☆ 4.4 Review

Association of labor epidural analgesia exposure with long-term risk of autism spectrum disorder in offspring: A meta-analysis of observational studies

AUTISM (2023)

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Editorial Material Anesthesiology

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

Alexander J. Butwick et al.

Summary: 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.

BRITISH JOURNAL OF ANAESTHESIA (2022)

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Article Anesthesiology

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

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BRITISH JOURNAL OF ANAESTHESIA (2022)

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Association between birth weight and neurodevelopmental disorders assessed using the Korean National Health Insurance Service claims data

In Gyu Song et al.

Summary: Low birth weight (LBW) infants have an increased risk of attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), regardless of perinatal history.

SCIENTIFIC REPORTS (2022)

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Review Obstetrics & Gynecology

Epidural analgesia in labor: A narrative review

Lucy Halliday et al.

Summary: This narrative review explores important areas of research surrounding epidural analgesia in obstetric patients, including methods of initiation and administration, choice of local anesthetic solution, and the addition of adjuvants. Key meta-analyses exploring associations of epidural analgesia on maternal and neonatal outcomes are identified and summarized.

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2022)

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Article Multidisciplinary Sciences

A nationwide study of the risks of major mental disorders among the offspring of parents with rheumatoid arthritis

Hsien-Jane Chiu et al.

Summary: This study investigated the association between parental rheumatoid arthritis (RA) and the risks of mental disorders in their offspring. The results showed that maternal RA was associated with increased risks of multiple mental disorders in their children, particularly autism spectrum disorders (ASDs) and attention-deficit/hyperactivity disorder (ADHD).

SCIENTIFIC REPORTS (2022)

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Exposure to Intrapartum Epidural Analgesia and Risk of Autism Spectrum Disorder in Offspring

Malia S. Q. Murphy et al.

Summary: This study found that intrapartum epidural analgesia was associated with a small increase in the risk of ASD in offspring. However, the biological plausibility of this association remains unclear, and caution should be exercised when interpreting the findings.

JAMA NETWORK OPEN (2022)

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Association of preoperative vitamin D deficiency with the risk of postoperative delirium and cognitive dysfunction: A meta-analysis

Kuo-Chuan Hung et al.

Summary: This meta-analysis examined the association between preoperative vitamin D deficiency and postoperative delirium and cognitive dysfunction. The results showed that preoperative vitamin D deficiency was associated with a higher risk of postoperative delirium and cognitive dysfunction.

JOURNAL OF CLINICAL ANESTHESIA (2022)

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Letter Anesthesiology

Concerns for labor analgesia and autism spectrum disorders

Manabu Saito et al.

JOURNAL OF ANESTHESIA (2021)

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Association of Epidural Analgesia During Labor and Delivery With Autism Spectrum Disorder in Offspring

Gillian E. Hanley et al.

Summary: Maternal use of epidural analgesia during labor and delivery was found to be associated with a small increase in the risk of autism spectrum disorder in offspring in this population-based retrospective cohort study. However, due to potential residual confounding factors, these findings do not provide strong supporting evidence for this association.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Article Medicine, General & Internal

Association of Labor Epidural Analgesia With Autism Spectrum Disorder in Children

Anders Pretzmann Mikkelsen et al.

Summary: A nationwide retrospective cohort study in Denmark found no significant association between maternal exposure to epidural analgesia during labor and autism spectrum disorder in offspring.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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A meta-analysis of randomized clinical trials on the impact of oral vitamin C supplementation on first-year outcomes in orthopedic patients

Kuo-Chuan Hung et al.

Summary: Oral vitamin C supplementation may reduce the risk of complex regional pain syndrome type I in orthopedic patients, but does not improve functional outcomes. Further large-scale clinical studies are needed to support these findings due to the limited number of trials included in the meta-analysis.

SCIENTIFIC REPORTS (2021)

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Article Pediatrics

Association of Epidural Labor Analgesia With Offspring Risk of Autism Spectrum Disorders

Elizabeth Wall-Wieler et al.

Summary: In a Canadian population-based birth cohort study, no association was found between exposure to ELA and an increased offspring risk of ASD.

JAMA PEDIATRICS (2021)

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Mortality and risk factors associated with pulmonary embolism in coronavirus disease 2019 patients: a systematic review and meta-analysis

Carlos Andres Gomez et al.

Summary: The study identified risk factors associated with PE in COVID-19 patients and supported the therapeutic benefit of anticoagulant prophylaxis against PE in this patient population.

SCIENTIFIC REPORTS (2021)

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Preeclampsia and the anaesthesiologist: current management

Robin Russell

CURRENT OPINION IN ANESTHESIOLOGY (2020)

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Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

Susan L. Hyman et al.

PEDIATRICS (2020)

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Epidemiology of Autism Spectrum Disorders: A Review of Worldwide Prevalence Estimates Since 2014

Flavia Chiarotti et al.

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Association Between Epidural Analgesia During Labor and Risk of Autism Spectrum Disorders in Offspring

Chunyuan Qiu et al.

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Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016

Matthew J. Maenner et al.

MMWR SURVEILLANCE SUMMARIES (2020)

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The effect of labor epidural analgesia on maternal-fetal outcomes: a retrospective cohort study

Qian Wang et al.

ARCHIVES OF GYNECOLOGY AND OBSTETRICS (2018)

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Pre-eclampsia and the risk of autism-spectrum disorder in offspring: meta-analysis

Berihun Assefa Dachew et al.

BRITISH JOURNAL OF PSYCHIATRY (2018)

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The Emerging Clinical Neuroscience of Autism Spectrum Disorder A Review

Rebecca A. Muhle et al.

JAMA PSYCHIATRY (2018)

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Prevalence of Autism Spectrum Disorder in Preterm Infants: A Meta-analysis

Sachin Agrawal et al.

PEDIATRICS (2018)

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Epidural versus non-epidural or no analgesia for pain management in labour (Review)

Millicent Anim-Somuah et al.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2018)

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Manual search approaches used by systematic reviewers in dermatology

Matt Vassar et al.

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JOURNAL OF EXPOSURE SCIENCE AND ENVIRONMENTAL EPIDEMIOLOGY (2014)

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Melanie Bannister-Tyrrell et al.

PAEDIATRIC AND PERINATAL EPIDEMIOLOGY (2014)

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Association of Autism With Induced or Augmented Childbirth in North Carolina Birth Record (1990-1998) and Education Research (1997-2007) Databases

Simon G. Gregory et al.

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Recurrence Risk for Autism Spectrum Disorders: A Baby Siblings Research Consortium Study

Sally Ozonoff et al.

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Perinatal and Neonatal Risk Factors for Autism: A Comprehensive Meta-analysis

Hannah Gardener et al.

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Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

Jennifer Harkins et al.

ANESTHESIOLOGY RESEARCH AND PRACTICE (2010)

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Prenatal risk factors for autism: comprehensive meta-analysis

Hannah Gardener et al.

BRITISH JOURNAL OF PSYCHIATRY (2009)

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Epidemiology of Pervasive Developmental Disorders

Eric Fombonne

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Mode of delivery is associated with maternal and fetal endocrine stress response

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BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY (2006)

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JL Peters et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2006)

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Systematic review of prevalence studies of autism spectrum disorders

JG Williams et al.

ARCHIVES OF DISEASE IN CHILDHOOD (2006)

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Review Biochemistry & Molecular Biology

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Sabine M. Klauck

EUROPEAN JOURNAL OF HUMAN GENETICS (2006)

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Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources

T Greenhalgh et al.

BRITISH MEDICAL JOURNAL (2005)

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Does pain relief during delivery decrease the risk of postnatal depression?

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ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA (2004)

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Maternal satisfaction with childbirth and intrapartum analgesia in nulliparous labour

JE Dickinson et al.

AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY (2003)

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