The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: a linked data population‐based cohort study

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dc.contributor.authorPeters, Lilian L.
dc.contributor.authorThornton, Charlene
dc.contributor.authorJonge, Ank
dc.contributor.authorKhashan, Ali S.
dc.contributor.authorTracy, Mark
dc.contributor.authorDowne, Soo
dc.contributor.authorFeijen‐de Jong Esther, I.
dc.contributor.authorDahlen Hannah, G.
dc.contributor.funderHorizon 2020
dc.contributor.funderMidwifery Academy Amsterdam Groningen
dc.date.accessioned2018-05-02T10:16:30Z
dc.date.available2018-05-02T10:16:30Z
dc.date.issued2018
dc.description.abstractBackground: Spontaneous vaginal birth rates are decreasing worldwide, while cesarean delivery, instrumental births, and medical birth interventions are increasing. Emerging evidence suggests that birth interventions may have an effect on children's health. Therefore, the aim of our study was to examine the association between operative and medical birth interventions on the child's health during the first 28 days and up to 5 years of age. Methods: In New South Wales (Australia), population‐linked data sets were analyzed, including data on maternal characteristics, child characteristics, mode of birth, interventions during labor and birth, and adverse health outcomes of the children (ie, jaundice, feeding problems, hypothermia, asthma, respiratory infections, gastrointestinal disorders, other infections, metabolic disorder, and eczema) registered with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification codes. Logistic regression analyses were performed for each adverse health outcome. Results: Our analyses included 491 590 women and their children; of those 38% experienced a spontaneous vaginal birth. Infants who experienced an instrumental birth after induction or augmentation had the highest risk of jaundice, adjusted odds ratio (aOR) 2.75 (95% confidence interval [CI] 2.61‐2.91) compared with spontaneous vaginal birth. Children born by cesarean delivery were particularly at statistically significantly increased risk for infections, eczema, and metabolic disorder, compared with spontaneous vaginal birth. Children born by emergency cesarean delivery showed the highest association for metabolic disorder, aOR 2.63 (95% CI 2.26‐3.07). Conclusion: Children born by spontaneous vaginal birth had fewer short‐ and longer‐term health problems, compared with those born after birth interventions.en
dc.description.sponsorshipHorizon 2020 (EU Cost Action IS1405)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationPeters, Lilian L., Thornton, C., Jonge, A., Khashan, A., Tracy, M., Downe, S., Feijen‐de Jong Esther, I. and Dahlen Hannah, G. 'The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: A linked data population‐based cohort study', Birth, 0(0), pp. 1-11. doi: 10.1111/birt.12348en
dc.identifier.doi10.1111/birt.12348
dc.identifier.endpage11
dc.identifier.issn0730-7659
dc.identifier.journaltitleBirthen
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/5967
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.relation.projectCOST Action 1405
dc.relation.urihttps://onlinelibrary.wiley.com/doi/abs/10.1111/birt.12348
dc.rights© 2018, the Authors. Birth published by Wiley Periodicals, Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectBirth interventionsen
dc.subjectChild's healthen
dc.subjectEpidemiologyen
dc.titleThe effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: a linked data population‐based cohort studyen
dc.typeArticle (peer-reviewed)en
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