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Exploring the Association Between Medically Assisted Reproduction and Autism Spectrum Disorder: Clinical Correlations
Federica Gigliotti1, Maria Eugenia Martelli1, Silvia Foglietta1
1Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy.
Assisted Reproductive Technologies (ART) are more common in children with Autism Spectrum Disorder (ASD). ART in ASD appears linked to perinatal factors, not direct causation, highlighting the need for enhanced monitoring.
Area of Science:
- Neurodevelopmental Disorders
- Reproductive Health
- Pediatric Health
Background:
- Autism Spectrum Disorder (ASD) prevalence is rising globally.
- Assisted Reproductive Technologies (ART) use is increasing due to infertility.
- Understanding the relationship between ART and ASD is crucial.
Purpose of the Study:
- Compare ART conception frequency in ASD vs. other neurodevelopmental disorders (nASD).
- Investigate prenatal, perinatal, and medical histories in ART-conceived children with ASD.
- Examine associations between ART and risk factors within the ASD group.
Main Methods:
- Retrospective analysis of 507 children with neurodevelopmental disorder diagnoses.
- Classification into ASD (n=234) and nASD (n=273) groups.
- Subgroup analysis within ASD for ART vs. non-ART conception.
Main Results:
- ART-conceived children were more frequent in the ASD group compared to nASD.
- Within ASD, ART was associated with twin pregnancy, cesarean delivery, low birth weight, and parental age.
- Logistic regression indicated ART co-occurs with perinatal and familial risk factors.
Conclusions:
- ART is not an independent causal factor for ASD.
- The association between ART and ASD is likely mediated by perinatal and parental variables.
- Emphasizes improved obstetric care and early developmental monitoring for ART-conceived children.
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