Cesarean section and development of the immune system in the offspring

被引:220
作者
Cho, Clara E. [1 ]
Norman, Mikael [2 ]
机构
[1] Univ Toronto, Dept Nutr Sci, Fac Med, Toronto, ON M5S 3E2, Canada
[2] Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden
关键词
cesarean section; delivery; immune system; offspring; PERINATAL RISK-FACTORS; MATERNAL REQUEST; INTESTINAL MICROFLORA; VAGINAL DELIVERY; DIABETES-MELLITUS; GESTATIONAL-AGE; DNA-METHYLATION; GUT MICROBIOTA; MODE; CHILDHOOD;
D O I
10.1016/j.ajog.2012.08.009
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This review examines the relation between the mode of delivery and development of the immune system in the offspring. Recent epidemiological studies provide evidence that elective cesarean section (CS) is associated with aberrant short-term immune responses in the newborn infant, and a greater risk of developing immune diseases such as asthma, allergies, type 1 diabetes, and celiac disease. However, it is still unknown whether CS causes a long-term effect on the immune system of the offspring that contributes to compromised immune health. With the dramatic increase in the rate of CS today, a greater emphasis should be placed on the discussion among both professionals and childbearing women on potential consequences of CS on the health of the offspring.
引用
收藏
页码:249 / 254
页数:6
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