Perinatal and Obstetric Predictors for Autism Spectrum Disorder

The objective is to identify obstetric and perinatal factors that could be significant predictors of ASD and may lead to early detection and intervention. A population-based case–control study including 128 children diagnosed with ASD and 311 controls was conducted. Information was collected through...

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Published inJournal of autism and developmental disorders Vol. 51; no. 11; pp. 3908 - 3916
Main Authors Perales-Marín, Alfredo, Peraita-Costa, Isabel, Cervera-Boada, Pablo, Tellez de Meneses, Montserrat, Llopis-González, Agustín, Marí-Bauset, Salvador, Morales-Suárez-Varela, María
Format Journal Article
LanguageEnglish
Published New York Springer US 01.11.2021
Springer
Springer Nature B.V
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Online AccessGet full text
ISSN0162-3257
1573-3432
1573-3432
DOI10.1007/s10803-020-04846-0

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Abstract The objective is to identify obstetric and perinatal factors that could be significant predictors of ASD and may lead to early detection and intervention. A population-based case–control study including 128 children diagnosed with ASD and 311 controls was conducted. Information was collected through self-reported questionnaires. The factors retained as significant predictors for ASD in the final adjusted hierarchical logistic regression model were cesarean section and male gender. The study revealed a higher incidence of cesarean sections and male gender in children with ASD in comparison to unaffected children confirming the results of previous studies. Children born by cesarean section, especially males, should be more closely monitored for the presence of ASD traits for early diagnosis and intervention.
AbstractList The objective is to identify obstetric and perinatal factors that could be significant predictors of ASD and may lead to early detection and intervention. A population-based case-control study including 128 children diagnosed with ASD and 311 controls was conducted. Information was collected through self-reported questionnaires. The factors retained as significant predictors for ASD in the final adjusted hierarchical logistic regression model were cesarean section and male gender. The study revealed a higher incidence of cesarean sections and male gender in children with ASD in comparison to unaffected children confirming the results of previous studies. Children born by cesarean section, especially males, should be more closely monitored for the presence of ASD traits for early diagnosis and intervention.
The objective is to identify obstetric and perinatal factors that could be significant predictors of ASD and may lead to early detection and intervention. A population-based case-control study including 128 children diagnosed with ASD and 311 controls was conducted. Information was collected through self-reported questionnaires. The factors retained as significant predictors for ASD in the final adjusted hierarchical logistic regression model were cesarean section and male gender. The study revealed a higher incidence of cesarean sections and male gender in children with ASD in comparison to unaffected children confirming the results of previous studies. Children born by cesarean section, especially males, should be more closely monitored for the presence of ASD traits for early diagnosis and intervention.The objective is to identify obstetric and perinatal factors that could be significant predictors of ASD and may lead to early detection and intervention. A population-based case-control study including 128 children diagnosed with ASD and 311 controls was conducted. Information was collected through self-reported questionnaires. The factors retained as significant predictors for ASD in the final adjusted hierarchical logistic regression model were cesarean section and male gender. The study revealed a higher incidence of cesarean sections and male gender in children with ASD in comparison to unaffected children confirming the results of previous studies. Children born by cesarean section, especially males, should be more closely monitored for the presence of ASD traits for early diagnosis and intervention.
Audience Academic
Author Tellez de Meneses, Montserrat
Marí-Bauset, Salvador
Perales-Marín, Alfredo
Llopis-González, Agustín
Peraita-Costa, Isabel
Cervera-Boada, Pablo
Morales-Suárez-Varela, María
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ContentType Journal Article
Copyright The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021
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The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021.
2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.
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Keywords Perinatal
Autism spectrum disorder
Risk factors
Cesarean section
Prediction
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References American Psychiatric AssociationDiagnostic and statistical manual of mental disorders. DSM-IV-TR20004WashingtonAmerican Psychiatric Association
GibbonsLBelizánJLauerJBetránAMerialdiMAlthabeFThe global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: Overuse as a barrier to universal coverage. (Background Paper No. 30)2010GenevaWorld Health Organization
SchieveLATianLHBaioJRankinKRosenbergDWigginsLRiceCPopulation attributable fractions for three perinatal risk factors for autism spectrum disorders, 2002 and 2008 autism and developmental disabilities monitoring networkAnnals of Epidemiology201424426026624529515456245910.1016/j.annepidem.2013.12.014
ElsabbaghMDivanGKohYKimYSKauchaliSMarcínCWangCGlobal prevalence of autism and other pervasive developmental disordersAutism Research20125316017922495912376321010.1002/aur.239
ZhangXLvCTianJMiaoRXiWHertz-PicciottoIQiLPrenatal and perinatal risk factors for autism in chinaJournal of Autism and Developmental Disorders201040111311132120358271297419010.1007/s10803-010-0992-0
HowlinPPrognosis in autism: Do specialist treatments affect long-term outcome?European Child & Adolescent Psychiatry199762557210.1007/BF00566668
CurranEAO'NeillSMCryanJFKennyLCDinanTGKhashanASKearneyPMResearch review: Birth by caesarean section and development of autism spectrum disorder and attention-deficit/hyperactivity disorder: A systematic review and meta-analysisJournal of Child Psychology and Psychiatry20155655005082534807410.1111/jcpp.1235125348074
ParnerETBaron-CohenSLauritsenMBJørgensenMSchieveLAYeargin-AllsoppMObelCParental age and autism spectrum disordersAnnals of Epidemiology201222314315022277122456246110.1016/j.annepidem.2011.12.006
MaennerMJRiceCEArnesonCLCunniffCSchieveLACarpenterLADurkinMSPotential impact of DSM-5 criteria on autism spectrum disorder prevalence estimatesJAMA Psychiatry201471329230024452504404157710.1001/jamapsychiatry.2013.3893
BetránAPMerialdiMLauerJABing-ShunWThomasJVan LookPWagnerMRates of caesarean section: Analysis of global, regional and national estimatesPaediatric and Perinatal Epidemiology2007212981131730263810.1111/j.1365-3016.2007.00786.x17302638
BecerraTAWilhelmMOlsenJCockburnMRitzBAmbient air pollution and autism in los angeles county, californiaEnvironmental Health Perspectives (Online)2013121338010.1289/ehp.1205827
KingMBearmanPDiagnostic change and the increased prevalence of autismInternational Journal of Epidemiology20093851224123410.1093/ije/dyp261197377912800781
BeggiatoAPeyreHMaruaniAScheidIRastamMAmsellemFGillbergCGender differences in autism spectrum disorders: Divergence among specific core symptomsAutism Research2016106806892780940810.1002/aur.171527809408
ShieldsJThe NAS EarlyBird programme: Partnership with parents in early interventionAutism20015149561170838911708389
McTiernanALeaderGHealyOMannionAAnalysis of risk factors and early predictors of challenging behavior for children with autism spectrum disorderResearch in Autism Spectrum Disorders2011531215122210.1016/j.rasd.2011.01.009
DanielsMJHoganJWMissing data in longitudinal studies: Strategies for bayesian modeling and sensitivity analysis2008Boca RatonCRC Press10.1201/9781420011180
GialloretiLEBenvenutoABenassiFCuratoloPAre caesarean sections, induced labor and oxytocin regulation linked to autism spectrum disorders?Medical Hypotheses20148267137182468511010.1016/j.mehy.2014.03.01124685110
LunnDJThomasABestNSpiegelhalterDWinBUGS-a bayesian modelling framework: Concepts, structure, and extensibilityStatistics and Computing200010432533710.1023/A:1008929526011
GelmanACarlinJBSternHSRubinDBBayesian data analysis2014Boca Raton, FLChapman & Hall/CRC
RogersSJBrief report: Early intervention in autismJournal of Autism and Developmental Disorders1996262243246874449310.1007/BF021720208744493
HallmayerJClevelandSTorresAPhillipsJCohenBTorigoeTSmithKGenetic heritability and shared environmental factors among twin pairs with autismArchives of General Psychiatry201168111095110221727249444067910.1001/archgenpsychiatry.2011.76
YeJBetránAPGuerrero VelaMSouzaJPZhangJSearching for the optimal rate of medically necessary cesarean deliveryBirth20144132372442472061410.1111/birt.1210424720614
Jordan, R., Jones, G., & Murray, D. (1998). Educational interventions for children with autism: A literature review of recent and current research.
HadjkacemIAyadiHTurkiMYaichSKhemekhemKWalhaAGhribiFPrenatal, perinatal and postnatal factors associated with autism spectrum disorderJornal De Pediatria (Versão Em Português)201692659560110.1016/j.jpedp.2016.08.011
HahlerEElsabbaghMAutism: A global perspectiveCurrent Developmental Disorders Reports201521586410.1007/s40474-014-0033-3
BoermaTRonsmansCMelesseDYBarrosAJBarrosFCJuanLYiMGlobal epidemiology of use of and disparities in caesarean sectionsThe Lancet2018392101551341134810.1016/S0140-6736(18)31928-7
HowlinPRutterMBergerMHemsleyRHersovLYuleWTreatment of autistic children1987ChichesterWiley
Secretaría General de Sanidad y Consumo, Dirección General de Salud Pública, Calidad e Innovación, Subdirección General de Información Sanitaria e Innovación & Ministerio de Sanidad, Servicios Sociales e Igualdad. (2013). Evolución de la tasa de cesáreas hospitales generales SNS años 2001–2011. Retrieved from https://www.mscbs.gob.es/estadEstudios/estadisticas/docs/Ev_de_Tasa_Cesareas1.pdf
CurranEACryanJFKennyLCDinanTGKearneyPMKhashanASObstetrical mode of delivery and childhood behavior and psychological development in a british cohortJournal of Autism and Developmental Disorders20164626036142641236410.1007/s10803-015-2616-126412364
SchieveLARiceCDevineOMaennerMJLeeLFitzgeraldRvan Naarden BraunKHave secular changes in perinatal risk factors contributed to the recent autism prevalence increase? Development and application of a mathematical assessment modelAnnals of Epidemiology2011211293094522000328435177010.1016/j.annepidem.2011.08.009
Froehlich-SantinoWTobonALClevelandSTorresAPhillipsJCohenBCollinsJPrenatal and perinatal risk factors in a twin study of autism spectrum disordersJournal of Psychiatric Research20145410010824726638407252710.1016/j.jpsychires.2014.03.019
CurranEADalmanCKearneyPMKennyLCCryanJFDinanTGKhashanASAssociation between obstetric mode of delivery and autism spectrum disorder: A population-based sibling design studyJAMA Psychiatry20157299359422610792210.1001/jamapsychiatry.2015.084626107922
SandinSHultmanCMKolevzonAGrossRMacCabeJHReichenbergAAdvancing maternal age is associated with increasing risk for autism: A review and meta-analysisJournal of the American Academy of Child & Adolescent Psychiatry201251547748610.1016/j.jaac.2012.02.018
Polo-KantolaPLampiKMHinkka-Yli-SalomäkiSGisslerMBrownASSouranderAObstetric risk factors and autism spectrum disorders in FinlandThe Journal of Pediatrics201416423583652418320910.1016/j.jpeds.2013.09.04424183209
HarrellFRegression modeling strategies: With applications to linear models, logistic and ordinal regression, and survival analysis2015New YorkSpringer10.1007/978-3-319-19425-7
DoddsLFellDBSheaSArmsonBAAllenACBrysonSThe role of prenatal, obstetric and neonatal factors in the development of autismJournal of Autism and Developmental Disorders20114178919022092247310.1007/s10803-010-1114-820922473
HansenSNSchendelDEParnerETExplaining the increase in the prevalence of autism spectrum disorders: The proportion attributable to changes in reporting practicesJAMA Pediatrics2015169156622536503310.1001/jamapediatrics.2014.189325365033
World Health OrganizationAppropriate technology for birthLancet19852436437
BilderDPinborough-ZimmermanJMillerJMcMahonWPrenatal, perinatal, and neonatal factors associated with autism spectrum disordersPediatrics2009123129313001940349410.1542/peds.2008-092719403494
World Health Organization. (2019). Autism spectrum disorders. Retrieved from https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders
FilipekPAAccardoPJAshwalSBaranekGTCookEHJrDawsonGVolkmarFRPractice parameter: Screening and diagnosis of autism: Report of the quality standards subcommittee of the american academy of neurology and the child neurology societyNeurology20005544684791095317610.1212/WNL.55.4.46810953176
KeyesKMSusserECheslack-PostavaKFountainCLiuKBearmanPSCohort effects explain the increase in autism diagnosis among children born from 1992 to 2003 in californiaInternational Journal of Epidemiology201241249550310.1093/ije/dyr1932225330822253308
DuanGYaoMMaYZhangWPerinatal and background risk factors for childhood autism in central chinaPsychiatry Research201422014104172508579210.1016/j.psychres.2014.05.05725085792
BetranAPTorloniMRZhangJYeJMikolajczykRDeneux-TharauxCVogelJPWhat is the optimal rate of caesarean section at population level? A systematic review of ecologic studiesReproductive Health20151215726093498449682110.1186/s12978-015-0043-6
GuinchatVThorsenPLaurentCCansCBodeauNCohenDPre-, peri-and neonatal risk factors for autismActa Obstetricia et Gynecologica Scandinavica20129132873002208543610.1111/j.1600-0412.2011.01325.x22085436
GregorySGAnthopolosROsgoodCEGrotegutCAMirandaMLAssociation of autism with induced or augmented childbirth in north carolina birth record (1990–1998) and education research (1997–2007) databasesJAMA Pediatrics2013167109599662393861010.1001/jamapediatrics.2013.290423938610
Cheslack-PostavaKJokirantaESuominenALehtiVSouranderABrownASVariation by diagnostic subtype in risk for autism spectrum disorders associated with maternal parity among finnish birthsPaediatric and Perinatal Epidemiology201428158662431366810.1111/ppe.1209424313668
EmersonEKiernanCAlborzAReevesDMasonHSwarbrickRHattonCPredicting the persistence of severe self-injurious behaviorResearch in Developmental Disabilities200122167751126363110.1016/S0891-4222(00)00062-711263631
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A McTiernan (4846_CR38) 2011; 5
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L Gibbons (4846_CR23) 2010
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E Hahler (4846_CR27) 2015; 2
P Howlin (4846_CR32) 1987
K Cheslack-Postava (4846_CR9) 2014; 28
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LA Schieve (4846_CR43) 2011; 21
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MJ Maenner (4846_CR37) 2014; 71
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X Zhang (4846_CR49) 2010; 40
J Ye (4846_CR48) 2014; 41
TA Becerra (4846_CR3) 2013; 121
PA Filipek (4846_CR18) 2000; 55
W Froehlich-Santino (4846_CR19) 2014; 54
AP Betran (4846_CR6) 2015; 12
EA Curran (4846_CR10) 2016; 46
E Emerson (4846_CR17) 2001; 22
L Dodds (4846_CR14) 2011; 41
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J Hallmayer (4846_CR28) 2011; 68
T Boerma (4846_CR8) 2018; 392
EA Curran (4846_CR11) 2015; 72
DJ Lunn (4846_CR36) 2000; 10
M Elsabbagh (4846_CR16) 2012; 5
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S Sandin (4846_CR42) 2012; 51
A Gelman (4846_CR20) 2014
LA Schieve (4846_CR44) 2014; 24
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American Psychiatric Association (4846_CR1) 2000
P Howlin (4846_CR31) 1997; 6
SJ Rogers (4846_CR41) 1996; 26
References_xml – reference: Secretaría General de Sanidad y Consumo, Dirección General de Salud Pública, Calidad e Innovación, Subdirección General de Información Sanitaria e Innovación & Ministerio de Sanidad, Servicios Sociales e Igualdad. (2013). Evolución de la tasa de cesáreas hospitales generales SNS años 2001–2011. Retrieved from https://www.mscbs.gob.es/estadEstudios/estadisticas/docs/Ev_de_Tasa_Cesareas1.pdf
– reference: GelmanACarlinJBSternHSRubinDBBayesian data analysis2014Boca Raton, FLChapman & Hall/CRC
– reference: DoddsLFellDBSheaSArmsonBAAllenACBrysonSThe role of prenatal, obstetric and neonatal factors in the development of autismJournal of Autism and Developmental Disorders20114178919022092247310.1007/s10803-010-1114-820922473
– reference: EmersonEKiernanCAlborzAReevesDMasonHSwarbrickRHattonCPredicting the persistence of severe self-injurious behaviorResearch in Developmental Disabilities200122167751126363110.1016/S0891-4222(00)00062-711263631
– reference: World Health OrganizationAppropriate technology for birthLancet19852436437
– reference: CurranEADalmanCKearneyPMKennyLCCryanJFDinanTGKhashanASAssociation between obstetric mode of delivery and autism spectrum disorder: A population-based sibling design studyJAMA Psychiatry20157299359422610792210.1001/jamapsychiatry.2015.084626107922
– reference: CurranEACryanJFKennyLCDinanTGKearneyPMKhashanASObstetrical mode of delivery and childhood behavior and psychological development in a british cohortJournal of Autism and Developmental Disorders20164626036142641236410.1007/s10803-015-2616-126412364
– reference: SchieveLATianLHBaioJRankinKRosenbergDWigginsLRiceCPopulation attributable fractions for three perinatal risk factors for autism spectrum disorders, 2002 and 2008 autism and developmental disabilities monitoring networkAnnals of Epidemiology201424426026624529515456245910.1016/j.annepidem.2013.12.014
– reference: BetránAPMerialdiMLauerJABing-ShunWThomasJVan LookPWagnerMRates of caesarean section: Analysis of global, regional and national estimatesPaediatric and Perinatal Epidemiology2007212981131730263810.1111/j.1365-3016.2007.00786.x17302638
– reference: Polo-KantolaPLampiKMHinkka-Yli-SalomäkiSGisslerMBrownASSouranderAObstetric risk factors and autism spectrum disorders in FinlandThe Journal of Pediatrics201416423583652418320910.1016/j.jpeds.2013.09.04424183209
– reference: GialloretiLEBenvenutoABenassiFCuratoloPAre caesarean sections, induced labor and oxytocin regulation linked to autism spectrum disorders?Medical Hypotheses20148267137182468511010.1016/j.mehy.2014.03.01124685110
– reference: BeggiatoAPeyreHMaruaniAScheidIRastamMAmsellemFGillbergCGender differences in autism spectrum disorders: Divergence among specific core symptomsAutism Research2016106806892780940810.1002/aur.171527809408
– reference: HallmayerJClevelandSTorresAPhillipsJCohenBTorigoeTSmithKGenetic heritability and shared environmental factors among twin pairs with autismArchives of General Psychiatry201168111095110221727249444067910.1001/archgenpsychiatry.2011.76
– reference: HarrellFRegression modeling strategies: With applications to linear models, logistic and ordinal regression, and survival analysis2015New YorkSpringer10.1007/978-3-319-19425-7
– reference: KingMBearmanPDiagnostic change and the increased prevalence of autismInternational Journal of Epidemiology20093851224123410.1093/ije/dyp261197377912800781
– reference: World Health Organization. (2019). Autism spectrum disorders. Retrieved from https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders
– reference: HowlinPPrognosis in autism: Do specialist treatments affect long-term outcome?European Child & Adolescent Psychiatry199762557210.1007/BF00566668
– reference: DuanGYaoMMaYZhangWPerinatal and background risk factors for childhood autism in central chinaPsychiatry Research201422014104172508579210.1016/j.psychres.2014.05.05725085792
– reference: GregorySGAnthopolosROsgoodCEGrotegutCAMirandaMLAssociation of autism with induced or augmented childbirth in north carolina birth record (1990–1998) and education research (1997–2007) databasesJAMA Pediatrics2013167109599662393861010.1001/jamapediatrics.2013.290423938610
– reference: RogersSJBrief report: Early intervention in autismJournal of Autism and Developmental Disorders1996262243246874449310.1007/BF021720208744493
– reference: ElsabbaghMDivanGKohYKimYSKauchaliSMarcínCWangCGlobal prevalence of autism and other pervasive developmental disordersAutism Research20125316017922495912376321010.1002/aur.239
– reference: ParnerETBaron-CohenSLauritsenMBJørgensenMSchieveLAYeargin-AllsoppMObelCParental age and autism spectrum disordersAnnals of Epidemiology201222314315022277122456246110.1016/j.annepidem.2011.12.006
– reference: LunnDJThomasABestNSpiegelhalterDWinBUGS-a bayesian modelling framework: Concepts, structure, and extensibilityStatistics and Computing200010432533710.1023/A:1008929526011
– reference: KeyesKMSusserECheslack-PostavaKFountainCLiuKBearmanPSCohort effects explain the increase in autism diagnosis among children born from 1992 to 2003 in californiaInternational Journal of Epidemiology201241249550310.1093/ije/dyr1932225330822253308
– reference: BetranAPTorloniMRZhangJYeJMikolajczykRDeneux-TharauxCVogelJPWhat is the optimal rate of caesarean section at population level? A systematic review of ecologic studiesReproductive Health20151215726093498449682110.1186/s12978-015-0043-6
– reference: Cheslack-PostavaKJokirantaESuominenALehtiVSouranderABrownASVariation by diagnostic subtype in risk for autism spectrum disorders associated with maternal parity among finnish birthsPaediatric and Perinatal Epidemiology201428158662431366810.1111/ppe.1209424313668
– reference: American Psychiatric AssociationDiagnostic and statistical manual of mental disorders2013Washington DC, American Psychiatric AssociationDSM-V10.1176/appi.books.9780890425596
– reference: American Psychiatric AssociationDiagnostic and statistical manual of mental disorders. DSM-IV-TR20004WashingtonAmerican Psychiatric Association
– reference: BecerraTAWilhelmMOlsenJCockburnMRitzBAmbient air pollution and autism in los angeles county, californiaEnvironmental Health Perspectives (Online)2013121338010.1289/ehp.1205827
– reference: HansenSNSchendelDEParnerETExplaining the increase in the prevalence of autism spectrum disorders: The proportion attributable to changes in reporting practicesJAMA Pediatrics2015169156622536503310.1001/jamapediatrics.2014.189325365033
– reference: Jordan, R., Jones, G., & Murray, D. (1998). Educational interventions for children with autism: A literature review of recent and current research.
– reference: ZhangXLvCTianJMiaoRXiWHertz-PicciottoIQiLPrenatal and perinatal risk factors for autism in chinaJournal of Autism and Developmental Disorders201040111311132120358271297419010.1007/s10803-010-0992-0
– reference: ShieldsJThe NAS EarlyBird programme: Partnership with parents in early interventionAutism20015149561170838911708389
– reference: McTiernanALeaderGHealyOMannionAAnalysis of risk factors and early predictors of challenging behavior for children with autism spectrum disorderResearch in Autism Spectrum Disorders2011531215122210.1016/j.rasd.2011.01.009
– reference: SchieveLARiceCDevineOMaennerMJLeeLFitzgeraldRvan Naarden BraunKHave secular changes in perinatal risk factors contributed to the recent autism prevalence increase? Development and application of a mathematical assessment modelAnnals of Epidemiology2011211293094522000328435177010.1016/j.annepidem.2011.08.009
– reference: GuinchatVThorsenPLaurentCCansCBodeauNCohenDPre-, peri-and neonatal risk factors for autismActa Obstetricia et Gynecologica Scandinavica20129132873002208543610.1111/j.1600-0412.2011.01325.x22085436
– reference: GibbonsLBelizánJLauerJBetránAMerialdiMAlthabeFThe global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: Overuse as a barrier to universal coverage. (Background Paper No. 30)2010GenevaWorld Health Organization
– reference: HowlinPRutterMBergerMHemsleyRHersovLYuleWTreatment of autistic children1987ChichesterWiley
– reference: MaennerMJRiceCEArnesonCLCunniffCSchieveLACarpenterLADurkinMSPotential impact of DSM-5 criteria on autism spectrum disorder prevalence estimatesJAMA Psychiatry201471329230024452504404157710.1001/jamapsychiatry.2013.3893
– reference: DanielsMJHoganJWMissing data in longitudinal studies: Strategies for bayesian modeling and sensitivity analysis2008Boca RatonCRC Press10.1201/9781420011180
– reference: BoermaTRonsmansCMelesseDYBarrosAJBarrosFCJuanLYiMGlobal epidemiology of use of and disparities in caesarean sectionsThe Lancet2018392101551341134810.1016/S0140-6736(18)31928-7
– reference: CurranEAO'NeillSMCryanJFKennyLCDinanTGKhashanASKearneyPMResearch review: Birth by caesarean section and development of autism spectrum disorder and attention-deficit/hyperactivity disorder: A systematic review and meta-analysisJournal of Child Psychology and Psychiatry20155655005082534807410.1111/jcpp.1235125348074
– reference: SandinSHultmanCMKolevzonAGrossRMacCabeJHReichenbergAAdvancing maternal age is associated with increasing risk for autism: A review and meta-analysisJournal of the American Academy of Child & Adolescent Psychiatry201251547748610.1016/j.jaac.2012.02.018
– reference: Froehlich-SantinoWTobonALClevelandSTorresAPhillipsJCohenBCollinsJPrenatal and perinatal risk factors in a twin study of autism spectrum disordersJournal of Psychiatric Research20145410010824726638407252710.1016/j.jpsychires.2014.03.019
– reference: BilderDPinborough-ZimmermanJMillerJMcMahonWPrenatal, perinatal, and neonatal factors associated with autism spectrum disordersPediatrics2009123129313001940349410.1542/peds.2008-092719403494
– reference: HahlerEElsabbaghMAutism: A global perspectiveCurrent Developmental Disorders Reports201521586410.1007/s40474-014-0033-3
– reference: HadjkacemIAyadiHTurkiMYaichSKhemekhemKWalhaAGhribiFPrenatal, perinatal and postnatal factors associated with autism spectrum disorderJornal De Pediatria (Versão Em Português)201692659560110.1016/j.jpedp.2016.08.011
– reference: YeJBetránAPGuerrero VelaMSouzaJPZhangJSearching for the optimal rate of medically necessary cesarean deliveryBirth20144132372442472061410.1111/birt.1210424720614
– reference: FilipekPAAccardoPJAshwalSBaranekGTCookEHJrDawsonGVolkmarFRPractice parameter: Screening and diagnosis of autism: Report of the quality standards subcommittee of the american academy of neurology and the child neurology societyNeurology20005544684791095317610.1212/WNL.55.4.46810953176
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SubjectTerms Analysis
Autism
Autism Spectrum Disorders
Behavioral Science and Psychology
Birth
Case Studies
Cesarean section
Child and School Psychology
Children
Classroom Desegregation
Clinical Diagnosis
Departments
Diagnosis
Early Intervention
Environmental Influences
Gender
Hospitals
Identification
Males
Medical diagnosis
Men
Mental Disorders
Neurosciences
Obstetrics
Original Paper
Parent Participation
Pediatrics
Perinatal factors
Perinatal Influences
Pervasive Developmental Disorders
Population studies
Predictor Variables
Prenatal diagnosis
Psychology
Public Health
Risk factors
Symptoms (Individual Disorders)
World Problems
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Title Perinatal and Obstetric Predictors for Autism Spectrum Disorder
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