Evidence map›Paper›PMID 25868660›Full record

ArticleSocial psychiatry and psychiatric epidemiology2015

The impact of obstetric mode of delivery on childhood behavior.

Sukainah Y Al Khalaf, Sinéad M O'Neill, Linda M O'Keeffe, Tine B Henriksen, Louise C Kenny, John F Cryan, Ali S Khashan

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Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sukainah Y Al KhalafDepartment of Epidemiology and Public Health, University College Cork, Fourth Floor, Western Gate Building, Cork, Ireland.
Sinéad M O'NeillDepartment of Obstetrics and Gynaecology, National Perinatal Epidemiology Centre (NPEC), Cork University Maternity Hospital, Wilton, Cork, Ireland.
Linda M O'KeeffeDepartment of Epidemiology and Public Health, University College Cork, Fourth Floor, Western Gate Building, Cork, Ireland. l.okeeffe@ucc.ie.
Tine B HenriksenPerinatal Epidemiology Research Unit, Department of Pediatrics, Aarhus University Hospital, Skejby, Denmark.
Louise C KennyDepartment of Obstetrics and Gynaecology, The Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland.
John F CryanDepartment of Anatomy and Neuroscience, Alimentary Pharmabiotic Centre, University College Cork, Cork, Ireland.
Ali S KhashanDepartment of Epidemiology and Public Health, University College Cork, Fourth Floor, Western Gate Building, Cork, Ireland. a.khashan@ucc.ie.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigated the hypothesis that mode of delivery affects childhood behavior and motor development and examined whether there are sex-specific associations, i.e., whether males and females have different risk estimates.

methodsFamilies with infants born between December 2007 and May 2008 (N = 11,134) were randomly selected and recruited to the Growing Up in Ireland study. Mode of delivery was classified into spontaneous vaginal delivery; instrumental vaginal delivery; emergency Cesarean section (CS); and elective CS. The 'Ages and Stages Questionnaire' was completed at age 9-months and the 'Strengths and Difficulties Questionnaire' at 3 years. Data were weighted to represent the national sample (N = 73,662) and multivariate logistic regression was used for the statistical analyses.

resultsAt age 9 months, elective CS was associated with a delay in personal social skills [adjusted odds ratio, aOR 1.24; (95% confidence interval, CI 1.04, 1.48)] and gross motor function [aOR 1.62, (95% CI 1.34, 1.96)], whereas emergency CS was associated with delayed gross motor function [aOR 1.30, (95% CI 1.06, 1.59)]. At age 3 years there was no significantly increased risk of an abnormal total SDQ score across all modes of delivery.

conclusionsChildren born by elective CS may face a delay in cognitive and motor development at age 9 months. No increase in total SDQ score was found across all modes of delivery. Further investigation is needed to replicate these findings in other populations and explore the potential biological mechanisms.

Indexed as

AdolescentAdultCesarean SectionChild BehaviorChild, PreschoolDelivery, ObstetricElective Surgical ProceduresEmergency Medical ServicesFemaleFollow-Up StudiesHumansInfantIrelandLogistic ModelsMaleMultivariate AnalysisBehavioral developmentCesarean sectionChildhood behavioral problemsCognitive skillsObstetric mode of delivery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.