Association between caesarean section and childhood asthma development

MUSIAŁ, Lena, MOŻDŻYŃSKA, Agnieszka, PAWŁOCIK, Weronika, WOJTALA, Laura, SZYMAŃSKA, Julia, PAWLAK, Weronika, GRABOWSKA, Ewa, KAPŁON, Kamil, RYMARZ, Anna & KOJDER, Dominika. Association between caesarean section and childhood asthma development. Journal of Education, Health and Sport. 2023;18(1):62-68. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.18.01.007

https://apcz.umk.pl/JEHS/article/view/43155

https://zenodo.org/record/7793433

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2023;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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Received: 16.03.2023. Revised: 16.03.2023. Accepted: 02.04.2023. Published: 02.04.2023.

Association between caesarean section and childhood asthma development

Zależność między cięciem cesarskim a rozwojem astmy dziecięcej

MUSIAŁ, Lena, MOŻDŻYŃSKA, Agnieszka, PAWŁOCIK, Weronika, WOJTALA, Laura, SZYMAŃSKA, Julia, PAWLAK, Weronika, GRABOWSKA, Ewa, KAPŁON, Kamil, RYMARZ, Anna, KOJDER, Dominika

Lena Musiał, Szpital Średzki Serca Jezusowego Sp. z o.o. ul. Żwirki i Wigury 10, 63-000 Środa Wielkopolska, ORCID: 0000-0002-1998-6477, E-mail: musialka96@gmail.com

Agnieszka Możdżyńska, Szpital Średzki Serca Jezusowego Sp. z o.o. ul. Żwirki i Wigury 10, 63-000 Środa Wielkopolska, ORCID: 0000-0001-8590-0486, E-mail: a.mozdzynska@icloud.com

Weronika Pawłocik, Wojewódzki Szpital Zespolony w Lesznie, ul. Jana Kiepury 45, 64-115 Leszno ORCID: 0000-0001-7439-0820, weronika.pawlocik96@gmail.com,

Laura Wojtala, Uniwersytecki Szpital Kliniczny w Poznaniu, ul. Przybyszewskiego 49, 60-355 Poznań ORCID: 0000-0002-5715-2334, Email: lauramwojtala@gmail.com

Julia Szymańska, Szpital Miejski im. Franciszka Raszei ul. Mickiewicza 2, 60-834 Poznań ORCID: 0000-0001-6113-5046, E-mail: julmagszy@gmail.com

Weronika Pawlak, Samodzielny Publiczny Zakład Opieki Zdrowotnej Ministerstwa Spraw Wewnętrznych i Administracji w Poznaniu im. prof. Ludwika Bierkowskiego. ul.Dojazd 34, 60-631 Poznań ORCID: 0000-0002-6016-1119, E-mail: weronika.pawlak@interia.eu

Ewa Grabowska, Nowodworskie Centrum Medyczne ul. Miodowa 2, 05-100 Nowy Dwór Mazowiecki ORCID: 0000-0003-1426-5205 , E-mail: ewamich343@gmail.com

Kamil Kapłon, Uniwersytecki Szpital Kliniczny w Poznaniu ul. Przybyszewskiego 49, 60-355 Poznań ORCID: 0000-0002-8110-9352, E-mail: kamil.kaplon.2022@gmail.com

Anna Rymarz, Szpital MSWiA w Lublinie ul. Grenadierów 3 20-331 Lublin, ORCID: 0000-0003-3387-1569,  ania_rymarz@onet.pl

Dominika Kojder, Samodzielny Publiczny Zakład Opieki Zdrowotnej w Przeworsku ul. Szpitalna 16 37-200 Przeworsk, ORCID : 0000-0002-8915-4959, E-mail: dominika.kojder9@gmail.com

ABSTRACT

According to the World Health Organization (WHO), the rates of caesarean section delivery, which is the most common surgical procedure in gynecology and obstetrics, are increasing globally and amount to 21%. In Poland percentage of caesarean sections (CS) is one of the highest in Europe and amount to 42.2%. The reason for this is the extension of medical indications, but also an increase in the number of CS at the request of pregnant women. Although CS can be a lifesaving procedure, it can also cause many health complications for both - the woman and the child. Numerous studies indicate that caesarean delivery is associated with childhood asthma. Several hypotheses of the pathogenesis of this relationship have been presented. One of them, which is based on the hygiene hypothesis indicates that mode of delivery can cause different bacteria colonization in infants. Lack of contact of fetus with the mother’s vaginal flora during CS labor may cause improper immune system maturation. Another hypothesis is that reduced exposure to stress hormones and mechanical forces during CS labor can indicate infant respiratory complications such as respiratory distress syndrome (RDS) or transient tachypnea of the newborn (TTN). It is suggested that these abnormalities have an impact on asthma development in later life. On the other hand, there are studies which do not confirm that mode of delivery has an influence on the induction of asthma. Due to the significant heterogeneity of studies and unclear risk factors and pathomechanism of the childhood asthma it is impossible to strong confirm the association between caesarean section and asthma developing.

Keywords: caesarean section; asthma; vaginal delivery