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Multiple sclerosis (Houndmills, Basingstoke, England) · 2013

Cesarean section and offspring's risk of multiple sclerosis: a Danish nationwide cohort study.

СтатьяНазвание и аннотация: Перевод в очереди
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Nielsen Nete M, Bager Peter, Stenager Egon, Pedersen Bo V, Koch-Henriksen Nils, Hjalgrim Henrik, Frisch Morten

Аннотация

BACKGROUND: Apart from a recent study reporting a 2- to 3-fold increased risk of multiple sclerosis (MS) among women and men who were delivered by Cesarean section (C-section), little attention has been given to the possible association between mode of delivery and the risk of MS.

OBJECTIVES: We studied the association between C-section and risk of MS, in a cohort of 1.7 million Danes born from 1973 to 2005.

METHODS: Information on C-section and MS was obtained from the Danish Medical Birth Register and the Danish MS Register, respectively. The association between C-section and MS was evaluated by means of MS incidence rate ratios (RR) with 95% confidence intervals (CI) obtained in log-linear Poisson regression analyses.

RESULTS: There were 930 cases of MS in the study cohort, of whom 80 (9%) were delivered by C-section. Overall, we found there was no significant association between C-section and risk of MS (RR = 1.17; 0.92-1.46). Analyses stratified by sex revealed no unusual risk of MS for women (RR = 1.08: 0.80-1.42) nor men (RR = 1.37: 0.91-1.98). A supplementary sibling-matched Cox regression analysis likewise suggested there was no excess risk of MS in persons delivered by C-section (HR = 1.03; 0.63-1.69).

CONCLUSIONS: Mode of delivery appears to be unimportant in relation to MS development in the offspring.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты