Autism & Developmental

Maternal infection requiring hospitalization during pregnancy and autism spectrum disorders.

Atladóttir et al. (2010) · Journal of autism and developmental disorders 2010
★ The Verdict

First-trimester viral and second-trimester bacterial infections that send moms to the hospital are linked to higher autism odds in their kids.

✓ Read this if BCBAs who assess infants and toddlers with any prenatal infection history.
✗ Skip if Clinicians focused only on adult or post-injury cases.

01Research in Context

01

What this study did

Atladóttir et al. (2010) asked if moms who are hospitalized for an infection while pregnant later have kids with autism. They tracked hospital records for infections in each trimester. Then they checked which children later got an autism diagnosis.

02

What they found

Most infections showed no link to autism. But two windows mattered. Moms with a viral infection in the first trimester had higher odds of having a child with autism. So did moms with a bacterial infection in the second trimester.

03

How this fits with other research

Xenitidis et al. (2010) looked at newborn IgG antibody levels instead of mom’s illness. They found lower IgG at birth was tied to slightly lower autism odds. That seems opposite, yet both papers point to the immune system shaping later diagnosis.

Huberman Samuel et al. (2019) also hunted for birth-period risks. They showed general anesthesia during C-section, not the surgery itself, raised autism odds. Like O et al., they stress timing and type of exposure matter.

Friedlander et al. (2019) added genes to the mix. Kids with certain oxytocin-gene variants scored worse on social tests only if mom took an oxytocin-blocking drug while pregnant. Again, prenatal environment plus biology sets the stage.

04

Why it matters

You can’t change a mom’s infection history, but you can use the timeline. When intake forms show first-trimester viral or second-trimester bacterial hospital stays, flag the child for early screening. Pair that with immune or genetic data when available. Early referral gives you a head start on teaching pivotal skills before delays widen.

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Add a prenatal infection checklist to intake forms and fast-track kids with first- or second-trimester hospital stays for early screening.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Exposure to prenatal infection has been suggested to cause deficiencies in fetal neurodevelopment. In this study we included all children born in Denmark from 1980, through 2005. Diagnoses of autism spectrum disorders (ASDs) and maternal infection were obtained through nationwide registers. Data was analyzed using Cox proportional hazards regression. No association was found between any maternal infection and diagnosis of ASDs in the child when looking at the total period of pregnancy: adjusted hazard ratio = 1.14 (CI: 0.96-1.34). However, admission to hospital due to maternal viral infection in the first trimester and maternal bacterial infection in the second trimester were found to be associated with diagnosis of ASDs in the offspring, adjusted hazard ratio = 2.98 (CI: 1.29-7.15) and adjusted hazard ratio = 1.42 (CI: 1.08-1.87), respectively. Our results support prior hypotheses concerning early prenatal viral infection increasing the risk of ASDs.

Journal of autism and developmental disorders, 2010 · doi:10.1007/s10803-010-1006-y