Evidence map›Paper›PMID 41235960›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2026

Timing of Intrapartum Antibiotics at Caesarean Section and Risk of Asthma, Eczema and Allergic Rhinitis: Results From a Natural Experiment.

Lucy Pembrey, Gillian Santorelli, Sergio Souza da Cunha, Sam Oddie, Emily S Petherick, Neil Pearce, Amy Hough, John Wright

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Lucy PembreyDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-0455-7469
Gillian SantorelliBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Sergio Souza da CunhaBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Sam OddieBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.ORCID https://orcid.org/0000-0001-8701-4912
Emily S PetherickSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Neil PearceDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK.
Amy HoughBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
John WrightBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.

Funding

National Institute for Health and Care Research 16/150/06National Institute for Health Research NIHR200166Wellcome TrustWellcome Trust 223601
6 · The paper itself

Abstract

objectiveTo investigate whether the risk of asthma, eczema and allergic rhinitis at 5 years in children born by caesarean section (CS) differs by the timing of antibiotic administration to the mother (pre-incision vs. post-cord clamping).

designNatural experiment using birth cohort data.

settingUK single centre population-based birth cohort.

participants3013 liveborn children delivered by CS, from the Born in Bradford (BiB) cohort born 2007-2011 and BiB's Better Start (BiBBS) cohort born 2016-2019. Only the first-born of multiple births was included.

main outcome measuresRisk of asthma, atopic eczema and allergic rhinitis at age 5 years.

resultsAmong 3013 children, 579 (19.2%) were exposed to pre-incision antibiotics. At 5 years, 272 (9.0%) children had asthma, 672 (22.3%) had eczema and 180 (6.0%) had allergic rhinitis. There was no evidence of an increased risk of asthma (adjusted risk ratio [aRR] 1.01, 95% CI 0.56, 1.83; adjusted risk difference [aRD] 0.08 per 100, 95% CI -5.28, 5.44), eczema (aRR 0.96, 95% CI 0.68, 1.35; aRD -1.01 per 100, 95% CI -8.65, 6.63) or allergic rhinitis (aRR 1.16, 95% CI 0.59, 2.28; aRD 0.88 per 100, 95% CI -3.17, 4.92) at 5 years in children exposed to pre-incision antibiotics versus post-cord clamping.

conclusionsThis study found no evidence of an association between pre-incision antibiotics for CS and increased risk of asthma, eczema or allergic rhinitis by age 5. These findings contribute to the evidence base informing the optimum timing of maternal antibiotic prophylaxis for CS, balancing risks and benefits to the mother and her child.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisAsthmaCesarean SectionDermatitis, AtopicEczemaRhinitis, AllergicAdultChild, PreschoolFemaleHumansInfant, NewbornMalePregnancyRisk FactorsTime FactorsAnti-Bacterial Agentsallergic rhinitisasthmacaesarean sectioneczemaprophylactic antibiotics

Identifiers

PMID41235960
PMCPMC12884210

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LicenceCC BY
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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.