Association between caesarean section and childhood asthma development

According to the World Health Organization (WHO), the rates of caesarean section delivery, which is the most common surgical procedure in gynecology and obstetrics, are increasing globally and amount to 21%. In Poland percentage of caesarean sections (CS) is one of the highest in Europe and amount...

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Main Authors: Lena Musiał, Agnieszka Możdżyńska, Weronika Pawłocik, Laura Wojtala, Julia Szymańska, Weronika Pawlak, Ewa Grabowska, Kamil Kapłon, Anna Rymarz, Dominika Kojder
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-04-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/43155
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author Lena Musiał
Agnieszka Możdżyńska
Weronika Pawłocik
Laura Wojtala
Julia Szymańska
Weronika Pawlak
Ewa Grabowska
Kamil Kapłon
Anna Rymarz
Dominika Kojder
author_facet Lena Musiał
Agnieszka Możdżyńska
Weronika Pawłocik
Laura Wojtala
Julia Szymańska
Weronika Pawlak
Ewa Grabowska
Kamil Kapłon
Anna Rymarz
Dominika Kojder
author_sort Lena Musiał
collection DOAJ
description According to the World Health Organization (WHO), the rates of caesarean section delivery, which is the most common surgical procedure in gynecology and obstetrics, are increasing globally and amount to 21%. In Poland percentage of caesarean sections (CS) is one of the highest in Europe and amount to 42.2%. The reason for this is the extension of medical indications, but also an increase in the number of CS at the request of pregnant women. Although CS can be a lifesaving procedure, it can also cause many health complications for both - the woman and the child. Numerous studies indicate that caesarean delivery is associated with childhood asthma. Several hypotheses of the pathogenesis of this relationship have been presented. One of them, which is based on the hygiene hypothesis indicates that mode of delivery can cause different bacteria colonization in infants. Lack of contact of fetus with the mother’s vaginal flora during CS labor may cause improper immune system maturation. Another hypothesis is that reduced exposure to stress hormones and mechanical forces during CS labor can indicate infant respiratory complications such as respiratory distress syndrome (RDS) or transient tachypnea of the newborn (TTN). It is suggested that these abnormalities have an impact on asthma development in later life. On the other hand, there are studies which do not confirm that mode of delivery has an influence on the induction of asthma. Due to the significant heterogeneity of studies and unclear risk factors and pathomechanism of the childhood asthma it is impossible to strong confirm the association between caesarean section and asthma developing.
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spelling doaj.art-93fadd1468194dd695fababf0ee3fdba2023-04-15T10:45:22ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-04-0118110.12775/JEHS.2023.18.01.007Association between caesarean section and childhood asthma developmentLena Musiał0Agnieszka Możdżyńska1Weronika Pawłocik2Laura Wojtala3Julia Szymańska4Weronika Pawlak5Ewa Grabowska6Kamil Kapłon7Anna Rymarz8Dominika Kojder9Szpital Średzki Serca Jezusowego Sp. z o.o. ul. Żwirki i Wigury 10, 63-000 Środa WielkopolskaSzpital Średzki Serca Jezusowego Sp. z o.o., ul. Żwirki i Wigury 10, 63-000 Środa WielkopolskaWojewódzki Szpital Zespolony w Lesznie, ul. Jana Kiepury 45, 64-115 LesznoUniwersytecki Szpital Kliniczny w Poznaniu, ul. Przybyszewskiego 49, 60-355 PoznańSzpital Miejski im. Franciszka Raszei ul. Mickiewicza 2, 60-834 PoznańSamodzielny Publiczny Zakład Opieki Zdrowotnej Ministerstwa Spraw Wewnętrznych i Administracji w Poznaniu im. prof. Ludwika Bierkowskiego. ul.Dojazd 34, 60-631 PoznańNowodworskie Centrum Medyczne ul. Miodowa 2, 05-100 Nowy Dwór MazowieckiUniwersytecki Szpital Kliniczny w Poznaniu ul. Przybyszewskiego 49, 60-355 PoznańSzpital MSWiA w Lublinie ul. Grenadierów 3 20-331 LublinSamodzielny Publiczny Zakład Opieki Zdrowotnej w Przeworsku ul. Szpitalna 16 37-200 Przeworsk According to the World Health Organization (WHO), the rates of caesarean section delivery, which is the most common surgical procedure in gynecology and obstetrics, are increasing globally and amount to 21%. In Poland percentage of caesarean sections (CS) is one of the highest in Europe and amount to 42.2%. The reason for this is the extension of medical indications, but also an increase in the number of CS at the request of pregnant women. Although CS can be a lifesaving procedure, it can also cause many health complications for both - the woman and the child. Numerous studies indicate that caesarean delivery is associated with childhood asthma. Several hypotheses of the pathogenesis of this relationship have been presented. One of them, which is based on the hygiene hypothesis indicates that mode of delivery can cause different bacteria colonization in infants. Lack of contact of fetus with the mother’s vaginal flora during CS labor may cause improper immune system maturation. Another hypothesis is that reduced exposure to stress hormones and mechanical forces during CS labor can indicate infant respiratory complications such as respiratory distress syndrome (RDS) or transient tachypnea of the newborn (TTN). It is suggested that these abnormalities have an impact on asthma development in later life. On the other hand, there are studies which do not confirm that mode of delivery has an influence on the induction of asthma. Due to the significant heterogeneity of studies and unclear risk factors and pathomechanism of the childhood asthma it is impossible to strong confirm the association between caesarean section and asthma developing. https://apcz.umk.pl/JEHS/article/view/43155caesarean sectionasthmavaginal delivery
spellingShingle Lena Musiał
Agnieszka Możdżyńska
Weronika Pawłocik
Laura Wojtala
Julia Szymańska
Weronika Pawlak
Ewa Grabowska
Kamil Kapłon
Anna Rymarz
Dominika Kojder
Association between caesarean section and childhood asthma development
Journal of Education, Health and Sport
caesarean section
asthma
vaginal delivery
title Association between caesarean section and childhood asthma development
title_full Association between caesarean section and childhood asthma development
title_fullStr Association between caesarean section and childhood asthma development
title_full_unstemmed Association between caesarean section and childhood asthma development
title_short Association between caesarean section and childhood asthma development
title_sort association between caesarean section and childhood asthma development
topic caesarean section
asthma
vaginal delivery
url https://apcz.umk.pl/JEHS/article/view/43155
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AT laurawojtala associationbetweencaesareansectionandchildhoodasthmadevelopment
AT juliaszymanska associationbetweencaesareansectionandchildhoodasthmadevelopment
AT weronikapawlak associationbetweencaesareansectionandchildhoodasthmadevelopment
AT ewagrabowska associationbetweencaesareansectionandchildhoodasthmadevelopment
AT kamilkapłon associationbetweencaesareansectionandchildhoodasthmadevelopment
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