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学科主题: 公共卫生
题名:
Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China
作者: 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
发表日期: 2011
DOI: 10.1111/j.1471-0528.2010.02762.x
卷: 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
所属项目编号: 2007CB5119001
项目资助者: Major State Basic Research Project, China
WOS记录号: WOS:000285205600008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50394
Appears in Collections:北京大学公共卫生学院_流行病与卫生统计学系_期刊论文

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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

Recommended Citation:
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.
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