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Updated: Jul 19, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
Published on: November 19, 2008
Developmental dyslexia in children with perinatal exposure to hypoxia: A systematic review
Bartosz M Radtke1, Małgorzata Lipowska2, Łucja Bieleninik2,3,4
1Laboratory of Psychological and Educational Tests, Gdańsk, Poland.
Insights
This study found no eligible research linking prenatal or delivery hypoxia to developmental dyslexia in school-aged children. The association between hypoxia and dyslexia remains undetermined due to a lack of studies.
Area of Science:
- Perinatal medicine
- Developmental neuroscience
- Pediatric neurology
Background:
- Inconclusive evidence exists regarding health events during labor and adverse school-age outcomes.
- No prior systematic reviews have examined the link between perinatal hypoxia and developmental dyslexia.
- Investigating the association between hypoxia and developmental dyslexia is crucial for understanding neurodevelopmental disorders.
Purpose of the Study:
- To systematically review and assess the association between hypoxia during pregnancy or delivery and the occurrence of developmental dyslexia in school-aged children.
- To identify and synthesize existing observational studies investigating the hypoxia-dyslexia link.
- To determine if perinatal hypoxia is a risk factor for developmental dyslexia.
Main Methods:
- A comprehensive search of multiple electronic databases (PubMed, PsycINFO, Web of Science, EMBASE, Cochrane Library) and handsearching was performed.
- Included studies were observational (cohort, case-control) with hypoxia as exposure and developmental dyslexia as outcome.
- Eligibility criteria were not limited by language or publication year, with two independent reviewers assessing studies.
Main Results:
- The literature search was conducted up to April 1, 2023, yielding 1,336 abstracts.
- Six studies were initially assessed for eligibility after abstract screening.
- Critically, none of the identified studies met the pre-specified eligibility criteria for inclusion.
Conclusions:
- No eligible studies were found, preventing an assessment of the association between hypoxia and developmental dyslexia.
- The relationship between hypoxia during pregnancy or delivery and dyslexia in school-aged children remains unknown.
- Further research is needed to explore this potential association.
Background:
Research on a health-related event at the stage of labour and the occurrence of adverse outcomes at the school age has provided inconclusive results. Thus far, no systematic reviews have been conducted. Thus, the objective of this study is to investigate the association between hypoxia during pregnancy or delivery and the subsequent occurrence of a developmental dyslexia in school-age children.
Methods:
We used a standard search strategy of electronic databases (PubMed, PsycINFO, Web of Science, EMBASE, and Cochrane Library) and handsearching. We included observational studies (cohort studies, case-control studies) that consider as an exposure the presence of hypoxia during pregnancy or delivery, and as an outcome, developmental dyslexia in school-age children. Two reviewers independently conducted the search and determined eligibility, which was not restricted by language or year of publication.
Results:
The search took place until 1 April 2023. Of the 1,336 abstracts screened, 6 were assessed for eligibility. Of the six eligible studies, no studies met the pre-specified eligibly criteria.
Conclusions:
We were unable to assess the association between hypoxia and developmental dyslexia, as no eligible studies were found. Thus, the association between hypoxia during pregnancy or delivery and dyslexia in school-age children remains unknown.
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