Soltys Stephen M, Scherbel Jill Rose, Kurian Joseph R, Diebold Todd, Wilson Teresa, Hedden Lindsay, Groesch Kathleen, Diaz-Sylvester Paula L, Botchway Albert, Campbell Pamela, Loret de Mola Julio Ricardo
Southern Illinois University School of Medicine, USA.
Autism. 2020 Aug;24(6):1400-1410. doi: 10.1177/1362361320902903. Epub 2020 Feb 14.
Oxytocin is a hormone naturally produced in the human body that can make the womb (uterus) contract during labor. Manufactured oxytocin is frequently given to mothers in labor to strengthen the contractions or in some cases to start labor. This study compared children with a diagnosis of autism and children without autism to see whether children with autism received more oxytocin during labor. The odds of a child having an autism diagnosis were significantly higher if the delivery was a first-time Cesarean section, if the mother had a body mass index of 35 or higher, or if the reason for delivery were a range of fetal problems that made delivery necessary. It was found that boys who were exposed to oxytocin for longer periods of time during labor and received higher total doses of oxytocin had significantly higher odds of developing autism. There were no significant associations of oxytocin dosing and autism noted in female children. As this is the first study to look at any relationship between the dose of oxytocin received during labor and the odds of developing autism, further study needs to be done to determine whether there is any cause and effect relationship. Thus, at this time, there is no recommended change in clinical practice.
催产素是人体自然产生的一种激素,在分娩期间可使子宫收缩。人工合成的催产素经常被用于分娩的母亲,以增强宫缩,或在某些情况下启动分娩。这项研究比较了被诊断为自闭症的儿童和未患自闭症的儿童,以观察自闭症儿童在分娩期间是否接受了更多的催产素。如果分娩是首次剖宫产、母亲体重指数达到35或更高,或者分娩原因是一系列导致必须分娩的胎儿问题,那么孩子被诊断为自闭症的几率会显著更高。研究发现,在分娩期间接触催产素时间更长、接受催产素总剂量更高的男孩患自闭症的几率显著更高。在女童中未发现催产素剂量与自闭症之间存在显著关联。由于这是第一项研究分娩期间接受的催产素剂量与患自闭症几率之间关系的研究,因此需要进一步研究以确定是否存在因果关系。因此,目前临床实践中没有建议做出改变。