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Research ArticleOriginal Article
Open Access

Is cesarean section delivery associated with autism spectrum disorder?

Abdulmohsen H. Al-Zalabani, Amani H. Al-Jabree and Zeidan A. Zeidan
Neurosciences Journal January 2019, 24 (1) 11-15; DOI: https://doi.org/10.17712/nsj.2019.1.20180303
Abdulmohsen H. Al-Zalabani
From the Department of Family and Community Medicine (Al-Zalabani, Zeidan), College of Medicine, Taibah University, from the Joint program of Community Medicine (Al-Jabree), from the Department of Public Health (Al-Jabree), Infection Control Program at Primary Health Centers, Ministry of Health, Al-Madina Al-Munawarah, Kingdom of Saudi Arabia, and from the Faculty of Medicine (Zeidan), University of Khartoum, Khartoum, Sudan
MSc, ABCM
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  • For correspondence: [email protected]
Amani H. Al-Jabree
From the Department of Family and Community Medicine (Al-Zalabani, Zeidan), College of Medicine, Taibah University, from the Joint program of Community Medicine (Al-Jabree), from the Department of Public Health (Al-Jabree), Infection Control Program at Primary Health Centers, Ministry of Health, Al-Madina Al-Munawarah, Kingdom of Saudi Arabia, and from the Faculty of Medicine (Zeidan), University of Khartoum, Khartoum, Sudan
From the Department of Family and Community Medicine (Al-Zalabani, Zeidan), College of Medicine, Taibah University, from the Joint program of Community Medicine (Al-Jabree), from the Department of Public Health (Al-Jabree), Infection Control Program at Primary Health Centers, Ministry of Health, Al-Madina Al-Munawarah, Kingdom of Saudi Arabia, and from the Faculty of Medicine (Zeidan), University of Khartoum, Khartoum, Sudan
MBBS, SBCM
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Zeidan A. Zeidan
From the Department of Family and Community Medicine (Al-Zalabani, Zeidan), College of Medicine, Taibah University, from the Joint program of Community Medicine (Al-Jabree), from the Department of Public Health (Al-Jabree), Infection Control Program at Primary Health Centers, Ministry of Health, Al-Madina Al-Munawarah, Kingdom of Saudi Arabia, and from the Faculty of Medicine (Zeidan), University of Khartoum, Khartoum, Sudan
MSc, ABCM
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Article Figures & Data

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    Table 1

    Basic characteristics of cases and control subjects.

    CharacteristicsCases (N=87)Controls (N=174)P-value
    n (%)
    Gender
     Male65 (74.71)129 (74.14)0.920
     Female22 (25.29)45 (25.86)
    Maternal age
     <3055 (63.22)120 (68.97)0.352
     ≥3032 (36.78)54 (31.03)
    Paternal age
     <3024 (27.59)59 (33.91)0.301
     ≥3063 (72.41)115 (66.09)
    Father’s education
     ≤917 (19.54)41 (23.56)0.356
     10-1227 (31.03)40 (22.99)
     ≥1343 (49.43)93 (53.45)
    Mother’s education
     ≤939 (44.83)57 (32.76)0.161
     10-1219 (21.84)45 (25.86)
     ≥1329 (33.33)72 (41.38)
    Family’s income (SR)
     <600039 (44.83)75 (43.10)0.795
     6000-1000034 (39.08)65 (37.36)
     >1000014 (16.09)34 (19.54)
    Parity (previous births)
     028 (32.18)56 (32.18)0.163
     113 (14.94)46 (26.44)
     214 (16.09)23 (13.22)
     ≥332 (36.78)49 (28.16)
    Maternal smoking
     Yes0 (0.0)0 (0.0)-
     No87 (100)174 (100)
    Maternal DM
     Yes4 (4.65)9 (5.17)0.856
     No82 (95.35)165 (94.83)
    Maternal HTN
     Yes10 (11.63)8 (4.60)0.036
     No76 (88.37)166 (95.40)
    Cesarean Section
     Yes34 (39.08)36 (20.69)0.002
     No53 (60.92)138 (79.31)
    • SR - Saudi Riyals, DM - Diabetes mellitus, HTN - Hypertension

    • View popup
    Table 2

    Multivariable analysis of the association between cesarean delivery and ASD.

    Delivery typeNumber of cases/controlsCrudeOdds ratio (95% CI)
    Adjusted
    *Model 1†Model 2
    Cesarean section
     Yes34/362.46 (1.40-4.33)2.9 (1.57-5.35)3.41 (1.76-6.58)
     No53/138RefRefRef
    • ASD - autism spectrum disorder, OR - odds ratio, CI - confidence interval

    • ↵* Model 1 adjusted for maternal and paternal age, maternal and paternal education, parity and family income.

    • ↵† Model 2 adjusted for the same factors in model 1 in addition to hypertension, UTI and fever during pregnancy

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Neurosciences Journal: 24 (1)
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Is cesarean section delivery associated with autism spectrum disorder?
Abdulmohsen H. Al-Zalabani, Amani H. Al-Jabree, Zeidan A. Zeidan
Neurosciences Journal Jan 2019, 24 (1) 11-15; DOI: 10.17712/nsj.2019.1.20180303

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Is cesarean section delivery associated with autism spectrum disorder?
Abdulmohsen H. Al-Zalabani, Amani H. Al-Jabree, Zeidan A. Zeidan
Neurosciences Journal Jan 2019, 24 (1) 11-15; DOI: 10.17712/nsj.2019.1.20180303
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