Related Experiment Video

Updated: Jun 7, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

Caesarean delivery on maternal request and childhood psychopathology: a retrospective cohort study in China

H-T Li1, R Ye, T M Achenbach

  • 1Department of Epidemiology, Institute of Reproductive and Child Health, Peking University Health Science Center, Beijing, China.

BJOG : an International Journal of Obstetrics and Gynaecology
|November 6, 2010
PubMed

Insights

Childbirth method impacts psychopathology. Assisted vaginal delivery (AVD) was linked to higher risks, while caesarean delivery on maternal request (CDMR) showed the lowest risks for childhood behavioral and emotional problems.

Area of Science:

  • Developmental Psychology
  • Perinatal Health
  • Child Psychiatry

Background:

  • Mode of delivery is a significant factor in perinatal outcomes.
  • Childhood psychopathology encompasses a range of emotional and behavioral issues.
  • Understanding delivery-related risks is crucial for early intervention.

Purpose of the Study:

  • To investigate the association between delivery mode and psychopathology in preschool children.
  • To compare risks across spontaneous vaginal delivery (SVD), assisted vaginal delivery (AVD), and caesarean delivery on maternal request (CDMR).

Main Methods:

  • A retrospective cohort study was conducted in China.
  • 4190 preschool children were assessed using the Child Behaviour Checklist (CBCL).
  • CBCL scores for total, externalizing, and internalizing problems were analyzed based on delivery mode.

Main Results:

  • Significant differences in CBCL scores were observed across delivery groups (CDMR, SVD, AVD).
  • Children born via AVD had higher odds of elevated total, externalizing, and internalizing scores compared to SVD.
  • Children born via CDMR had lower odds of externalizing scores in the highest quartile compared to SVD.

Conclusions:

  • Assisted vaginal delivery (AVD) is associated with the highest likelihood of childhood psychopathological problems.
  • Caesarean delivery on maternal request (CDMR) appears linked to the lowest risk.
  • Spontaneous vaginal delivery (SVD) falls between CDMR and AVD in terms of associated risks.
Abstract

More Related Videos

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants06:39

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

Published on: June 13, 2021

Related Concept Videos

Psychological and Sociocultural Causes of Schizophrenia01:29

Psychological and Sociocultural Causes of Schizophrenia

Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...