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学科主题: 公共卫生
题名:
Cesarean delivery on maternal request and childhood intelligence: a cohort study
作者: 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
发表日期: 2011-12-05
DOI: 10.3760/cma.j.issn.0366-6999.2011.23.025
卷: 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
所属项目编号: 2007CB5119001 ; BMU20100105
项目资助者: Major State Basic Research Project, China ; Peking University Health Science Center
WOS记录号: WOS:000299061300025
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56530
Appears in Collections:北京大学公共卫生学院_期刊论文

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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

Recommended Citation:
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.
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