Obstetric anesthesia

Examining the relationship between autism spectrum disorder in children whose mother had labour epidural analgesia for their birth: A retrospective cohort study

Eur J AnaesthesiolPublished Retrospective population-based cohort study

Main finding · ASD in the childrenResult — go to the resultAdjusted hazard ratio 1.13 95% CI 0.96–1.34

Authors' conclusion

In our population, after adjusting for confounders, epidural analgesia is not independently associated with autism spectrum disorder in the children.

Study context

Population
Vaginal deliveries 2005–2017 at Soroka University Medical Center, Israel, and their offspring followed for autism spectrum disorder (ASD)labouring patients and offspring
Participants
139,981 deliveries
Exposure
Labour epidural analgesia vs no labour epidural analgesia
  • Epiduraln = 33,315
Outcome
Incidence of ASD in the children (hospital and community-based diagnoses)
Methodological detailssingle-centre, Cox proportional hazards model
  • Single-centre
  • Cox proportional hazards model

Main finding

ASD in the children

Adjusted hazard ratio

1.13

95% CI 0.96–1.34

P = 0.152

Epidural vs No epidural
aHR 1.13 (95% CI 0.96–1.34); P = 0.152

As reported in the abstract

Observational data: associations, not effects.

Further findings

High-risk pregnancy (DM, hypertensive disorders, intrauterine growth restriction, oligohydramnios)

Epidural analgesia more common among high-risk pregnancy groups
P < 0.001

Original publication

Examining the relationship between autism spectrum disorder in children whose mother had labour epidural analgesia for their birth: A retrospective cohort study. Eur J Anaesthesiol. Published 11 December 2023. doi:10.1097/eja.0000000000001932

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