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Associations Between Mode of Birth and Neuropsychological Development in Children Aged 4 Years: Results from a Birth Cohort Study

L. Takács, SP. Putnam, C. Monk, HG. Dahlen, C. Thornton, F. Bartoš, A. Topalidou, LL. Peters

. 2021 ; 52 (6) : 1094-1105. [pub] 20201031

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

Grant support
17-10464S Grantová Agentura České Republiky
CZ.02.1.01/0.0/0.0/16_019/0000734 European Regional Development Fund
2019-28-12 Fulbright Commission Czech Republic

E-resources Online Full text

NLK ProQuest Central from 1997-04-01 to 1 year ago
Medline Complete (EBSCOhost) from 1993-09-01 to 1 year ago
Health & Medicine (ProQuest) from 1997-04-01 to 1 year ago

The aim of this prospective longitudinal study was to examine the association between Cesarean section (CS) and child development and behavior. The sample consisted of 256 children who were born at term without serious perinatal pathologies. Their development and behavior was assessed at the age of four using Ages and Stages Questionnaire (ASQ-3), Children's Behavior Questionnaire and Strength and Difficulties Questionnaire. Multivariate linear regression analyses were conducted to assess the association between CS and child outcomes. CS was associated with better scores in the Problem Solving domain of the ASQ in the whole sample. After stratifying by child sex, the positive association between CS and the Problem Solving domain was significant in boys, while no association was found in girls. Girls were rated less optimally in the Gross Motor domain of the ASQ when born via CS. Mode of birth was not associated with behavioral outcomes.

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