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Pregnancy, Delivery, and Neonatal Complications Among Autistic Children FREE

Eva Y. Deykin, DPH; Brian MacMahon, MD
[+] Author Affiliations

Reprint requests to Department of Maternal and Child Health, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 (Dr Deykin).


Am J Dis Child. 1980;134(9):860-864. doi:10.1001/archpedi.1980.02130210044012.
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• An investigation of the prenatal, delivery, and neonatal experience of 145 autistic children matched with 330 unaffected siblings revealed that among the propositi there was a preponderance of first-born children. Obstetrical records, which had been made prior to the diagnosis of autism, indicated that autistic children were more likely than their siblings to have experienced at least one untoward event during their mothers' gestations and deliveries. Similarly, the autistic children had an increased risk of neonatal complications. Despite the significant excess of total reproductive complications in the autistic series, there was no single event or a combination of biologically related complications that could reasonably account for any large number of cases of autism. While it is possible that autism may be the product of several diverse deleterious events experienced in utero, during delivery, or in the early neonatal period, our finding could be a chance occurrence or could signal the presence of an unknown factor responsible both for autism and for a variety of reproductive complications.

(Am J Dis Child 134:860-864, 1980)

REFERENCES

Pasamanick B, Rogers M, Lilienfeld A:  Pregnancy experience and the development of behavior disorder in children . Am J Psychiatry 112:613-618, 1956;.
Taft L, Goldfarb W:  Prenatal and perinatal factors in childhood schizophrenia . Der Med Child Neurol 6:32-43, 1964;.
Rutt CN, Offord DR:  Prenatal and perinatal complications in childhood schizophrenia and their sibships . J Nerv Ment Dis 152:324-331, 1971;.
Link to Article
Ritvo ER, Ornitz EM, Walker RD, et al:  Correlation of psychiatric diagnoses and EEG findings: A double-blind study of 184 hospitalized children . Am J Psychiatry 126:988-996, 1970;.
De Myer MK:  Research in infantile autism: A strategy and its results . Biol Psychiatry 10:433-450, 1975;.
Houser SL, DeLong R, Rosman NP:  Pneumographic findings in the infantile autism syndrome . Brain 98:667-688, 1975;.
Link to Article
Kolvin I, Ounstead C, Roth M:  Cerebral dysfunction and childhood psychosis . Br J Psychiatry 118:407-414, 1971;.
Link to Article
Deykin EY, MacMahon B:  The incidence of seizures among children with autistic symptoms . Am J Psychiatry 136:1310-1312, 1979;.
Rutter M:  Behavioral and cognitive characteristics of a series of psychotic children , in Wing JK (ed): Childhood Autism: Clinical, Educational and Social Aspects . London, Pergamon Press, 1966;.
De Myer MK, Barton S, Alpern G, et al:  The measured intelligence of autistic children . J Autism Child Schizophr 4:42-60, 1974;.
Link to Article
Deykin EY, MacMahon B:  Viral exposure and autism . Am J Epidemiol 109:628-638, 1979;.
Rothman K:  Computer analysis for case-control studies with individual matching . Int J Biomed Comput 5:241-247, 1974;.
Link to Article
Greenwood M, Yule GU:  On the determination of size of family and of the distribution of characters in order of birth from samples taken through members of the sibships . J Statist Soc 77:179-197, 1914;.
Link to Article
Knobloch H, Pasamanick B:  Some etiologic and prognostic factors in early infantile autism and psychosis . Pediatrics 55:182-191, 1975;.
Torrey EF, Hersh SP, McCabe KD:  Early childhood psychosis and bleeding during pregnancy . J Autism Child Schizophr 3:287-297, 1975;.
Link to Article
Lane EA, Albee GW:  Comparative birth weights of schizophrenics and their siblings . J Psychol 64:227-231, 1966;.
Link to Article
Kanner L:  To what extent is early infantile autism determined by constitutional inadequacies . Proc Assoc Res Nerv Ment Dis 33:378-385, 1954;.
Rutter M, Lockyer L:  A five to fifteen year follow-up of infantile psychosis . Br J Psychiatry 113:1183-1199, 1967;.
Link to Article
Creak EH, Ini S:  Families of psychotic children . J Child Psychol Psychiatry 1:156-175, 1960;.
Link to Article
Wing JK:  Diagnosis, epidemiology, aetiology , in Wing JK (ed): Childhood Autism: Clinical, Educational and Social Aspects . London, Pergamon Press, 1966;.
Schoenbaum S, Biano S, Mack T:  Epidemiology of congenital rubella syndrome: The role of maternal parity . JAMA 233:151-155, 1975;.
Link to Article

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Pasamanick B, Rogers M, Lilienfeld A:  Pregnancy experience and the development of behavior disorder in children . Am J Psychiatry 112:613-618, 1956;.
Taft L, Goldfarb W:  Prenatal and perinatal factors in childhood schizophrenia . Der Med Child Neurol 6:32-43, 1964;.
Rutt CN, Offord DR:  Prenatal and perinatal complications in childhood schizophrenia and their sibships . J Nerv Ment Dis 152:324-331, 1971;.
Link to Article
Ritvo ER, Ornitz EM, Walker RD, et al:  Correlation of psychiatric diagnoses and EEG findings: A double-blind study of 184 hospitalized children . Am J Psychiatry 126:988-996, 1970;.
De Myer MK:  Research in infantile autism: A strategy and its results . Biol Psychiatry 10:433-450, 1975;.
Houser SL, DeLong R, Rosman NP:  Pneumographic findings in the infantile autism syndrome . Brain 98:667-688, 1975;.
Link to Article
Kolvin I, Ounstead C, Roth M:  Cerebral dysfunction and childhood psychosis . Br J Psychiatry 118:407-414, 1971;.
Link to Article
Deykin EY, MacMahon B:  The incidence of seizures among children with autistic symptoms . Am J Psychiatry 136:1310-1312, 1979;.
Rutter M:  Behavioral and cognitive characteristics of a series of psychotic children , in Wing JK (ed): Childhood Autism: Clinical, Educational and Social Aspects . London, Pergamon Press, 1966;.
De Myer MK, Barton S, Alpern G, et al:  The measured intelligence of autistic children . J Autism Child Schizophr 4:42-60, 1974;.
Link to Article
Deykin EY, MacMahon B:  Viral exposure and autism . Am J Epidemiol 109:628-638, 1979;.
Rothman K:  Computer analysis for case-control studies with individual matching . Int J Biomed Comput 5:241-247, 1974;.
Link to Article
Greenwood M, Yule GU:  On the determination of size of family and of the distribution of characters in order of birth from samples taken through members of the sibships . J Statist Soc 77:179-197, 1914;.
Link to Article
Knobloch H, Pasamanick B:  Some etiologic and prognostic factors in early infantile autism and psychosis . Pediatrics 55:182-191, 1975;.
Torrey EF, Hersh SP, McCabe KD:  Early childhood psychosis and bleeding during pregnancy . J Autism Child Schizophr 3:287-297, 1975;.
Link to Article
Lane EA, Albee GW:  Comparative birth weights of schizophrenics and their siblings . J Psychol 64:227-231, 1966;.
Link to Article
Kanner L:  To what extent is early infantile autism determined by constitutional inadequacies . Proc Assoc Res Nerv Ment Dis 33:378-385, 1954;.
Rutter M, Lockyer L:  A five to fifteen year follow-up of infantile psychosis . Br J Psychiatry 113:1183-1199, 1967;.
Link to Article
Creak EH, Ini S:  Families of psychotic children . J Child Psychol Psychiatry 1:156-175, 1960;.
Link to Article
Wing JK:  Diagnosis, epidemiology, aetiology , in Wing JK (ed): Childhood Autism: Clinical, Educational and Social Aspects . London, Pergamon Press, 1966;.
Schoenbaum S, Biano S, Mack T:  Epidemiology of congenital rubella syndrome: The role of maternal parity . JAMA 233:151-155, 1975;.
Link to Article

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