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Obstetrical Mode of Delivery and Childhood Behavior and Psychological Development in a British Cohort

Eileen A Curran1, John F Cryan2, Louise C Kenny3

  • 1The Irish Centre for Fetal and Neonatal Translational Research (INFANT), Department of Obstetrics and Gynaecology, University College Cork, 5th Floor Cork University Maternity Hospital, Wilton, Cork, Ireland. ecurran@ucc.ie.

Journal of Autism and Developmental Disorders
|September 29, 2015
PubMed

The association between mode of delivery [specifically birth by Cesarean section (CS)] and induction of labor (IOL) psychological development at age 7 was assessed [including autism spectrum disorders (ASD), attention-deficit/hyperactivity disorder (ADHD) and behavioral difficulties]. The Millennium cohort study, a nationally representative UK cohort of children (including 13,141 children), was used. There was no association between planned CS and ASD [aOR 0.58; (95 % CI 0.19-1.79)] or ADHD [aOR 0.54; (95 % CI 0.18-1.64)] analyses. Induced vaginal delivery was significantly associated with behavioral difficulties in unadjusted [OR 1.26; (95 % CI 1.03-1.54)], but not adjusted analysis [OR 1.15; (95 % CI 0.82-1.60)]. There was no association between mode of delivery and ASD or ADHD in this cohort. Further research is needed to understand the relationship between mode of delivery and IOL and psychological development.

Keywords:
ADHDAutism spectrum disorderInduction of laborMode of delivery

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