Assessment & Research

Prenatal stress and risk of febrile seizures in children: a nationwide longitudinal study in Denmark.

Li et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Prenatal bereavement does not raise childhood febrile-seizure risk, so you can cross that worry off your parent-education list.

✓ Read this if BCBAs and RBTs who coach families after prenatal loss or explain seizure risk.
✗ Skip if Clinicians focused only on ASD symptom change, not seizure questions.

01Research in Context

01

What this study did

Jiong et al. (2009) tracked every child born in Denmark across six years. They asked: if a mom loses a close family member while pregnant, will her baby later have febrile seizures?

The team used hospital codes to spot seizures. They compared kids whose moms had bereavement during pregnancy with kids whose moms did not.

02

What they found

The risk was flat. Kids exposed to prenatal grief had the same seizure rate as unexposed kids.

In numbers, the hazard ratio stayed at 1.00. In plain words, bereavement stress did not nudge seizure odds up or down.

03

How this fits with other research

Beversdorf et al. (2005) saw more autism cases after prenatal stress, yet Jiong found zero extra seizures. The gap is about the outcome: stress may shape brain wiring seen in autism, but it does not trigger the brief electrical storms that cause febrile seizures.

Taylor et al. (2017) also linked prenatal stress to harsher autism traits. Again, the exposure is the same—mom’s stress—but the measured child problem differs. Seizures and autism traits simply do not rise and fall together here.

Granieri et al. (2020) used the same null-finding recipe. They showed maternal smoking looked risky until family factors were counted; then the risk vanished, just like bereavement stress vanished for seizures.

04

Why it matters

You can reassure grieving moms: their loss does not electrically prime their baby for seizures. When you see febrile seizures in clinic, look for other causes, not the family’s past stress. Keep screening for autism if development lags, because stress may still color social growth even if it does not spark seizures.

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→ Action — try this Monday

Tell bereaved parents: ‘Your child’s seizure risk is the same as any child’s; watch for fever but skip extra worry.’

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
1431175
Population
not specified
Finding
null
Magnitude
negligible

03Original abstract

We aimed to examine whether exposure to prenatal stress following maternal bereavement is associated with an increased risk of febrile seizures. In a longitudinal population-based cohort study, we followed 1,431,175 children born in Denmark. A total of 34,777 children were born to women who lost a close relative during pregnancy or within 1 year before the pregnancy and they were included in the exposed group. The exposed children had a risk of febrile seizures similar to that of the unexposed children (hazard ratio (HR) 1.00, 95% CI 0.94-1.06). The HRs did not differ according to the nature or timing of bereavement. Our data do not suggest any causal link between exposure to prenatal stress and febrile seizures in childhood.

Journal of autism and developmental disorders, 2009 · doi:10.1046/j.1365-2826.2001.00601.x