Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt

<h4>Background</h4> The prevalence of autism spectrum disorder (ASD) has been increasing steadily in Egypt and worldwide. Detecting risk factors for ASD could help initiate screening and risk prevention approaches. Herein, this study aimed to detect several maternal and neonatal risk fac...

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Main Authors: Ahmed Arafa, Omaima Mahmoud, Hisham Salah, Ahmed Ali Abdelmonem, Shaimaa Senosy
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200325/?tool=EBI
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author Ahmed Arafa
Omaima Mahmoud
Hisham Salah
Ahmed Ali Abdelmonem
Shaimaa Senosy
author_facet Ahmed Arafa
Omaima Mahmoud
Hisham Salah
Ahmed Ali Abdelmonem
Shaimaa Senosy
author_sort Ahmed Arafa
collection DOAJ
description <h4>Background</h4> The prevalence of autism spectrum disorder (ASD) has been increasing steadily in Egypt and worldwide. Detecting risk factors for ASD could help initiate screening and risk prevention approaches. Herein, this study aimed to detect several maternal and neonatal risk factors for ASD in Egypt. <h4>Methods</h4> In this case-control study, mothers of children with ASD who were visiting Beni-Suef University Hospital in Egypt (n = 268) were compared to mothers of children without ASD attending one primary school with a kindergarten (n = 504) regarding their preconception, conception, and postconception characteristics. Data were collected using a self-administered questionnaire. The odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to investigate the possible associations between the collected data and the odds of ASD. <h4>Results</h4> In the multivariable-adjusted models, urban residence: OR (95% CI) = 2.33 (1.60–3.38), relative father: 2.63 (1.74–3.96), history of diabetes: 5.98 (1.99–17.97), previous abortion: 2.47 (1.20–13.38), assisted fertility: 4.01 (1.20–13.38), family history of ASD: 7.24 (2.00–26.24), multiple pregnancy: 11.60 (2.54–53.07), exposure to passive smoking during pregnancy: 2.95 (1.86–4.68), vaginal bleeding during pregnancy: 3.10 (1.44–6.67), hypertension with pregnancy: 3.64 (1.06–12.51), preterm labor: 2.64 (1.26–5.57), neonatal convulsions: 14.88 (5.01–44.20), and admission to neonatal intensive care unit 2.13: (1.21–3.74) were associated with the increased odds of ASD. On the other hand, the intake of vitamins during pregnancy: 0.09 (0.06–0.16) and C-section: 0.44 (0.27–0.70) were associated with the decreased odds of ASD. <h4>Conclusion</h4> This study detected several maternal and neonatal risk factors for ASD in Egyptian children.
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spelling doaj.art-d690c7dc1805451fb6ac09ceef73659e2022-12-22T03:29:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from EgyptAhmed ArafaOmaima MahmoudHisham SalahAhmed Ali AbdelmonemShaimaa Senosy<h4>Background</h4> The prevalence of autism spectrum disorder (ASD) has been increasing steadily in Egypt and worldwide. Detecting risk factors for ASD could help initiate screening and risk prevention approaches. Herein, this study aimed to detect several maternal and neonatal risk factors for ASD in Egypt. <h4>Methods</h4> In this case-control study, mothers of children with ASD who were visiting Beni-Suef University Hospital in Egypt (n = 268) were compared to mothers of children without ASD attending one primary school with a kindergarten (n = 504) regarding their preconception, conception, and postconception characteristics. Data were collected using a self-administered questionnaire. The odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to investigate the possible associations between the collected data and the odds of ASD. <h4>Results</h4> In the multivariable-adjusted models, urban residence: OR (95% CI) = 2.33 (1.60–3.38), relative father: 2.63 (1.74–3.96), history of diabetes: 5.98 (1.99–17.97), previous abortion: 2.47 (1.20–13.38), assisted fertility: 4.01 (1.20–13.38), family history of ASD: 7.24 (2.00–26.24), multiple pregnancy: 11.60 (2.54–53.07), exposure to passive smoking during pregnancy: 2.95 (1.86–4.68), vaginal bleeding during pregnancy: 3.10 (1.44–6.67), hypertension with pregnancy: 3.64 (1.06–12.51), preterm labor: 2.64 (1.26–5.57), neonatal convulsions: 14.88 (5.01–44.20), and admission to neonatal intensive care unit 2.13: (1.21–3.74) were associated with the increased odds of ASD. On the other hand, the intake of vitamins during pregnancy: 0.09 (0.06–0.16) and C-section: 0.44 (0.27–0.70) were associated with the decreased odds of ASD. <h4>Conclusion</h4> This study detected several maternal and neonatal risk factors for ASD in Egyptian children.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200325/?tool=EBI
spellingShingle Ahmed Arafa
Omaima Mahmoud
Hisham Salah
Ahmed Ali Abdelmonem
Shaimaa Senosy
Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
PLoS ONE
title Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
title_full Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
title_fullStr Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
title_full_unstemmed Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
title_short Maternal and neonatal risk factors for autism spectrum disorder: A case-control study from Egypt
title_sort maternal and neonatal risk factors for autism spectrum disorder a case control study from egypt
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200325/?tool=EBI
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AT ahmedaliabdelmonem maternalandneonatalriskfactorsforautismspectrumdisorderacasecontrolstudyfromegypt
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