title: Effects of oxytocin used during delivery on development: a retrospective cohort study.
abstract: OBJECTIVE
  The objective was to evaluate the potential influence of oxytocin administered during delivery on children's development at the age of 5.
  
  
  METHODS
  This study was designed as a retrospective cohort study where children from patients given synthetic oxytocin during delivery were considered as the exposed cohort and children from patients not given oxytocin as the nonexposed cohort. From a total of 7465 births attended at our maternity ward in 2006, an initial sample of 400 was randomly selected. A total of 148 children were evaluated using the Battelle Developmental Inventory. Potential confounding and adjustment factors were analyzed using stratified analysis and multivariate analysis (logistic regression).
  
  
  RESULTS
  Oxytocin use did not significantly affect the overall risk of developmental delay in the study sample (relative risk, RR, 1.46; 95% confidence interval, CI [0.79-2.71]). The best fit regression model included twin delivery, type of delivery, and maternal age. In the group of vaginal noninstrumental deliveries, oxytocin administration increased the risk of poor Battelle Developmental Inventory outcome, particularly when maternal age was under 28 or over 35 years of age (odds ratio, OR, 67.14; 95% CI [5.46-824.86]). When delivery was instrumental or through cesarean section in mothers aged 28-35 years, oxytocin administration decreased the risk of developmental disorders (OR 0.16; 95% CI [0.04-0.66]).
  
  
  CONCLUSIONS
  Although oxytocin administration during delivery did not affect the overall risk of low Battelle Developmental Inventory scores in the study sample, some effects were seen according to maternal age and type of birth.
authors.affiliation: a Department of Developmental and Educational Psychology, Faculty of Psychology , University of Málaga , Málaga , Spain.
authors.forename: María José
authors.initials: MJ
authors.lastname: González-Valenzuela
authors.forename: Pedro
authors.initials: P
authors.lastname: García-Fortea
authors.forename: Myriam
authors.initials: M
authors.lastname: Delgado-Ríos
authors.forename: Olga
authors.initials: O
authors.lastname: Cazorla-Granados
authors.forename: Marta
authors.initials: M
authors.lastname: Blasco-Alonso
authors.forename: Ernesto
authors.initials: E
authors.lastname: González-Mesa
mesh_terms: D000328:Adult; D002675:Child, Preschool; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D002658:Developmental Disabilities / Q000139:chemically induced* / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D008423:Maternal Age; D010120:Oxytocics / Q000009:adverse effects / Q000494:pharmacology*; D010121:Oxytocin / Q000009:adverse effects / Q000494:pharmacology*; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000139:chemically induced* / Q000175:diagnosis / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology
chemical_list: D010120:Oxytocics; D010121:Oxytocin
keywords: Battelle Inventory; Psychological development disability; Retrospective cohort study; Synthetic oxytocin; Uterine stimulants