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The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children

Background and objectives: The impact of cesarean and vaginal delivery on cognitive development was analyzed in 5 year old children. Materials and Methods: Two cohorts of 5 year old children born in the years 2013 and 2014 in Karvina (Northern Moravia) and Ceske Budejovice (Southern Bohemia) were st...

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Autores principales: Blazkova, Barbora, Pastorkova, Anna, Solansky, Ivo, Veleminsky, Milos, Rossnerova, Andrea, Honkova, Katerina, Rossner, Pavel, Sram, Radim J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589839/
https://www.ncbi.nlm.nih.gov/pubmed/33096932
http://dx.doi.org/10.3390/medicina56100554
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author Blazkova, Barbora
Pastorkova, Anna
Solansky, Ivo
Veleminsky, Milos
Veleminsky, Milos
Rossnerova, Andrea
Honkova, Katerina
Rossner, Pavel
Sram, Radim J.
author_facet Blazkova, Barbora
Pastorkova, Anna
Solansky, Ivo
Veleminsky, Milos
Veleminsky, Milos
Rossnerova, Andrea
Honkova, Katerina
Rossner, Pavel
Sram, Radim J.
author_sort Blazkova, Barbora
collection PubMed
description Background and objectives: The impact of cesarean and vaginal delivery on cognitive development was analyzed in 5 year old children. Materials and Methods: Two cohorts of 5 year old children born in the years 2013 and 2014 in Karvina (Northern Moravia) and Ceske Budejovice (Southern Bohemia) were studied for their cognitive development related to vaginal (n = 117) and cesarean types of delivery (n = 51). The Bender Visual Motor Gestalt Test (BG test) and the Raven Colored Progressive Matrices (RCPM test) were used as psychological tests. Results: In the comparison of vaginal delivery vs. cesarean section, the children delivered by cesarean section scored lower and, therefore, achieved poorer performance in cognitive tests compared to those born by vaginal delivery, as shown in the RCPM (p < 0.001) and in the BG test (p < 0.001). When mothers’ education level was considered, the children whose mothers achieved a university degree scored higher in both the RCPM test (p < 0.001) and the BG test (p < 0.01) compared to the children of mothers with lower secondary education. When comparing mothers with a university degree to those with higher secondary education, there was a significant correlation between level of education and score achieved in the RCPM test (p < 0.001), but not in the BG test. Conclusions: According to our findings, the mode of delivery seems to have a significant influence on performance in psychological cognitive tests in 5 year old children in favor of those who were born by vaginal delivery. Since cesarean-born children scored notably below vaginally born children, it appears possible that cesarean delivery may have a convincingly adverse effect on children’s further cognitive development.
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spelling pubmed-75898392020-10-29 The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children Blazkova, Barbora Pastorkova, Anna Solansky, Ivo Veleminsky, Milos Veleminsky, Milos Rossnerova, Andrea Honkova, Katerina Rossner, Pavel Sram, Radim J. Medicina (Kaunas) Article Background and objectives: The impact of cesarean and vaginal delivery on cognitive development was analyzed in 5 year old children. Materials and Methods: Two cohorts of 5 year old children born in the years 2013 and 2014 in Karvina (Northern Moravia) and Ceske Budejovice (Southern Bohemia) were studied for their cognitive development related to vaginal (n = 117) and cesarean types of delivery (n = 51). The Bender Visual Motor Gestalt Test (BG test) and the Raven Colored Progressive Matrices (RCPM test) were used as psychological tests. Results: In the comparison of vaginal delivery vs. cesarean section, the children delivered by cesarean section scored lower and, therefore, achieved poorer performance in cognitive tests compared to those born by vaginal delivery, as shown in the RCPM (p < 0.001) and in the BG test (p < 0.001). When mothers’ education level was considered, the children whose mothers achieved a university degree scored higher in both the RCPM test (p < 0.001) and the BG test (p < 0.01) compared to the children of mothers with lower secondary education. When comparing mothers with a university degree to those with higher secondary education, there was a significant correlation between level of education and score achieved in the RCPM test (p < 0.001), but not in the BG test. Conclusions: According to our findings, the mode of delivery seems to have a significant influence on performance in psychological cognitive tests in 5 year old children in favor of those who were born by vaginal delivery. Since cesarean-born children scored notably below vaginally born children, it appears possible that cesarean delivery may have a convincingly adverse effect on children’s further cognitive development. MDPI 2020-10-21 /pmc/articles/PMC7589839/ /pubmed/33096932 http://dx.doi.org/10.3390/medicina56100554 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Blazkova, Barbora
Pastorkova, Anna
Solansky, Ivo
Veleminsky, Milos
Veleminsky, Milos
Rossnerova, Andrea
Honkova, Katerina
Rossner, Pavel
Sram, Radim J.
The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title_full The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title_fullStr The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title_full_unstemmed The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title_short The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children
title_sort impact of cesarean and vaginal delivery on results of psychological cognitive test in 5 year old children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589839/
https://www.ncbi.nlm.nih.gov/pubmed/33096932
http://dx.doi.org/10.3390/medicina56100554
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