Antenatal ultrasound and risk of autism spectrum disorders
Judith K Grether1, Sherian Xu Li, Cathleen K Yoshida
1Environmental Health Investigations Branch, California Department of Public Health, Richmond, CA 94804, USA. Judith.grether@cdph.ca.gov
Insights
Antenatal ultrasound (U/S) exposure is unlikely to increase the risk of autism spectrum disorders (ASD). This study found no significant difference in U/S exposure between children with ASD and controls.
Area of Science:
- Obstetrics and Gynecology
- Developmental Pediatrics
- Neuroscience
Background:
- Autism Spectrum Disorders (ASD) are complex neurodevelopmental conditions.
- The potential impact of prenatal exposures on ASD risk is an area of ongoing research.
- Antenatal ultrasound (U/S) is a common diagnostic tool during pregnancy.
Purpose of the Study:
- To investigate whether antenatal ultrasound (U/S) exposure is a risk factor for autism spectrum disorders (ASD).
- To compare U/S exposure levels between singleton children diagnosed with ASD and typically developing controls.
Main Methods:
- A case-control study design was employed.
- Participants included singleton children born between 1995-1999 and enrolled in Kaiser Permanente.
- Data on antenatal U/S examinations were collected and compared between ASD cases (n=362) and controls (n=393).
Main Results:
- Approximately 13% of both ASD cases and controls had no antenatal U/S exposure.
- No statistically significant differences were observed in the number of U/S exposures between cases and controls, either throughout gestation or by trimester.
- Adjusted analyses, controlling for covariates, showed similar U/S exposure patterns between the groups.
Conclusions:
- Antenatal ultrasound (U/S) exposure does not appear to be a significant risk factor for autism spectrum disorders (ASD).
- Further research is warranted to explore potential associations in specific ASD subgroups.
Abstract:
We evaluated antenatal ultrasound (U/S) exposure as a risk factor for autism spectrum disorders (ASD), comparing affected singleton children and control children born 1995-1999 and enrolled in the Kaiser Permanente health care system. Among children with ASD (n = 362) and controls (n = 393), 13% had no antenatal exposure to U/S examinations; case-control differences in number of exposures during the entire gestation or by trimester were small and not statistically significant. In analyses adjusted for covariates, cases were generally similar to controls with regard to the number of U/S scans throughout gestation and during each trimester. This study indicates that antenatal U/S is unlikely to increase the risk of ASD, although studies examining ASD subgroups remain to be conducted.
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Autism Spectrum Disorder
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