Evidence map›Paper›PMID 30467219›Full record

ArticleAJNR. American journal of neuroradiology2019

Cesarean Delivery Impacts Infant Brain Development.

S C Deoni, S H Adams, X Li, T M Badger, R T Pivik, C M Glasier, R H Ramakrishnaiah, A C Rowell, X Ou

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pediatrics Consequences of Caesarean Section-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020
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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

9 authors.

S C DeoniSchool of Engineering (S.C.D.), Brown University, Providence, Rhode Island.ORCID 0000-0002-0633-6328
S H AdamsFrom the Arkansas Children's Nutrition Center (S.H.A., T.M.B., R.T.P., X.O.), Little Rock, Arkansas.ORCID 0000-0002-9515-2319
X LiDepartments of Radiology (X.L., C.M.G., R.H.R., A.C.R., X.O.).ORCID 0000-0003-1602-8895
T M BadgerFrom the Arkansas Children's Nutrition Center (S.H.A., T.M.B., R.T.P., X.O.), Little Rock, Arkansas.ORCID 0000-0003-1159-7191
R T PivikFrom the Arkansas Children's Nutrition Center (S.H.A., T.M.B., R.T.P., X.O.), Little Rock, Arkansas.ORCID 0000-0001-6867-6400
C M GlasierDepartments of Radiology (X.L., C.M.G., R.H.R., A.C.R., X.O.).ORCID 0000-0001-5202-1696
R H RamakrishnaiahDepartments of Radiology (X.L., C.M.G., R.H.R., A.C.R., X.O.).ORCID 0000-0002-3812-2404
A C RowellDepartments of Radiology (X.L., C.M.G., R.H.R., A.C.R., X.O.).ORCID 0000-0002-1255-0005
X OuFrom the Arkansas Children's Nutrition Center (S.H.A., T.M.B., R.T.P., X.O.), Little Rock, Arkansas ouxiawei@uams.edu.ORCID 0000-0001-9815-0127

Funding

Translational Regulation in Normal Erythropoiesis and Diamond Blackfan AnemiaP20GM121293 · NIGMS · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI Alan Tackett, Sean D. Taverna · 2017 to 2026
$27.6M
The Developing Brain: Influences and OutcomesUH3OD023313 · OD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI Viren Andrew D'Sa, Daphne Koinis Mitchell · 2018 to 2026
$20.7M
The Developing Brain: Influences and OutcomesUG3OD023313 · OD · UNIVERSITY OF COLORADO DENVER · PI D'SA, VIREN ANDREW, KOINIS MITCHELL, DAPHNE · 2016 to 2024
$11.6M
Telemedicine CoreP30GM110702 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2014 to 2018
$6.1M
Imaging White Matter Maturation During Healthy Brain DevelopmentR01MH087510 · NIMH · BROWN UNIVERSITY · PI DEONI, SEAN CL · 2009 to 2013
$2.2M
NIGMS NIH HHS P20 GM121293NIGMS NIH HHS P30 GM110702NIH HHS UG3 OD023313NIH HHS UH3 OD023313NIMH NIH HHS R01 MH087510
6 · The paper itself

Abstract

background and purposeThe cesarean delivery rate has increased globally in the past few decades. Neurodevelopmental outcomes associated with cesarean delivery are still unclear. This study investigated whether cesarean delivery has any effect on the brain development of offspring. MATERIALS AND

methodsA total of 306 healthy children were studied retrospectively. We included 3 cohorts: 2-week-old neonates (cohort 1,

resultsWhile not all MR imaging techniques were shared across the institutions/cohorts, post hoc analyses showed similar results of potential effects of cesarean delivery. The cesarean delivery group in cohort 1 showed significantly lower white matter development in widespread brain regions and significantly lower functional connectivity in the brain default mode network, controlled for a number of potential confounders. No group differences were found in cohort 2 in white matter integrity or gray matter volume. Cohort 3 had significantly different trajectories of white matter myelination between groups, with those born by cesarean delivery having reduced myelin in infancy but normalizing with age.

conclusionsCesarean delivery may influence infant brain development. The impact may be transient because similar effects were not observed in older children. Further prospective and longitudinal studies may be needed to confirm these novel findings.

Indexed as

AdultBrainCesarean SectionChildChild, PreschoolCohort StudiesDiffusion Tensor ImagingFemaleGray MatterHumansInfantInfant, NewbornLongitudinal StudiesMagnetic Resonance ImagingMaleMyelin Sheath

Identifiers

PMID30467219
PMCPMC6330134

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Registered trials

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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.