4.6 Editorial Material

Epidural labour analgesia and autism spectrum disorder: is the current evidence sufficient to dismiss an association?

Journal

BRITISH JOURNAL OF ANAESTHESIA
Volume 128, Issue 3, Pages 393-398

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.bja.2021.10.042

Keywords

autism spectrum disorder; epidural analgesia; labour; neurodevelopmental disorders; offspring

Categories

Funding

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
  2. National Institute for Health [R21DC017950]
  3. Department of Anesthesia at the University of Iowa, Iowa City, IA, USA

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Findings from a population-based study suggest that epidural labor analgesia is not linked to an increased risk of autism spectrum disorder. These results are consistent with three other population-based studies that utilized similar research methods. Overall, these high-quality epidemiological data support the conclusion that there is no significant association between epidural labor analgesia and autism spectrum disorder in offspring.
Findings from a population-based study using a sibling-matched analysis published in this issue of the British Journal of Anaesthesia indicate that epidural labour analgesia is not associated with an increased risk of autism spectrum disorder. These findings are consistent with those from three other population-based studies that used similar methodological approaches. Cumulatively, these robust, high-quality epidemiological data support the assertion that there is no meaningful association between epidural labour analgesia and autism spectrum disorder in offspring.

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