Arterial blood pressure in schoolchildren, who were born after caesarian section

Authors

  • S. V. Popov Sumy State University, Ukraine,
  • T. Yu. Loboda Sumy State University, Ukraine.,
  • O. I. Smiyan Sumy State University, Ukraine.,
  • E. K. Redko Sumy State University, Ukraine.,
  • I. E. Zaitsev Sumy State University, Ukraine.,

DOI:

https://doi.org/10.14739/2310-1210.2017.3.100797

Keywords:

hypertension, electrocardiography ambulatory, cesarean section

Abstract

The aim of the study was to determine the blood pressure characteristics of school-age children, who were born by caesarean section.


Materials and Methods. 75 school-age children ages from 12 till 16 years were investigated. They were hospitalized in the pediatric department with a diagnosis of vegetative dysfunction and with complaints of periodic increase in blood pressure. Patients were divided into two groups. The first group included 47 children, who were born by the usual way – vaginal delivery. The second group included 28 children, who were born by caesarean section. All children were investigated by 24-hour blood pressure monitoring. The daily, day and night mean values of systolic and diastolic blood pressure were studied. The normal limit values for 50, 90 and 95 percentiles relative to height, age, gender were calculated for every child individually. The indices of physical development – weight, height, BMI were assessed.


Results. The mean indices of daily (p = 0.03) and day (p = 0.013) systolic blood pressure exceeding 90 centiles has been observed more frequently in the group of children born by caesarean section. The value of night systolic blood pressure exceeded 50 centiles more often among children from the 2 group (p = 0.016). The level of night systolic (6.06 ± 1.27 %) and diastolic (7.89 ± 1.58 %) pressure decreasing in children who were born by cesarean section was significantly lower than in children who were born by usual way. Odds ratio of 4.28 (p = 0.01) showed the influence of the birth by cesarean section on overweight, and on daily systolic blood pressure increasing (4.27; p = 0.02). Effect of breastfeeding duration of less than 6 months on daily systolic blood pressure exceeding 50 centiles (4.59; p = 0.01) has been found.


Conclusions. Birth by caesarean section led to a greater frequency of exceeding the systolic blood pressure according to its daily monitoring in adolescents with symptoms of vegetative dysfunction, as well as a lower level of night blood pressure decreasing. Overweight and short duration of breastfeeding may have been the factors that caused blood pressure changes in examined children.

References

Horta, B., Gigante, D., Lima, R., Barros, F., & Victora, C. (2013). Birth by Caesarean Section and Prevalence of Risk Factors for Non-Communicable Diseases in Young Adults: A Birth Cohort Study. Plos ONE, 8(9), e74301. doi: 10.1371/journal.pone.0074301.

Evensen, K., Steinshamn, S., Tjønna, A., Stølen, T., Høydal, M., & Wisløff, U. et al. (2009). Effects of preterm birth and fetal growth retardation on cardiovascular risk factors in young adulthood. Early Human Development, 85(4), 239–245. doi: 10.1016/j.earlhumdev.2008.10.008.

Rutayisire, E., Wu, X., Huang, K., Tao, S., Chen, Y., & Tao, F. (2016). Cesarean section may increase the risk of both overweight and obesity in preschool children. BMC Pregnancy And Childbirth, 16(1). doi: 10.1186/s12884-016-1131-5.

Thompson, M., Dana, T., Bougatsos, C., Blazina, I., & Norris, S. (2013). Screening for Hypertension in Children and Adolescents to Prevent Cardiovascular Disease. Pediatrics, 131(3), 490–525. doi: 10.1542/peds.2012-3523.

Flegal, K., & Cole, T. (2013). Construction of LMS parameters for the Centers for Disease Control and Prevention 2000 growth charts. Natl Health Stat Report, 63, 1–3.

Blustein, J., Attina, T., Liu, M., Ryan, A., Cox, L., Blaser, M., & Trasande, L. (2013). Association of caesarean delivery with child adiposity from age 6 weeks to 15 years. International Journal Of Obesity, 37(7), 900–906. doi: 10.1038/ijo.2013.49.

Pei, Z., Heinrich, J., Fuertes, E., Flexeder, C., Hoffmann, B., & Lehmann, I. et al. (2014). Cesarean Delivery and Risk of Childhood Obesity. The Journal Of Pediatrics, 164(5), 1068-1073.e2. doi: 10.1016/j.jpeds.2013.12.044.

Cho, I., Yamanishi, S., Cox, L., Methé, B., Zavadil, J., & Li, K. et al. (2012). Antibiotics in early life alter the murine colonic microbiome and adiposity. Nature, 488(7413), 621–626. doi: 10.1038/nature11400.

Hill, C., Lynch, D., Murphy, K., Ulaszewska, M., Jeffery, I., & O’Shea, C. et al. (2017). Evolution of gut microbiota composition from birth to 24 weeks in the INFANTMET Cohort. Microbiome, 5(1), 4. doi: 10.1186/s40168-016-0213-y.

Downloads

How to Cite

1.
Popov SV, Loboda TY, Smiyan OI, Redko EK, Zaitsev IE. Arterial blood pressure in schoolchildren, who were born after caesarian section. Zaporozhye medical journal [Internet]. 2017May5 [cited 2024Apr.20];(3). Available from: http://zmj.zsmu.edu.ua/article/view/100797

Issue

No. 3 (2017)

Section

Original research

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  Лицензия Creative Commons
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)