Results
The mean age of 285 pediatric patients was 5.25 ±2.92. The youngest
patient was 4 months old and the oldest one was 10 years old.
Statistical data on gender, age, CM, PSE, method of delivery, allergy
status and dermatological diagnoses are presented in Table 1.
58 patients were found to have allergies related to pollen, dust, food,
drugs, bee stings, allergic asthma, or allergic rhinitis. In the NAD
group of 59 patients, there were diagnoses of seborrheic dermatitis,
irritant contact dermatitis, nummular dermatitis, napkin dermatitis,
neurodermatitis, and photocontact dermatitis.
34 (11,9%) patients had a viral infection (molluscum or verruca
vulgaris), 14 (4,9%) patients had impetigo, 18 (6,3%) patients had
tinea or candida which were grouped as ISD. The “other diseases” group
included patients with vitiligo, nevus, urticaria, acne vulgaris,
hemangioma, and pityriasis alba.
Table 2 presents statistical data comparing delivery method and
diagnoses. Accordingly, allergy diagnoses were 3.3 times higher in those
born by CS (p<0.001, 95% CI=1.695-6.472). No significant
difference was found in both AD and NAD groups. However, scabies was
found to be 2.4 times higher in those born by NVD (p=0,032, 95%
CI=1,057-5,444). It was also noted that ISD were more common in those
born by CS (p=0,057).
Comparison of AD status in NVD and CS groups according to
sociodemographic characteristics is shown in Table 3. Accordingly, the
risk of AD was found to be significantly higher in children with PSE who
were born by CS (p=0,045). It was also observed that allergic children
had a risk for AD in both NVD (p=0,076) and CS (p=0,018), but this risk
was 3.1 times higher in CS delivery (p=0,038, 95% CI= 1,065-9.139 ).
Table 4 illustrates the comparison of NAD status in the NVD and CS
groups based on sociodemographic characteristics. The results indicate
that PSE reduces the risk of NAD in children born by NVD (p=0,051).
According to the ISD comparisons in Table 5, the risk of ISD was lower
in children born by CS whose parents were consanguineous (p=0,080).
Notably, the rate of ISD in the 0-3 age group in normal-born children
decreased from 21,2% to 10,3% in children over 3 years of age
(p=0,139). Additionally, CS-born allergic children showed a lower
prevalence of ISD (p=0.037).
Sociodemographic characteristics and allergy status did not
significantly impact the occurrence of scabies in both normal and
cesarean deliveries. No significant relationship was found between
sociodemographic characteristics and allergy status based on the mode of
delivery.