
There has been a lot of speculation in recent years as to what causes Autism, particularly as it relates to preconception, pregnancy and birth. When looking back at a few of the topics I've covered, it ranged from mom's weight to pregnancy fevers to dad's age to closely spaced pregnancies. This week another new study looked at the induction of labor, augmentation (speeding up) of labor and the combination of the two as possible culprits in the risks of Autism.
The authors found a correlation between the use of induction/augmentation (using Pitocin and other forms of medicinal induction) with a higher rate of Autism, even after balancing everything out for many factors.
Now before you panic, while this study had large numbers, it's based on a chart review. Historically these aren't incredibly accurate for a variety of reasons, including simply bad charting. Even the authors say not to panic or change what we're doing but to instead look at it some more. The practical person in me says you should do what I've always advised: avoid unnecessary intervention, for a variety of reasons.
If you do not need to be induced for a medical indication, consider simply waiting, even if you're tired of being pregnant or uncomfortable. Waiting until labor begins on its own in a healthy pregnancy with a healthy baby is always best for all involved. It tends to provide the fewest risks to mom, baby and labor. The same is true here. If you have a medical reason why labor needs to begin now, consider all of your alternatives with your practitioner and make the healthiest decision for your baby, which may be to induce labor.
If you are in labor and it's taking awhile, consider trying other things before jumping to Pitocin to help speed up labor. This can even include waiting, which often requires patience, something labor women anxious to meet their baby don't have an abundance of for the most part, I know I rarely did. This allows you the peace of mind that you did everything you could to help have the safest birth with what limited knowledge we have available today. So in 20-30-40 years when this all gets sorted out, you'll know you made the best decision you could at the time with what knowledge we do have on hand today. In the end, that's all we've got.
What are your thoughts? Is this study being handled in a fear mongering way in the popular press or just reporting the news? Is this something you worry about?
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Source:
Gregory, S. G., Anthopolos, R., Osgood, C. E., Grotegut, C. A., & Miranda, M. (2013). Association of autism with induced or augmented childbirth in North Carolina birth record (1990-1998) and education research (1997-2007) databases. JAMA Pediatr, -. doi: 10.1001/jamapediatrics.2013.2904
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Induction of Labor and Autism: Is there a link? originally appeared on About.com Pregnancy & Childbirth on Tuesday, August 13th, 2013 at 05:33:47.
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