Evidence map›Paper›PMID 28963295›Full record

ArticleBMJ open2017

Associations of caesarean delivery and the occurrence of neurodevelopmental disorders, asthma or obesity in childhood based on Taiwan birth cohort study.

Ginden Chen, Wan-Lin Chiang, Bih-Ching Shu, Yue Leon Guo, Shu-Ti Chiou, Tung-Liang Chiang

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05196750 (Effect of Obstetric Anesthesia and Delivery Mode On Neurodevelopmental And Behavioural Outcomes In A Population-Based Birth Cohort), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
6.9field-weighted citation impact, top 4% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05196750 completednot on this mapstarted 2021, after this paper: background citation

Effect of Obstetric Anesthesia and Delivery Mode On Neurodevelopmental And Behavioural Outcomes In A Population-Based Birth Cohort

TypeobservationalSponsorNational University Hospital, SingaporeRan2021 to 2023Enrolled1,176ConditionsNeurodevelopmental Disorders, BehaviorArmsBehavioural questionnaires and assessments on mother and child
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Risk Factors in the First 1000 Days of Life Associated With Childhood Obesity: A Systematic Review and Risk Factor Quality Assessment.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  5. Article
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  12. Role of Gut Microbiome in Autism Spectrum Disorder and Its Therapeutic Regulation.Frontiers in cellular and infection microbiology · 2022
    Review
  13. Birth by cesarean section and mood disorders among adolescents of a birth cohort study in northern Brazil.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  14. Observational
  15. Article
  16. Article
  17. Exploring Mediation Roles of Child Screen-Viewing between Parental Factors and Child Overweight in Taiwan.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Review
  20. The role of Caesarean section in childhood asthma.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Ginden ChenInstitute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
Wan-Lin ChiangInstitute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
Bih-Ching ShuDepartment of Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan.
Yue Leon GuoDepartment of Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan.
Shu-Ti ChiouHealth Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan.
Tung-Liang ChiangInstitute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
National Taiwan University · TWChung Shan Medical University Hospital · TWMinistry of Health and Welfare · TWNational Cheng Kung University · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhether birth by caesarean section (CS) increases the occurrence of neurodevelopmental disorders, asthma or obesity in childhood is controversial. We tried to demonstrate the association between children born by CS and the occurrence of the above three diseases at the age of 5.5 years.

methodsThe database of the Taiwan Birth Cohort Study which was designed to assess the developmental trajectories of 24 200 children born in 2005 was used in this study. Associations between children born by CS and these three diseases were evaluated before and after controlling for gestational age (GA) at birth, children's characteristics and disease-related predisposing factors.

resultsChildren born by CS had significant increases in neurodevelopmental disorders (20%), asthma (14%) and obesity (18%) compared with children born by vaginal delivery. The association between neurodevelopmental disorders and CS was attenuated after controlling for GA at birth (OR 1.15; 95% CI 0.98 to 1.34). Occurrence of neurodevelopmental disorders steadily declined with increasing GA up to ≤40-42 weeks. CS and childhood asthma were not significantly associated after controlling for parental history of asthma and GA at birth. Obesity in childhood remained significantly associated with CS (OR 1.13; 95% CI 1.04 to 1.24) after controlling for GA and disease-related factors.

conclusionsOur results implied that the association between CS birth and children's neurodevelopmental disorders was significantly influenced by GA. CS birth was weakly associated with childhood asthma since parental asthma and preterm births are stronger predisposing factors. The association between CS birth and childhood obesity was robust after controlling for disease-related factors.

Indexed as

Gestational AgeAsthmaCesarean SectionChild, PreschoolCohort StudiesFemaleHumansLogistic ModelsMaleNeurodevelopmental DisordersPediatric ObesityPregnancyTaiwanasthmacesarean deliveryneurodevelopmental disordersobesityvaginal delivery

Identifiers

PMID28963295
PMCPMC5623585
OpenAlexW2757698273

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.