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Cesarean delivery on maternal request and childhood intelligence: a cohort study
Li Hong-tian1; Ye Rong-wei1; Pei Li-jun2; Ren Ai-guo1; Zheng Xiao-ying2; Liu Jian-meng1,3
关键词Cesarean Delivery On Maternal Request Child Intelligence Quotient
刊名CHINESE MEDICAL JOURNAL
2011-12-05
DOI10.3760/cma.j.issn.0366-6999.2011.23.025
124期:23页:3982-3987
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]SECTION ; RATES ; OUTCOMES ; HEALTH ; CHINA ; AGE
英文摘要

Background Cesarean section births have been steadily increasing over the past decade and have become an epidemic in China. Cesarean delivery on maternal request is a major contributor to this upward trend, and there has been of much concern about its impact on maternal and child health. Most of mothers believe that cesarean delivery on maternal request can improve the child′s intelligence, but direct evidence is sparse. In this cohort study, we aimed to directly assess the impact of cesarean delivery on maternal request on childhood intelligence.

Methods Intelligence quotient (IQ) of 4144 preschool children from 21 cities/counties of Zhejiang and Jiangsu province whose mothers were registered in a population-based perinatal surveillance program during 1993-1996 was assessed with Chinese Wechsler Young Children Scale of Intelligence (C-WYCSI) in 2000. The outcomes were full-scale IQ, verbal IQ, and performance IQ of C-WYCSI. Mode of delivery and covariates were obtained from the surveillance program. We estimated unadjusted and adjusted effects of cesarean delivery on maternal request and assisted vaginal delivery on IQ scores compared with spontaneous vaginal delivery using regression analysis.

Results The mean full-scale, verbal, and performance IQ for all children was 99.3 +/- 16.1, 93.6 +/- 17.7, and 105.3 +/- 14.3. In crude analysis, cesarean delivery on maternal request versus spontaneous vaginal delivery was associated with an increase of 3.9 (95% confidence interval, 0.6 to 7.2) points in full-scale IQ, 4.8 (1.2 to 8.4) points in verbal IQ, and 2.4 (-0.6 to 5.3) points in performance IQ. After adjusting for maternal education, occupation, and IQ, the advantage was reduced to 1.6 (-1.3 to 4.5), 2.3 (-.8 to 5.5), and 0.6 (-2.0 to 3.3) points for full-scale, verbal, and performance IQ, respectively. Assisted vaginal delivery versus spontaneous vaginal delivery was not associated with IQ scores in any analysis.

Conclusion Neither cesarean delivery on maternal request nor assisted vaginal delivery affected children′s IQ. Chin Med J 2011;124(23):3982-3987

语种英语
WOS记录号WOS:000299061300025
项目编号2007CB5119001 ; BMU20100105
资助机构Major State Basic Research Project, China ; Peking University Health Science Center
引用统计
被引频次:4[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/400002259/56530
专题北京大学公共卫生学院
北京大学医学部管理机构_医学部
北京大学公共卫生学院_卫计委生育健康重点实验室
作者单位1.Peking Univ, Hlth Sci Ctr, Inst Reprod & Child Hlth, Minist Hlth,Key Lab Reprod Hlth, Beijing 100191, Peoples R China
2.Peking Univ, Inst Populat Res, WHO Collaborating Ctr Reprod Hlth & Popul Sci, Beijing 100871, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100191, Peoples R China
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Li Hong-tian,Ye Rong-wei,Pei Li-jun,et al. Cesarean delivery on maternal request and childhood intelligence: a cohort study[J]. CHINESE MEDICAL JOURNAL,2011,124(23):3982-3987.
APA Li Hong-tian,Ye Rong-wei,Pei Li-jun,Ren Ai-guo,Zheng Xiao-ying,&Liu Jian-meng.(2011).Cesarean delivery on maternal request and childhood intelligence: a cohort study.CHINESE MEDICAL JOURNAL,124(23),3982-3987.
MLA Li Hong-tian,et al."Cesarean delivery on maternal request and childhood intelligence: a cohort study".CHINESE MEDICAL JOURNAL 124.23(2011):3982-3987.
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