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
相关论文
共 104 条
[11]   Regulatory Τ-cell Differentiation Between Maternal and Cord Blood Samples in Pregnancies with Spontaneous Vaginal Delivery and with Elective Cesarian Section [J].
Bili, Helen ;
Fleva, Alexandra ;
Pados, George ;
Argyriou, Theodoros ;
Tsolakidis, Dimitrios ;
Pavlitou, Aikaterini ;
Tarlatzis, Basil C. .
AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2011, 65 (02) :173-179
[12]   Effects of intestinal microflora and the environment on the development of asthma and allergy [J].
Björkstén, B .
SPRINGER SEMINARS IN IMMUNOPATHOLOGY, 2004, 25 (3-4) :257-270
[13]   Allergy development and the intestinal microflora during the first year of life [J].
Björkstén, B ;
Sepp, E ;
Julge, K ;
Voor, T ;
Mikelsaar, M .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2001, 108 (04) :516-520
[14]   Prenatal and perinatal risk factors for neuroblastoma [J].
Bluhm, Elizabeth ;
McNeil, Dawn Elizabeth ;
Cnattingius, Sven ;
Gridley, Gloria ;
El ghormli, Laure ;
Fraumeni, Joseph F., Jr. .
INTERNATIONAL JOURNAL OF CANCER, 2008, 123 (12) :2885-2890
[15]  
Bulger T, 1998, NEW ZEAL MED J, V111, P30
[16]   RELATION BETWEEN MATERNAL DIET AND SUBSEQUENT PRIMITIVE NEUROECTODERMAL BRAIN-TUMORS IN YOUNG-CHILDREN [J].
BUNIN, GR ;
KUIJTEN, RR ;
BUCKLEY, JD ;
RORKE, LB ;
MEADOWS, AT .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (08) :536-541
[17]  
Canadian Institute for Health Research, GIV BIRTH CAN REG TR
[18]   Caesarean section is associated with an increased risk of childhood-onset type 1 diabetes mellitus: a meta-analysis of observational studies [J].
Cardwell, C. R. ;
Stene, L. C. ;
Joner, G. ;
Cinek, O. ;
Svensson, J. ;
Goldacre, M. J. ;
Parslow, R. C. ;
Pozzilli, P. ;
Brigis, G. ;
Stoyanov, D. ;
Urbonaite, B. ;
Sipetic, S. ;
Schober, E. ;
Ionescu-Tirgoviste, C. ;
Devoti, G. ;
de Beaufort, C. E. ;
Buschard, K. ;
Patterson, C. C. .
DIABETOLOGIA, 2008, 51 (05) :726-735
[19]   Parental age at delivery, birth order, birth weight and gestational age are associated with the risk of childhood Type 1 diabetes: a UK regional retrospective cohort study [J].
Cardwell, CR ;
Carson, DJ ;
Patterson, CC .
DIABETIC MEDICINE, 2005, 22 (02) :200-206
[20]  
CNATTINGIUS S, 1995, CANCER EPIDEM BIOMAR, V4, P441