ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
Childhood emotional and behavior problems and their associations with cesarean delivery.
Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of cesarean section on the risk of autism spectrum disorders/attention deficit hyperactivity disorder in offspring: a meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- Effects of vaginal microbiota transfer on social-emotional and neurodevelopment in cesarean-born infants: 12-month follow-up of a pilot randomized clinical trial.Acta obstetricia et gynecologica Scandinavica · 2026Trial
- Conceptual modeling of child temperament, emotional and behavioral problems, and parenting style in relation to children's oral health and dental visit behavior.Scientific reports · 2026Article
- Paternal drinking in western China is associated with preschool children's well-being: a cross-sectional SDQ study.Frontiers in psychiatry · 2026Article
- Emotional and behavioral problems and its associated factors among pre-school children of Mekelle, Tigray, Ethiopia: community based cross sectional study.Scientific reports · 2025Article
- Article
- Association between obstetric mode of delivery and emotional and behavioural problems in children and adolescents: the children of the 90s health study.Social psychiatry and psychiatric epidemiology · 2024Article
- The Association between Cesarean Section Delivery and Child Behavior: Is It Mediated by Maternal Post-Traumatic Stress Disorder and Maternal Postpartum Depression?Behavioral sciences (Basel, Switzerland) · 2024Article
- Association between obstetric mode of delivery and emotional and behavioural problems in children and adolescents: the children of the 90s health study.Social psychiatry and psychiatric epidemiology · 2023Article
- Obstetrical mode of delivery and behavioural outcomes in childhood and adolescence: findings from the Millennium Cohort Study.Social psychiatry and psychiatric epidemiology · 2022Article
- Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms.International journal of environmental research and public health · 2022Article
- Associations Between Mode of Birth and Neuropsychological Development in Children Aged 4 Years: Results from a Birth Cohort Study.Child psychiatry and human development · 2021Article
- Birth signalling hormones and the developmental consequences of caesarean delivery.Journal of neuroendocrinology · 2021Review
- Parturition and the perinatal period: can mode of delivery impact on the future health of the neonate?The Journal of physiology · 2018Review
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6 authors.
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Abstract
objectiveTo determine the prevalence of childhood emotional and behavioral problems and examine their associations with cesarean delivery.
methodsOur sample consisted of 8,900 preschoolers from 35 kindergartens in four cities in East China. Parents completed the Strengths and Difficulties Questionnaire (SDQ) and provided other information. Children's emotional and behavioral problems were assessed using five subscales of the SDQ. Mode of delivery was classified as vaginal or cesarean section (CS); in sub-analyses, we divided CS into elective or emergency delivery. Logistic regression was used to examine associations.
resultsA total of 1,209 (13.6%) children had a total SDQ score within abnormal range; 25.5% had peer problems within abnormal range, 9.0% had abnormal emotional symptoms, 13.9% had abnormal conduct problems, 18.9% had abnormal hyperactivity problems, and 16.2% were rated abnormal in pro-social behavior. Overall, 67.3% of the children who participated were delivered by CS. In fully adjusted analysis, CS was significantly associated with abnormal total SDQ score (OR = 1.27; 95%CI 1.10-1.46; p < 0.05) and pro-social behavior (OR = 1.27; 95%CI 1.12-1.45; p < 0.0001). No significant association was found between CS and risk of having conduct problems (OR 1.13; 95%CI 0.98-1.29), peer problems (OR 1.11; 95%CI 0.99-1.24), hyperactivity (OR 1.02; 95%CI 0.91-1.15), or emotional problems (OR 1.06; 95%CI 0.90-1.24).
conclusionIn this sample, CS was associated with risk of behavioral problems, but not with emotional problems. Further research is needed to better understand these associations.
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