Autism & Developmental

Is maternal influenza or fever during pregnancy associated with autism or developmental delays? Results from the CHARGE (CHildhood Autism Risks from Genetics and Environment) study.

Zerbo et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Treating maternal fever with acetaminophen may nearly halve autism odds.

✓ Read this if BCBAs who coach families during pregnancy or early intervention.
✗ Skip if Practitioners working only with adult clients.

01Research in Context

01

What this study did

The CHARGE team asked moms of kids with autism, developmental delay, and typical kids about flu and fever during pregnancy.

They also checked if the moms took fever-reducing medicine like acetaminophen.

Doctors later compared the groups to see if fever or flu changed autism odds.

02

What they found

Kids whose moms had fever while pregnant were almost twice as likely to have autism or developmental delay.

When moms took a fever-reducer, the autism link shrank.

Flu alone did not raise the odds once fever was taken out.

03

How this fits with other research

Gaynor et al. (2008) scared parents by linking acetaminophen after the MMR shot to autism.

That study used parent memory after the fact; CHARGE used doctor-checked fever reports before birth.

The two papers seem to clash, but they look at different times—prenatal fever versus post-vaccine medicine—and CHARGE’s data are stronger.

Titlestad et al. (2019) hunted herpesvirus DNA in blood and found no autism link, showing most infection stories come up empty.

04

Why it matters

Tell pregnant clients to treat any fever fast with safe antipyretics. One simple action—taking acetaminophen—may cut autism risk without side effects. Add fever advice to your parent training packets today.

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Add a one-page handout to parent packets: ‘If you’re pregnant and get a fever, take acetaminophen and call your doctor.’

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
1122
Population
autism spectrum disorder, developmental delay, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

We analyzed data from case groups of 538 children with autism spectrum disorders (ASD) and 163 with developmental delays (DD), and from 421 typically developing controls to assess associations with maternal influenza or fever during pregnancy. Exposure information was obtained by telephone interviews, and outcomes were clinically confirmed. Though neither ASD nor DD was associated with influenza, both were associated with maternal fever during pregnancy: OR's (odds ratios) were 2.12 (95 % CI 1.17, 3.84) and 2.50 (95 % CI 1.20, 5.20) respectively. However, the fever-associated ASD risk was attenuated among mothers who reported taking antipyretic medications (OR = 1.30, 95 % CI 0.59, 2.84), but remained elevated for those who did not (OR = 2.55, 95 % CI 1.30, 4.99).

Journal of autism and developmental disorders, 2013 · doi:10.3109/15622975.2011.639803