Journal of Child Psychology and Psychiatry · 1979 · 148 citations · 30 references
MedicineObstetricsPediatricsAutism Spectrum DisordersNeonatologyPerinatal EpidemiologyAntenatal Risk AssessmentNeonatal DevelopmentNeonatal OutcomesNeurodevelopmental DisordersNeurodevelopmental EpidemiologyPerinatal Risk FactorsBirth HistoriesLow Apgar ScoreNeonatal Apgar ScoresNeonatal Respiratory Distress SyndromeObstetrical ExaminationPrenatal Brain InsultsSerum Bilirubin TestingTotal Serum Bilirubin
SUMMARY Unfavourable pre‐, peri‐ and neonatal events in the birth records of autistic children were examined. The rate of those factors was compared with the expected rate in the general population and the rate in their non‐autistic siblings. Several potentially neuropathogenic factors occurred at a significantly high rate in the autistic group, including breech delivery, the presence of amniotic meconium, low birth weight, low Apgar score, elevated serum bilirubin, haemolytic disease and Respiratory Distress Syndrome. The autistic children had significantly more unfavourable factors than did their siblings. The study supports the findings of investigations which concluded that autistic children have suffered a high rate of obstetrical events which may have caused brain damage.
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Genetic influences and infantile autism
Susan E. Folstein, Michael Rutter · Nature · 1977 · 400 citations
Nelson Textbook of Pediatrics.
Annals of Internal Medicine · 1975 · 247 citations