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The association of mode of delivery and common childhood illnesses
Daniel J Merenstein1, Margaret E Gatti, Darren M Mays
1Georgetown University, School of Medicine, Washington, DC, USA. djm23@georgetown.edu
Insights
Children born via cesarean (C)-section experience higher rates of infectious diseases, including respiratory infections and cough, compared to vaginally born children. This difference persists for 3 to 6 years post-birth, impacting child health.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- Mode of delivery is a critical factor in early childhood development.
- Previous studies suggest potential links between birth mode and later health outcomes.
- Understanding these associations is crucial for preventative healthcare strategies.
Purpose of the Study:
- To investigate if cesarean (C)-section delivery is associated with increased rates of common infectious diseases in children.
- To determine if C-section delivery leads to greater changes in daily activities due to illness compared to vaginal delivery.
- To assess the lasting effects of birth mode on child health up to 3-6 years of age.
Main Methods:
- Cross-sectional analysis of participants from a randomized control trial (RCT).
- Utilized parent-reported health information and mode of delivery data collected during follow-up calls.
- Compared rates of infectious diseases and activity changes between C-section and vaginally born children, controlling for covariates.
Main Results:
- Children born via C-section exhibited significantly higher cumulative rates of infectious diseases.
- C-section delivery was linked to increased incidence of lower respiratory tract infections and cough.
- These differences in respiratory health were observed 3 to 6 years after birth.
Conclusions:
- Mode of delivery may have a lasting impact on a child's respiratory health.
- Cesarean birth is associated with elevated risks for certain infectious diseases in early childhood.
- Further research is needed to confirm causality and explore underlying mechanisms.
Abstract:
Participants enrolled in a randomized control trial (RCT) were eligible for this cross-sectional study to determine if children born via cesarean (C)-section had higher rates of common infectious diseases and change in normal daily activities due to illness than children born vaginally. The RCT collected parent-reported health information and mode of delivery was assessed during follow-up calls. Parent-reported rates of infectious sequelae and changes in daily activities were compared between C-section and vaginally delivered children. In total, 72.4% of the 522 children were delivered vaginally. After accounting for age, siblings, breast-feeding as an infant, and clustering within families, C-section delivered children had significantly higher rates of cumulative infectious diseases, lower respiratory tract infections, and cough than vaginally born children. Mode of delivery appears to have some lasting effect on child health 3 to 6 years after birth, specifically respiratory health. Further research is imperative to elucidate the causative effect of mode of delivery on child health.
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