ArticleClinical epidemiology2018
Pregnancy outcomes in women with autism: a nationwide population-based cohort study.
Article in Clinical epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Sensory challenges experienced by autistic women during pregnancy and childbirth: a systematic review.Archives of gynecology and obstetrics · 2022Pooled it
- Gestational Diabetes Mellitus in Europe: A Systematic Review and Meta-Analysis of Prevalence Studies.Frontiers in endocrinology · 2021Pooled it
- Pooled it
- Maternal disability and risk for pregnancy, delivery, and postpartum complications: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2020Pooled it
- Intellectual and developmental disability diagnoses in California delivery records and adverse maternal outcomes.Pregnancy (Hoboken, N.J.) · 2026Article
- Maternal genetic liability to autism spectrum disorders and pregnancy outcomes.Archives of women's mental health · 2026Article
- Article
- Communication barriers in perinatal care for autistic women: A qualitative study using the hermeneutic-dialectic circle in Brazil.PloS one · 2026Article
- Pregnancy Outcomes in Women Diagnosed With Attention-Deficit/Hyperactivity Disorder: A Population-Based Register Study.Acta psychiatrica Scandinavica · 2026Article
- Obstetric Care and Pregnancy Health in Autistic Individuals and Those with Other Developmental Disabilities in an Integrated Healthcare Setting in California.Autism in adulthood · 2025Article
- Autistic Women's Experience of Motherhood: A Qualitative Analysis of Reddit.Journal of autism and developmental disorders · 2025Article
- Impact of Preterm Birth Subtype on Risk of Diagnosis of Autism Spectrum Disorders in the Offspring.Journal of autism and developmental disorders · 2025Article
- Understanding the experiences of receiving and providing maternity care for autistic adults: A Multi-perspectival Interpretative Phenomenological Analysis study.Autism : the international journal of research and practice · 2025Article
- Maternal Autistic Traits and Adverse Birth Outcomes.JAMA network open · 2024Article
- Article
- Autistic People's Perinatal Experiences I: A Survey of Pregnancy Experiences.Journal of autism and developmental disorders · 2024Article
- Socioeconomic disadvantage and parental mood/affective problems links negative parenting and executive dysfunction in children born very preterm.Development and psychopathology · 2023Article
- Autistic People's Perinatal Experiences II: A Survey of Childbirth and Postnatal Experiences.Journal of autism and developmental disorders · 2023Article
- A Qualitative Exploration into the Sensory Experiences of Autistic Mothers.Journal of autism and developmental disorders · 2023Article
- The three-factor structure of the Autism-Spectrum Quotient Japanese version in pregnant women.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe consequences of autism in pregnancy outcomes have not been explored before, although it is of crucial importance because of the frequent comorbidities and medication in this group of women.
objectivesTo estimate the risk of adverse pregnancy outcomes in women diagnosed with autism.
designNationwide population-based cohort study.
settingSweden.
participantsSingleton births identified in the Swedish Medical Birth Registry, 2006-2014. A total of 2,198 births to women diagnosed with autism registered in the Swedish National Patient Registry were compared to 877,742 singleton births to women without such a diagnosis. MAIN OUTCOME AND MEASURES: Preterm delivery. Secondary measures were cesarean delivery (emergency and elective), Apgar score <7 at 5 minutes, small for gestational age, large for gestational age, stillbirth, gestational diabetes, and preeclampsia. ORs were calculated through logistic regression, adjusted for maternal age at delivery, maternal country of birth, smoking, maternal body mass index, parity, calendar year of birth, and psychotropic and antiepileptic medication during pregnancy.
resultsWomen with autism were at increased risk of preterm birth (OR=1.30; 95% CI=1.10-1.54), especially medically indicated preterm birth (OR=1.41; 95% CI=1.08-1.82), but not with spontaneous preterm birth. Maternal autism was also associated with an increased risk of elective cesarean delivery (OR=1.44; 95% CI=1.25-1.66) and preeclampsia (OR=1.34; 95% CI=1.08-1.66), but not with emergency cesarean delivery, low Apgar score (<7), large for gestational age, gestational diabetes, and stillbirth. In women with medication during pregnancy, there was no increased risk of adverse pregnancy outcome except for induction of delivery (OR=1.33; 95% CI=1.14-1.55). CONCLUSION AND RELEVANCE: Maternal autism is associated with preterm birth, likely due to an increased frequency of medically indicated preterm births, but also with other adverse pregnancy outcomes, suggesting a need for extra surveillance during prenatal care.
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