Influence of Mode of Delivery on Children's Attention Deficit Hyperactivity Disorder and Childhood Intelligence

Min Xu1, Xuemei Yu1, Benjie Fan1

  • 1Department of Obstetrics, Qingdao Chengyang People's Hospital, Qingdao, China.

Psychiatry Investigation
|August 10, 2023
PubMed

Insights

Cesarean delivery may increase the risk of attention deficit hyperactivity disorder (ADHD) and lower intelligence scores in children. This study found higher ADHD rates and lower IQs in cesarean-born children compared to those born vaginally.

Area of Science:

  • Pediatrics
  • Neurodevelopmental Disorders
  • Child Psychology

Background:

  • Cesarean delivery is a common birth method worldwide.
  • Potential long-term neurodevelopmental effects of birth mode require investigation.

Purpose of the Study:

  • To compare rates of attention deficit hyperactivity disorder (ADHD) and intelligence levels between children born via cesarean delivery and vaginal delivery.

Main Methods:

  • Retrospective study of singleton children born between 2013-2014.
  • Utilized Conners' Parent Rating Scale-Revised (CPRS-48) for ADHD assessment.
  • Assessed crystallized and fluid intelligence using China-Wechsler Intelligence Scale for Children (C-WISC) and Raven's Standard Progressive Matrices.

Main Results:

  • Higher ADHD index and detection rates were observed in the cesarean delivery group.
  • Children born by cesarean delivery exhibited lower performance intelligence quotient scores.
  • A total of 10,568 valid questionnaires were analyzed.

Conclusions:

  • Cesarean delivery is associated with an increased risk of ADHD.
  • Lower performance intelligence quotient is more prevalent in children born via cesarean delivery compared to vaginal birth.
  • Findings suggest a potential link between birth mode and neurodevelopmental outcomes.
Abstract

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