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Mode of Delivery and Childhood Blood Pressure

Citation

Morley, R and Kennedy, K and Lucas, A and Blizzard, CL and Dwyer, T, Mode of Delivery and Childhood Blood Pressure, Pediatric Research, 47, (4) pp. 463-467. ISSN 0031-3998 (2000) [Refereed Article]

DOI: doi:10.1203/00006450-200004000-00009

Abstract

A number of studies have shown that children born by cesarean section have lower blood pressure during the neonatal period. The aim of this study was to investigate whether mode of delivery influenced childhood blood pressure: at age 7.5 to 8 y in a cohort of 756 children born preterm, at 7 to 9 y in a pilot study of 166 children born at term in the United Kingdom, and in a cohort of 650 Tasmanian children born at term. In the preterm cohort, systolic blood pressure was significantly lower in children born by cesarean section rather than delivered vaginally (99.3 ± 10.0versus101.4 ± 9.4 mm Hg; 95% confidence interval, 0.69 to 3.46p= 0.003), with a significant trend to having a higher pressure in those born by breechversusforcepsversusspontaneous vaginal deliveryversuscesarean section. These findings were not replicated in the term cohorts. This raises the hypothesis that there is a sensitive period for programming later blood pressure by factors associated with mode of delivery and that this period does not extend to full-term.© International Pediatrics Research Foundation, Inc. 2000. All Rights Reserved.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Epidemiology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Morley, R (Dr Ruth Morley)
Author:Blizzard, CL (Professor Leigh Blizzard)
Author:Dwyer, T (Professor Terry Dwyer)
ID Code:18828
Year Published:2000
Web of Science® Times Cited:4
Deposited By:Menzies Centre
Deposited On:2000-08-01
Last Modified:2001-05-21
Downloads:0

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