Caesarean delivery and anaemia risk in children in 45 low‐ and middle‐income countries

Caesarean delivery (CD) may reduce placental transfusion and cause poor iron-related haematological indices in the neonate. We aimed to explore the association between CD and anaemia in children aged 2 = 40.2%), mild anaemia (OR 0.91, 95% CI [0.81, 1.02]; I 2 = 24.8%), and moderate/severe anaemia (OR 0.97, 95% CI [0.85, 1.11]; I 2 = 47.7%). CD tended to be positively associated with moderate/severe anaemia in upper middle-income countries and negatively associated with mild anaemia in lower middle-income countries; however, meta-regression did not detect any variation in the association between anaemia and CD by the level of income, CD rate, and anaemia prevalence. In conclusion, there was no evidence for an association between CD and anaemia in children younger than 5 years in low- and middle-income countries. Our conclusions were consistent when we looked at only countries with CD rate >15% with data stratified by individual-level wealth status and type of health facility of birth

Anemia · Caesarean delivery · Caesarean section · Confidence interval · Developing country · Low and middle income countries · Odds ratio · Pregnancy · Demography · Global Maternal and Child Health · Hemoglobinopathies and Related Disorders · Medicine · Pregnancy and preeclampsia studies · Internal Medicine · Pediatrics

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