Rapid brachycephalization observed in 20th century Japan ceased with the generation born in the mid-1960s, when debrachycephalization started. If the onset of debrachycephalization is caused by environmental factors, it is likely that those environmental changes occur by 1 year of age, when the head length (HL) and head breadth (HB) reach about 80–90% of the adult size. An increase in the rate of deliveries performed by Caesarian section (C-section) is one possible factor for the start of this debrachycephalization. In order to evaluate the effects of C-section on the adult cephalic index (CI), information on the type of delivery was obtained through interviews, and HL and HB were measured for 122 female students born between 1990–1998. The effects of vacuum extraction (VE) were examined for females born by vaginal delivery using one-way ANOVA. No significant difference was observed in HL, HB, and CI between groups born with VE, without VE, and with no information. Therefore, data from the three groups were combined and used for further analyses. Females born by vaginal delivery (N = 98) and those born by the C-section (N = 21) were compared using t-test, and no significant between-group difference was observed in HL, HB, and CI. These results support previous findings that reject the long-term effect of head molding during vaginal delivery. These results also reject the hypothesis that changes in delivery type caused a reversal of secular change in cephalic index.
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