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Delivery Mode, Maternal Characteristics, and Developmental Trajectories of Toddlers’ Emotional and Behavioral Problems

  • Jurgita Smilte JasiulioneEmail author
  • Roma Jusiene
Original Paper

Abstract

Background

Little empirical research examines relationships among delivery mode, other childbirth-related factors, maternal characteristics, and child psychosocial development.

Objective

The aim of this study is to explore the developmental trajectories of toddlers’ emotional and behavioral problems and the predictive role of psycho-social, childbirth, and maternal characteristics.

Method

Participants were 258 mothers and their children who took part in a longitudinal study from birth till the age of 30 months. Self-report instruments were used for the assessment of mothers’ infant rearing attitudes, the quality of relationship with the partner, maternal emotional distress, and maternal self-efficacy. The Child Behavior Checklist (1½–5) was used for the assessment of children’s behavioral and emotional problems.

Results

Latent class analysis for emotional and behavioral problems ended in 3-class solutions. In regard to emotional problems, 83% of children were classified as having a stable low, 11% an increasing, and 6% a decreasing level of emotional problems. In regard to behavioral problems, 86% of children showed a stable low, 5% an increasing, and 9% a stable high level of behavioral problems. Children’s gender in combination with maternal education and maternal infant rearing attitudes predict children’s membership in the increasing and decreasing emotional problem classes. Children’s gender and maternal age in combination with emergency caesarean section, the quality of the relationship with the partner, and maternal self-efficacy explain children’s membership in the classes of high and increasing behavioral problems.

Conclusions

A combination of such factors as emergency caesarean section, child’s gender, maternal age and level of education, maternal infant rearing attitudes, maternal self-efficacy, and inter-parental relationships predict developmental trajectories of emotional and behavioral problems in toddlers.

Keywords

Emotional and behavioral problems Developmental trajectories Delivery mode Emergency caesarean section Maternal self-efficacy Infant rearing attitudes 

Notes

Acknowledgements

This research is a part of the prospective birth-cohort study initiated in 2009. We thank a whole group of scientists from Vilnius University and Lithuanian university of Health sciences who has worked on this study, as well as the mothers who participated in it.

Funding

This research is part of the project funded by the following Grants: T-09157/2009 from the Lithuanian State Science and Studies Foundation, MIP-147/2010 from the Research Council of Lithuania, and MIP-014/2012 from the Research Council of Lithuania.

Compliance with Ethical Standards

Conflict of interest

Jurgita Smilte Jasiulione declares that she has no conflict of interest. Roma Jusiene has received research Grants from Lithuanian State Science and Studies Foundation and the Research Council of Lithuania; however the funders have not intervened and/or influenced the research and the content of the manuscript.

Ethical Standards

All procedures performed were in accordance with the ethical standards of the national research committee and with 1964 Helsinki declaration and its later amendments. The study was approved by Regional Biomedical Research Ethics Committee (No. P1‐143/2007).

Informed Consent

It was obtained from all participating mothers.

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Institute of Psychology, Faculty of PhilosophyVilnius UniversityVilniusLithuania

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