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1. Associations Between Mode of Birth and Neuropsychological Development in Children Aged 4 Years: Results from a Birth Cohort Study

Author

Takács, Lea, Putnam, Samuel P., Monk, Catherine, Dahlen, Hannah G., Thornton, Charlene, Bartoš, František, Topalidou, Anastasia, Peters, Lilian L., Takács, Lea, Putnam, Samuel P., Monk, Catherine, Dahlen, Hannah G., Thornton, Charlene, Bartoš, František, Topalidou, Anastasia, and Peters, Lilian L.

Abstract

The aim of this prospective longitudinal study was to examine the association between Cesarean section (CS) and child development and behavior. The sample consisted of 256 children who were born at term without serious perinatal pathologies. Their development and behavior was assessed at the age of four using Ages and Stages Questionnaire (ASQ-3), Children’s Behavior Questionnaire and Strength and Difficulties Questionnaire. Multivariate linear regression analyses were conducted to assess the association between CS and child outcomes. CS was associated with better scores in the Problem Solving domain of the ASQ in the whole sample. After stratifying by child sex, the positive association between CS and the Problem Solving domain was significant in boys, while no association was found in girls. Girls were rated less optimally in the Gross Motor domain of the ASQ when born via CS. Mode of birth was not associated with behavioral outcomes.

Published
2020

2. The effects of intrapartum synthetic oxytocin on maternal postpartum mood: findings from a prospective observational study.

Author

Takács L, Seidlerová JM, Štěrbová Z, Čepický P, and Havlíček J

Subjects
Adult, Depression, Postpartum blood, Depression, Postpartum diagnosis, Depression, Postpartum psychology, Female, Humans, Longitudinal Studies, Oxytocics administration & dosage, Oxytocin administration & dosage, Postpartum Period, Pregnancy, Proportional Hazards Models, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Delivery, Obstetric psychology, Depression, Postpartum epidemiology, Mothers psychology, Oxytocics blood, Oxytocin blood
Abstract

Postpartum depression (PPD) affects up to 19% of all mothers, with detrimental effects on both mother and child. The antidepressant and anxiolytic effects of plasma oxytocin are well-documented, but it is still disputable whether synthetic oxytocin (synOT) may protect women against postpartum mood alterations. The current study examined the association between synOT intrapartum and maternal mood postpartum using a prospective design. Two hundred sixty women were screened for depressive symptoms in the last trimester of pregnancy and then again 6 weeks and 9 months postpartum using the Edinburgh Postnatal Depression Scale. They also completed Maternity Blues Questionnaire in the first postpartum week. The data concerning the intrapartum interventions and health status of the newborn were extracted from the medical records. Cox proportional hazards regression adjusted for a history of depression, mode of delivery, and childbirth experience showed that synOT predicted a significantly lower risk of PPD (HR = 0.65, 95% CI 0.45-0.95, p = 0.025). The risk factors for PPD included a history of depression (HR = 3.20, 95% CI 2.33-4.40, p < 0.001) and negative childbirth experience (HR = 1.39, 95% CI 1.01-1.90, p = 0.040). Logistic regression adjusted for the same covariates found no significant effect of synOT on maternity blues (OR = 0.64, 95% CI 0.31-1.32, p = 0.23). While synOT administered intrapartum does not affect maternal mood immediately, it may come to effect some weeks after childbirth to protect mothers from developing PPD symptoms.

Published
2019
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