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[Attentiveness in school children: effect of cesarean section birth]
Xiao-Bo Tian1, Ya-Ru Zhao, Jian Ma
1Department of Developmental Pediatrics, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, China.
Insights
Cesarean section births do not impact school children's attentiveness. However, medical reasons for cesarean delivery may be linked to attention deficit disorder in children.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Neuroscience
Context:
- Cesarean section rates have increased globally.
- Understanding birth mode impacts on child development is crucial.
- Attentiveness is a key factor in academic success.
Purpose:
- To investigate the influence of cesarean section indications on school children's attentiveness.
- To compare attentiveness levels across natural delivery, social cesarean, and medical cesarean groups.
Summary:
- A study of 308 school children used the Integrated Visual and Auditory Continuous Performance Test (IVA-CPT).
- Children born via cesarean section for medical reasons showed poorer attentiveness compared to natural delivery or social cesarean groups.
- No significant attentiveness differences were found between natural delivery and social cesarean groups.
Impact:
- Cesarean section itself does not appear to affect attentiveness.
- Medical indications for cesarean delivery may be a significant factor in attention deficit disorder.
- Findings highlight the importance of birth indication in understanding developmental outcomes.
Objective:
To study the effect of cesarean section birth based on different indications on attentiveness in school children.
Methods:
A total of 308 school children were assigned to three groups according to their birth model: natural delivery (n = 105), cesarean section due to social factors (n = 101) or medical factors (n = 102). The integrated visual and auditory continuous performance test (IVA-CPT) was performed for assessing attentiveness.
Results:
The IVA-CPT demonstrated that there were significant differences in the quotients of combination control, auditory response control, combination attention, auditory attention, visual attention, auditory vigilance, visual concordance, visual vigilance and visual attention among the three groups (p<0.05). The results of the IVA-CPT in the group of cesarean section due to medical factors was obviously poorer than that of the natural delivery group and the group of cesarean section due to social factors. However no significant differences were observed between the groups of natural delivery and of cesarean section due to social factors.
Conclusions:
Cesarean section itself has no significant impacts on attentiveness in school children, while medical indications for cesarean section may contribute to major cause of attention deficit disorder.
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