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.

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