Lower Apgar scores and Caesarean sections are related to attention-deficit/hyperactivity disorder
May 04, 2018
Sucksdorff M, et al.
In this population-based study, experts gauged the correlations between prenatal, birth-related and newborn risk factors and attention-deficit/hyperactivity disorder (ADHD) in subjects born between 1 January 1991 and 31 December 2005. The inference drawn was that elective Caesareans and perinatal adversities giving rise to lower Apgar scores increased the risk of ADHD.
The enrollment comprised of 10,409 subjects diagnosed with ADHD by 31 December 2011 and 39 124 controls, born between 1 January 1991 and 31 December 2005, using Finnish nationwide registers.
Perinatal data were extracted from the Birth Register.
Conditional logistic regression assisted in evaluating the correlations after controlling for confounders.
A connection was brought to light between lower Apgar scores with a higher risk of ADHD, with odds ratios of 1.12 (95% confidence intervals 1.06-1.19) for one-minute Apgar scores of 7-8, 1.17 (95% CI 1.02-1.35) for scores of 5-6 and 1.41 (95% CI 1.18-1.68) for scores of 0-4, compared to Apgar scores of 9-10.
Findings demonstrated that elective Caesarean sections correlated with an increased risk of ADHD with an adjusted odds ratio of 1.15 (95% CI 1.05-1.26).
Breech presentation, induced labour and admission to a Neonatal Intensive Care Unit served as other identified risk factors.
It was found that low umbilical artery pH did not raise the risk of ADHD.
Your browser is currently blocking ads. We depend on ad sponsorships in order to keep this site free to the healthcare provider community. Help us keep this site free by turning off your ad blocker.
Turn Off Ad Blocker
We have detected that you are currently blocking ads. We kindly ask that you enable ads when visiting our site. We depend on ad sponsorships in order to keep this site free to the healthcare provider community.