Parity moderates the effect of delivery mode on maternal ratings of infant temperament.

<h4>Objective</h4>Cesarean section (CS) rates are rising rapidly around the world but no conclusive evidence has been obtained about the possible short- and long-term effects of CS on child behavior. We evaluated prospectively the association between CS and infant temperament across the...

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Autores principales:	Lea Takács, Samuel P Putnam, František Bartoš, Pavel Čepický, Catherine Monk
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1f30da6aa833412ba3e0625fb9d4e601
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spelling	oai:doaj.org-article:1f30da6aa833412ba3e0625fb9d4e6012021-12-02T20:18:18ZParity moderates the effect of delivery mode on maternal ratings of infant temperament.1932-620310.1371/journal.pone.0255367https://doaj.org/article/1f30da6aa833412ba3e0625fb9d4e6012021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255367https://doaj.org/toc/1932-6203<h4>Objective</h4>Cesarean section (CS) rates are rising rapidly around the world but no conclusive evidence has been obtained about the possible short- and long-term effects of CS on child behavior. We evaluated prospectively the association between CS and infant temperament across the first 9 postpartum months, controlling for indications for CS and investigating parity and infant sex as moderators.<h4>Methods</h4>The sample consisted of mothers and their healthy infants. Infant temperament was measured using the Infant Characteristics Questionnaire completed by the mothers at 6 weeks (n = 452) and 9 months (n = 258) postpartum. Mode of birth was classified into spontaneous vaginal birth (n = 347 for 6 weeks sample; 197 for 9 months sample), CS planned for medical reasons (n = 55; 28) and emergency CS (n = 50; 33).<h4>Results</h4>Multiple regression analysis revealed no main effects of birth mode, but showed a significant interaction between birth mode and parity indicating that emergency CS in firstborn infants was associated with more difficult temperament at 6 weeks. There were no significant associations between indications for CS and infant temperament, although breech presentation predicted difficult temperament at 9 months.<h4>Conclusion</h4>We largely failed to support the association between CS and infant temperament. Although our results suggest that emergency CS may be associated with temperament in firstborns, further research is needed to replicate this finding, preferably using observational measures to assess child temperament.Lea TakácsSamuel P PutnamFrantišek BartošPavel ČepickýCatherine MonkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255367 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lea Takács Samuel P Putnam František Bartoš Pavel Čepický Catherine Monk Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
description	<h4>Objective</h4>Cesarean section (CS) rates are rising rapidly around the world but no conclusive evidence has been obtained about the possible short- and long-term effects of CS on child behavior. We evaluated prospectively the association between CS and infant temperament across the first 9 postpartum months, controlling for indications for CS and investigating parity and infant sex as moderators.<h4>Methods</h4>The sample consisted of mothers and their healthy infants. Infant temperament was measured using the Infant Characteristics Questionnaire completed by the mothers at 6 weeks (n = 452) and 9 months (n = 258) postpartum. Mode of birth was classified into spontaneous vaginal birth (n = 347 for 6 weeks sample; 197 for 9 months sample), CS planned for medical reasons (n = 55; 28) and emergency CS (n = 50; 33).<h4>Results</h4>Multiple regression analysis revealed no main effects of birth mode, but showed a significant interaction between birth mode and parity indicating that emergency CS in firstborn infants was associated with more difficult temperament at 6 weeks. There were no significant associations between indications for CS and infant temperament, although breech presentation predicted difficult temperament at 9 months.<h4>Conclusion</h4>We largely failed to support the association between CS and infant temperament. Although our results suggest that emergency CS may be associated with temperament in firstborns, further research is needed to replicate this finding, preferably using observational measures to assess child temperament.
format	article
author	Lea Takács Samuel P Putnam František Bartoš Pavel Čepický Catherine Monk
author_facet	Lea Takács Samuel P Putnam František Bartoš Pavel Čepický Catherine Monk
author_sort	Lea Takács
title	Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
title_short	Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
title_full	Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
title_fullStr	Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
title_full_unstemmed	Parity moderates the effect of delivery mode on maternal ratings of infant temperament.
title_sort	parity moderates the effect of delivery mode on maternal ratings of infant temperament.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1f30da6aa833412ba3e0625fb9d4e601
work_keys_str_mv	AT leatakacs paritymoderatestheeffectofdeliverymodeonmaternalratingsofinfanttemperament AT samuelpputnam paritymoderatestheeffectofdeliverymodeonmaternalratingsofinfanttemperament AT frantisekbartos paritymoderatestheeffectofdeliverymodeonmaternalratingsofinfanttemperament AT pavelcepicky paritymoderatestheeffectofdeliverymodeonmaternalratingsofinfanttemperament AT catherinemonk paritymoderatestheeffectofdeliverymodeonmaternalratingsofinfanttemperament
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Parity moderates the effect of delivery mode on maternal ratings of infant temperament.

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