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The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children

1
Faculty of Health and Social Sciences, University of South Bohemia, 370 05 Ceske Budejovice, Czech Republic
2
Institute of Experimental Medicine CAS, Videnska 1083, 142 20 Prague, Czech Republic
3
Hospital Ceske Budejovice, a.s., 370 01 Ceske Budejovice, Czech Republic
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(10), 554; https://doi.org/10.3390/medicina56100554
Received: 11 September 2020 / Revised: 2 October 2020 / Accepted: 20 October 2020 / Published: 21 October 2020
Background and objectives: The impact of cesarean and vaginal delivery on cognitive development was analyzed in 5 year old children. Materials and Methods: Two cohorts of 5 year old children born in the years 2013 and 2014 in Karvina (Northern Moravia) and Ceske Budejovice (Southern Bohemia) were studied for their cognitive development related to vaginal (n = 117) and cesarean types of delivery (n = 51). The Bender Visual Motor Gestalt Test (BG test) and the Raven Colored Progressive Matrices (RCPM test) were used as psychological tests. Results: In the comparison of vaginal delivery vs. cesarean section, the children delivered by cesarean section scored lower and, therefore, achieved poorer performance in cognitive tests compared to those born by vaginal delivery, as shown in the RCPM (p < 0.001) and in the BG test (p < 0.001). When mothers’ education level was considered, the children whose mothers achieved a university degree scored higher in both the RCPM test (p < 0.001) and the BG test (p < 0.01) compared to the children of mothers with lower secondary education. When comparing mothers with a university degree to those with higher secondary education, there was a significant correlation between level of education and score achieved in the RCPM test (p < 0.001), but not in the BG test. Conclusions: According to our findings, the mode of delivery seems to have a significant influence on performance in psychological cognitive tests in 5 year old children in favor of those who were born by vaginal delivery. Since cesarean-born children scored notably below vaginally born children, it appears possible that cesarean delivery may have a convincingly adverse effect on children’s further cognitive development. View Full-Text
Keywords: vaginal delivery; cesarean section; psychological development; cognitive development; Bender Visual Motor Gestalt Test; Raven Colored Progressive Matrices vaginal delivery; cesarean section; psychological development; cognitive development; Bender Visual Motor Gestalt Test; Raven Colored Progressive Matrices
MDPI and ACS Style

Blazkova, B.; Pastorkova, A.; Solansky, I.; Veleminsky, M., Jr.; Veleminsky, M.; Rossnerova, A.; Honkova, K.; Rossner, P., Jr.; Sram, R.J. The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children. Medicina 2020, 56, 554.

AMA Style

Blazkova B, Pastorkova A, Solansky I, Veleminsky M Jr., Veleminsky M, Rossnerova A, Honkova K, Rossner P Jr., Sram RJ. The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children. Medicina. 2020; 56(10):554.

Chicago/Turabian Style

Blazkova, Barbora; Pastorkova, Anna; Solansky, Ivo; Veleminsky, Milos, Jr.; Veleminsky, Milos; Rossnerova, Andrea; Honkova, Katerina; Rossner, Pavel, Jr.; Sram, Radim J. 2020. "The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children" Medicina 56, no. 10: 554.

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