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CHILDHOOD HEALTH, GROWTH AND DEVELOPMENTAL OUTCOMES AFTER CESAREAN BIRTH IN AL AZHAR UNIVERSITY HOSPITALS

Introduction: Cesarean delivery is now one of the most common operations in both developed and developing countries and concerns have been raised about possible associations between it and a number of adverse childhood health outcomes. Aim of the study: To measure the prevalence of selected adverse health outcomes (asthma, diabetes, obesity, anthropometric measurements and developmental outcome) in children born by Caesarian section as compared to those born by normal vaginal delivery. Patients and Methods: This study was carried out 600 mothers selected by simple random method according to sample size divided according to type of delivery into two equal groups aimed to measure the prevalence of selected adverse health outcomes (asthma, diabetes, obesity, general examination and developmental outcome) in children born by Caesarian section (CS) as compared to those born by normal vaginal delivery (NVD). Those children (middle childhood age i.e., 6-12 years) randomly selected from children presented or admitted to pediatric outpatient clinics or pediatric wards in both Al Hussein and Sayed Galal university hospitals during the period from May to October 2020. Results: There is statistically significant difference between NVD Group and CS Group according to their outcome of child regarding childhood asthma, diabetes and obesity (p-value < 0.05). While There is no statistically significant difference between NVD Group (Age 6-8years) and CS Group (Age 6-8years) according to their outcome of child regarding general examination and developmental outcome. Al-Azhar Journal of Ped. Vol. 24 Issue 4 October. 2021 2434 Conclusion: The present study showed that prevalence of chronic diseases (asthma, DM and obesity) increased in children born by Cesarean section than those born vaginally.