National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Mailstop E-86, 4770 Buford Hwy NE, Atlanta, GA, 30341, USA.
Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
J Autism Dev Disord. 2017 Dec;47(12):3994-4005. doi: 10.1007/s10803-017-3283-1.
Previous studies of associations between ASD and conception using assisted reproductive technology (ART) are inconsistent and few studies have examined associations with other infertility treatments or infertility disorders. We examined associations between ASD and maternal/paternal infertility disorders and numerous maternal treatments among 1538 mother-child pairs in the Study to Explore Early Development, a population-based case-control study. ASD was associated with any female infertility diagnosis and several specific diagnoses: blocked tubes, endometriosis, uterine-factor infertility, and polycystic ovarian syndrome. Stratified analyses suggested associations were limited to/much stronger among second or later births. The findings were not explained by sociodemographic factors such as maternal age or education or multiple or preterm birth. ASD was not associated with ART or non-ART infertility treatments.
先前使用辅助生殖技术(ART)研究自闭症谱系障碍(ASD)与受孕之间的关联的研究结果并不一致,且很少有研究调查了与其他不孕治疗或不孕疾病的关联。我们在一项基于人群的病例对照研究——探索早期发育研究中,对 1538 对母婴对子中,与 ASD 相关的母亲/父亲不孕疾病和多种母亲治疗方法进行了研究。ASD 与任何女性不孕诊断和几种特定诊断有关:输卵管阻塞、子宫内膜异位症、子宫因素不孕和多囊卵巢综合征。分层分析表明,关联仅限于/在第二胎或以后的分娩中更强。这些发现并不能用社会人口因素来解释,如母亲的年龄或教育程度,或多胎或早产。ASD 与 ART 或非 ART 不孕治疗无关。