Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey
Objective 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 Stag...
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PeerJ Inc.
2019-10-01
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| Online Access: | https://peerj.com/articles/7902.pdf |
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| author | Hong Zhou Yuan Ding Yuning Yang Siyu Zou Xueqi Qu Anqi Wang Xi Wang Yue Huang Xintong Li Xiaona Huang Yan Wang |
| author_facet | Hong Zhou Yuan Ding Yuning Yang Siyu Zou Xueqi Qu Anqi Wang Xi Wang Yue Huang Xintong Li Xiaona Huang Yan Wang |
| author_sort | Hong Zhou |
| collection | DOAJ |
| description | Objective 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 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. 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. |
| first_indexed | 2024-03-09T08:01:44Z |
| format | Article |
| id | doaj.art-85de10a52d754cb59fcdd945a6da4dd0 |
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| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T08:01:44Z |
| publishDate | 2019-10-01 |
| publisher | PeerJ Inc. |
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| series | PeerJ |
| spelling | doaj.art-85de10a52d754cb59fcdd945a6da4dd02023-12-03T00:41:38ZengPeerJ Inc.PeerJ2167-83592019-10-017e790210.7717/peerj.7902Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based surveyHong Zhou0Yuan Ding1Yuning Yang2Siyu Zou3Xueqi Qu4Anqi Wang5Xi Wang6Yue Huang7Xintong Li8Xiaona Huang9Yan Wang10Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaUNICEF China, Beijing, ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaChildren’s Hospital of Philadelphia, Philadelphia, PA, United States of AmericaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaBeijing Camford Royal School, Beijing, ChinaUNICEF China, Beijing, ChinaDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, ChinaObjective 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 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. 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.https://peerj.com/articles/7902.pdfCesarean deliveryDevelopmental delayDelivery mode |
| spellingShingle | Hong Zhou Yuan Ding Yuning Yang Siyu Zou Xueqi Qu Anqi Wang Xi Wang Yue Huang Xintong Li Xiaona Huang Yan Wang Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey PeerJ Cesarean delivery Developmental delay Delivery mode |
| title | Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey |
| title_full | Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey |
| title_fullStr | Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey |
| title_full_unstemmed | Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey |
| title_short | Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey |
| title_sort | effects on developmental outcomes after cesarean birth versus vaginal birth in chinese children aged 1 59 months a cross sectional community based survey |
| topic | Cesarean delivery Developmental delay Delivery mode |
| url | https://peerj.com/articles/7902.pdf |
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