Reprod & Child Hlth, Hlth Sci Ctr, Dept Surveillance & Data Management, Beijing 100191, Peoples R China
3.Univ Vermont, Dept Psychiat, Burlington, VT USA
4.Peking Univ, Inst Reprod & Child Hlth, Hlth Sci Ctr, Dept Hlth Promot, Beijing 100191, Peoples R China
5.Peking Univ, Inst Populat Res, WHO, Collaborating Ctr Reprod Hlth & Populat Sci, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Li, H-T,Ye, R.,Achenbach, T. M.,et al. Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China[J]. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY,2011,118(1):42-48.
APA Li, H-T.,Ye, R..,Achenbach, T. M..,Ren, A..,Pei, L..,...&Liu, J-M.(2011).Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China.BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY,118(1),42-48.
MLA Li, H-T,et al."Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China".BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY 118.1(2011):42-48.
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