L. Dočekalová, Z. Pažická, K. Maťašová
Surgical delivery using Caesarean section has an increasing tendency worldwide.
Its benefits are apparent in case of adverse health and life-threating circumstances
for a mother or child. Nowadays, there is an increasing rate of elective C-sections on
request of the mother. Multiple studies have shown that Caesarean delivery without
appropriate medical indication is connected either with modified mechanisms of
postnatal adaptation or adverse long-term outcomes due to a negative influence on
the development of the child. The absence of stress is of great importance in this process
due to which respiratory, cardiovascular and immune systems, thermoregulation
and metabolism are altered. The gut microbiome, which is of lower diversity and
represented by different bacterial groups, makes children born by C-section more
susceptible to obesity, asthma, allergic and autoimmune diseases or altered functioning
of the central nervous system. These potential risks should be taken into account
during decision-making about mode of en_delivery.