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Mode of delivery and risk for development of atopic diseases in children
Caterina Cuppari1, Sara Manti, Annamaria Salpietro
1Department of Pediatric Sciences, University of Messina, Messina, Italy.
Insights
Mode of delivery may influence childhood atopic disease risk. This review synthesizes research on cesarean section versus vaginal delivery and their links to atopy, highlighting conflicting findings.
Area of Science:
- Immunology
- Pediatrics
- Public Health
Background:
- Atopic diseases represent a significant global health concern with a rising incidence.
- The mode of delivery is increasingly recognized as a potential factor influencing the development of atopy in children.
- Early-life exposure to antigens during birth may shape the infant immune system towards a T-helper 2 profile, associated with atopy.
Purpose of the Study:
- To review and summarize existing literature on the association between mode of delivery and the risk of atopic diseases in children.
- To consolidate findings from studies investigating cesarean section and vaginal delivery in relation to childhood atopy.
Main Methods:
- A comprehensive literature search was conducted using major electronic databases: PubMed, EMBASE, Medline, and Cochrane Library.
- The search focused on studies published from 1994 to the present.
- Key search terms included: mode of delivery, cesarean section, vaginal delivery, atopy, and atopic diseases.
Main Results:
- Studies examining the relationship between mode of delivery and the risk of atopy have yielded inconsistent and conflicting results.
- The specific impact of cesarean delivery versus vaginal birth on the development of childhood atopic diseases remains debated.
Conclusions:
- The current body of evidence presents a complex and often contradictory picture regarding the link between delivery mode and atopic disease risk.
- Further research is needed to clarify the precise relationship and potential mechanisms involved in the development of atopy based on delivery method.
Abstract:
Atopic diseases are a major public health problem worldwide, and several factors are thought to contribute to this rapid increase. The observed association between mode of delivery and risk of atopy in childhood has had a great deal of interest during the past few decades. In fact, even during delivery, exposure to antigens can index immune system in newborn, which induces the release of biologically active molecules, which are polarizing immune responses toward the T-helper 2 atopic profile. However, to date, studies on the relationship between mode of delivery and atopy have produced conflicting findings. The aim of this review was to summarize what is known about the relationship between mode of delivery and risk of atopic diseases in children. A literature search of electronic databases was undertaken for the major studies published from 1994 to today. The databases searched were PubMed, EMBASE, Medline, and Cochrane Library. The following key words were used: mode of delivery, cesarean section, vaginal delivery, atopy, and atopic diseases.
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