OBJECTIVES-Results of animal studies suggest that maternal immune activation during pregnancy causes deficiencies in fetal neurodevelopment. Infectious disease is the most common path to maternal immune activation during pregnancy. The goal of this study was to determine the occurrence of common infections, febrile episodes, and use of antibiotics reported by the mother during pregnancy and the risk for autism spectrum disorder (ASD) and infantile autism in the offspring.
METHODS-We used a population-based cohort consisting of 96 736 children aged 8 to 14 years and born from 1997 to 2003 in Denmark. Information on infection, febrile episodes, and use of antibiotics was self-reported through telephone interviews during pregnancy and early postpartum. Diagnoses of ASD and infantile autism were retrieved from the Danish Psychiatric Central Register; 976 children (1%) from the cohort were diagnosed with ASD.RESULTS-Overall, we found little evidence that various types of mild common infectious diseases or febrile episodes during pregnancy were associated with ASD/infantile autism. However, our data suggest that maternal influenza infection was associated with a twofold Copyright © 2012 by the American Academy of Pediatrics Address correspondence to Hjördís Ósk Atladóttir, Section of Epidemiology, Department of Public Health, University of Aarhus, Bartholin allé 2, 8000 Århus C, Denmark. hoa@soci.au.dk. Dr Atladóttir conceptualized and designed the study, participated in acquisition of data, participated in analysis and interpretation of data, drafted the article and revised it critically for important intellectual content, and approved the final version to be published. Dr Henriksen participated in analysis and interpretation of data, revised the article critically for important intellectual content, and approved the final version to be published. Dr Schendel participated in designing the study, participated in analysis and interpretation of data, drafted the article and revised it critically for important intellectual content, and approved the final version to be published. Dr Parner participated in designing the study and acquisition, analysis, and interpretation of data; revised the article critically for important intellectual content; and approved the final version to be published.The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
FINANCIAL DISCLOSURE:The authors have indicated they have no financial relationships relevant to this article to disclose. Results of animal studies suggest that maternal immune activation during pregnancy is associated with deviations in brain development. [2][3][4] Infectious disease is the most common path to maternal immune activation during pregnancy. Several previous studies have investigated infection during pregnancy as a part of a larger assessment of various prenatal factors. 5 These studies did not look at specific infections per se but pooled a...