Related Concept Videos
Language and Cognition
Information Processing Approach
Environmental Influences on Intelligence
Biological Influences on Intelligence
The Nativist Approach
Piaget's Stage 1 of Cognitive Development
Exploration...
You might also read
Related Articles
Articles linked to this work by shared authors, journal, and citation graph.
Religiousness, sexual orientation, and depression among emerging adults in U.S. higher education: Findings from the Healthy Minds Study.
Circulating Neutrophil and Monocyte Counts Are Inversely Associated With Heart Rate Variability Indices: The Maastricht Study.
Related Experiment Video
Updated: Feb 23, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The relation between cesarean birth and child cognitive development.
Cain Polidano1, Anna Zhu2, Joel C Bornstein3
1Melbourne Institute of Applied Economic and Social Research, Level 5, Faculty of Business and Economics Building, University of Melbourne, Carlton, 3010, Australia. cainp@unimelb.edu.au.
Cesarean birth is linked to slightly lower cognitive performance in children compared to vaginal birth. This association persists after accounting for various factors, suggesting potential mechanisms beyond known risks.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Epidemiology
Background:
- Cesarean birth rates have increased globally.
- The long-term cognitive implications of cesarean birth are not well understood.
- Existing research often lacks control for confounding factors.
Purpose of the Study:
- To investigate the relationship between cesarean birth and child cognitive development.
- To quantify cognitive differences between cesarean-born and vaginally-born children.
- To explore potential mediating factors for observed cognitive gaps.
Main Methods:
- Analysis of data from the nationally representative Longitudinal Study of Australian Children (LSAC).
- Inclusion of 3,666 children, assessed between 4 and 9 years of age.
- Multivariate regression models controlling for perinatal risks and socioeconomic factors.
Main Results:
- Cesarean-born children demonstrated significantly lower cognitive performance compared to vaginally-born children.
- A cognitive gap of up to 0.1 standard deviation was observed in national numeracy test scores at ages 8-9.
- Findings were robust in low-risk subsamples, suggesting genuine association rather than unobserved confounding.
Conclusions:
- Cesarean birth is associated with a small but significant deficit in child cognitive development.
- Mediating factors like breastfeeding and maternal/child health explain less than one-third of the gap.
- Other mechanisms, potentially including gut microbiota alterations, may be involved.
- A cautious approach is recommended for planned cesarean births without clear medical indications.

