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Neonatal jaundice, autism, and other disorders of psychological development
Rikke Damkjaer Maimburg1, Bodil Hammer Bech, Michael Vaeth
1Aarhus University, School of Public Health, Department of Epidemiology, Bartholins Allé 2, 8000 Aarhus C, Denmark. rmai@soci.au.dk
Insights
Neonatal jaundice in full-term infants is linked to a higher risk of psychological development disorders. Factors like maternal parity and birth season significantly influence this association, particularly for infantile autism.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Public Health
Background:
- Neonatal jaundice is a common condition in newborns.
- Potential long-term neurodevelopmental effects of neonatal jaundice require further investigation.
- Understanding risk factors associated with neonatal conditions is crucial for early intervention.
Purpose of the Study:
- To examine the association between neonatal jaundice and psychological development disorders in a large Danish cohort.
- To investigate the influence of gestational age, parity, and season of birth on this association.
Main Methods:
- Population-based follow-up study of 733,826 children born in Denmark (1994-2004).
- Data sourced from national registers.
- Survival analysis utilized to calculate hazard ratios (HRs).
Main Results:
- Neonatal jaundice correlated with an increased risk of psychological development disorders in term-born infants (HR: 1.56-1.88).
- Infantile autism risk elevated by 67% (HR: 1.67) in jaundiced neonates.
- Risk for infantile autism was higher for infants born to parous women and during autumn/winter months.
Conclusions:
- Neonatal jaundice in term-born infants is associated with subsequent psychological development disorders.
- Maternal parity and season of birth appear to modify the risk of these disorders.
- Findings highlight the importance of considering perinatal factors in neurodevelopmental outcomes.
Objectives:
The goals were to study the association between neonatal jaundice and disorders of psychological development in a national, population-based cohort and to study whether gestational age, parity, and season of birth influenced that association.
Methods:
A population-based, follow-up study of all children born alive in Denmark between 1994 and 2004 (N = 733,826) was performed, with data collected from 4 national registers. Survival analysis was used to calculate hazard ratios (HRs).
Results:
Exposure to jaundice in neonates was associated with increased risk of disorders of psychological development for children born at term. The excess risk of developing a disorder in the spectrum of psychological development disorders after exposure to jaundice as a neonate was between 56% (HR: 1.56 [95% confidence interval [CI]: 1.05-2.30]) and 88% (HR: 1.88 [95% CI: 1.17-3.02]). The excess risk of infantile autism was 67% (HR: 1.67 [95% CI: 1.03-2.71]). This risk for infantile autism was higher if the child was conceived by a parous woman (HR: 2.71 [95% CI: 1.57-4.66]) or was born between October and March (HR: 2.21 [95% CI: 1.24-3.94]). The risk for infantile autism disappeared if the child was conceived by a primiparous woman (HR: 0.58 [95% CI: 0.18-1.83]) or was born between April and September (HR: 1.02 [95% CI: 0.41-2.50]). Similar risk patterns were found for the whole spectrum of autistic disorders.
Conclusions:
Neonatal jaundice in children born at term is associated with disorders of psychological development. Parity and season of birth seem to play important roles.
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