Cesarean versus vaginal delivery for breech presentation is an independent risk factor for long‐term pediatric respiratory hospitalization of the offspring

Davidesko, Sharon; Bendersky, Ahinoam Glusman; Levy, Amalia; Pariente, Gali; Landau, Daniella; Sheiner, Eyal

doi:10.1002/ijgo.14570

Cited by 2 publications

(2 citation statements)

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“…However, it is unclear why certain individuals are more susceptible to respiratory diseases during childhood than others with potential multifactorial causes. One possible explanation for respiratory morbidity in early childhood is linked to lung maldevelopment due to in‐utero or early childhood events 2–7 …”

Section: Introductionmentioning

confidence: 99%

“…One possible explanation for respiratory morbidity in early childhood is linked to lung maldevelopment due to in-utero or early childhood events. [2][3][4][5][6][7] Lung development begins as early as the third gestational week and is a complex process that is influenced by a combination of genetic and environmental factors. The developmental plasticity hypothesis suggests that chronic diseases later in life may result from adverse early life exposures that lead to early adaptation mechanisms.…”

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confidence: 99%

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The impact of maternal hyperemesis gravidarum on early childhood respiratory morbidity

Hazan,

Sheiner,

Golan‐Tripto

et al. 2023

Pediatric Pulmonology

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BackgroundLung maldevelopment due to in‐utero events may potentially cause respiratory morbidity during childhood. Maternal nutritional status during pregnancy is critical for lung development. This study is contributing to the understanding of the interplay between maternal nutrition status during pregnancy, fetal lung development and the risk for respiratory diseases in early life.Research QuestionTo investigate the association between maternal hyperemesis gravidarum (HG) during pregnancy and respiratory morbidity in the offspring's early childhood.Study Design and MethodsThis is a retrospective population‐based cohort study that included all singleton term deliveries at Soroka University Medical Center (SUMC) between 1991 and 2021. Preterm deliveries (<37 gestational week), perinatal deaths, multiple gestations, and children with congenital malformations or chromosomal abnormalities were excluded. The main outcomes measured were offspring's hospitalizations due to pneumonia, acute bronchiolitis, asthma, or wheezing.ResultsOverall 232,476 deliveries were included in the study, of which 3227 women (1.4%) were diagnosed with HG. Offspring in the HG group exhibited significantly higher rates of respiratory morbidity, including asthma (OR = 1.36, 95% CI 1.22–1.36, p < .001), acute bronchiolitis (OR = 1.38, 95% CI 1.21–1.59, p < .001), and pneumonia (OR = 1.2, 95% CI 1.12–1.48, p < .001). An inverse correlation between multivariate adjusted‐hazard ratios for asthma and pneumonia with offspring's age was noted.InterpretationThis study provides evidence of a potential association between maternal HG during pregnancy and increased risk of respiratory morbidity in offspring's early childhood. Maternal nutritional status during pregnancy plays a crucial role in lung development, affecting respiratory health in childhood.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

The impact of maternal hyperemesis gravidarum on early childhood respiratory morbidity

Hazan,

Sheiner,

Golan‐Tripto

et al. 2023

Pediatric Pulmonology

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If the first child is breech, overall outcomes for families with two children are similar regardless of the mode of the first birth

Savchenko,

Pegelow Halvorsen,

Lindqvist

et al. 2024

Sci Rep

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Cesarean section for breech presentation is often recommended. However, cesarean section affects future reproduction. The aim of this study was to assess the effect of mode of the first birth in breech on outcomes of the second birth and the two births together. This is a register-based nationwide cohort study including 23 062 women with a first singleton birth in breech ≥ 34 gestational weeks and a subsequent singleton birth in Sweden 2000–2019. Exposure was mode of first delivery. Main maternal outcome was a composite of fourth-degree perineal injury, postpartum hemorrhage requiring blood transfusion, hysterectomy, or death. Main infant outcome was a composite of stillbirth, extremely preterm birth (< 28 weeks), moderate to severe hypoxic ischemic encephalopathy, therapeutic hypothermia, or death. Outcomes were analyzed using multivariable logistic regression. In the first birth, the infant composite outcome affected < 1% in both groups but the risk was higher in the vaginal breech group (13/1525), compared with the breech CS group (27/21 537), aOR 7.06, 95% CI 2.91–17.1. In the second birth, the infant composite outcome affected < 1% in both groups but the risk was lower for the first vaginal breech group (3/1525) compared with the first breech CS group (152/21 537), aOR 0.26, 95% CI 0.08–0.84. There was no significant difference between the groups in risk of composite infant outcome in the two births assessed together, or in risk of composite maternal outcome. In total, the chance of a two-children family without maternal or infant severe adverse composite outcome was high and similar regardless mode of the breech first birth.

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Cesarean versus vaginal delivery for breech presentation is an independent risk factor for long‐term pediatric respiratory hospitalization of the offspring

Cited by 2 publications

References 30 publications

The impact of maternal hyperemesis gravidarum on early childhood respiratory morbidity

The impact of maternal hyperemesis gravidarum on early childhood respiratory morbidity

If the first child is breech, overall outcomes for families with two children are similar regardless of the mode of the first birth

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