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母亲经历过分娩并发症或使用过分娩药物的儿童患自闭症的风险增加。

Increased Risk of Autism Development in Children Whose Mothers Experienced Birth Complications or Received Labor and Delivery Drugs.

作者信息

Smallwood Melissa, Sareen Ashley, Baker Emma, Hannusch Rachel, Kwessi Eddy, Williams Tyisha

机构信息

Neuroscience Program, Trinity University, San Antonio, TX, USA.

Department of Mathematics, Trinity University, San Antonio, TX, USA.

出版信息

ASN Neuro. 2016 Aug 9;8(4). doi: 10.1177/1759091416659742. Print 2016 Aug.

DOI:10.1177/1759091416659742
PMID:27511908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4984315/
Abstract

Autism spectrum disorder (ASD) is a perplexing and pervasive developmental disorder characterized by social difficulties, communicative deficits, and repetitive behavior. The increased rate of ASD diagnosis has raised questions concerning the genetic and environmental factors contributing to the development of this disorder; meanwhile, the cause of ASD remains unknown. This study surveyed mothers of ASD and non-ASD children to determine possible effects of labor and delivery (L&D) drugs on the development of ASD. The survey was administered to mothers; however, the results were analyzed by child, as the study focused on the development of autism. Furthermore, an independent ASD dataset from the Southwest Autism Research and Resource Center was analyzed and compared. Indeed, L&D drugs are associated with ASD (p = .039). Moreover, the Southwest Autism Research and Resource Center dataset shows that the labor induction drug, Pitocin, is significantly associated with ASD (p = .004). We also observed a synergistic effect between administrations of L&D drugs and experiencing a birth complication, in which both obstetrics factors occurring together increased the likelihood of the fetus developing ASD later in life (p = .0003). The present study shows the possible effects of L&D drugs, such as Pitocin labor-inducing and analgesic drugs, on children and ASD.

摘要

自闭症谱系障碍(ASD)是一种令人困惑且普遍存在的发育障碍,其特征为社交困难、沟通缺陷和重复行为。ASD诊断率的上升引发了关于导致该障碍发展的遗传和环境因素的疑问;与此同时,ASD的病因仍然不明。本研究对ASD儿童和非ASD儿童的母亲进行了调查,以确定分娩(L&D)药物对ASD发展的可能影响。该调查是针对母亲进行的;然而,由于研究关注的是自闭症的发展,所以结果是按儿童进行分析的。此外,还分析并比较了来自西南自闭症研究与资源中心的一个独立的ASD数据集。的确,分娩药物与ASD有关(p = 0.039)。此外,西南自闭症研究与资源中心的数据集显示,引产药物缩宫素与ASD显著相关(p = 0.004)。我们还观察到分娩药物的使用与经历分娩并发症之间存在协同效应,即这两种产科因素同时出现会增加胎儿日后患ASD的可能性(p = 0.0003)。本研究显示了分娩药物,如缩宫素引产药和镇痛药,对儿童及ASD的可能影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/3fc256191efc/10.1177_1759091416659742-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/e04e2efb7f4e/10.1177_1759091416659742-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/b1eaddeb39e1/10.1177_1759091416659742-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/720b99580d84/10.1177_1759091416659742-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/3fc256191efc/10.1177_1759091416659742-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/e04e2efb7f4e/10.1177_1759091416659742-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/b1eaddeb39e1/10.1177_1759091416659742-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/720b99580d84/10.1177_1759091416659742-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2e/4984315/3fc256191efc/10.1177_1759091416659742-fig4.jpg

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