The frequency of gestational and obstetric intercurrences in children with autistic spectrum disorder in a specialized school in Salvador, Bahia
Main Article Content
Abstract
Introduction: autism spectrum disorder is a condition of neurodevelopment characterized by changes in communication, social interaction and repetitive, stereotyped patterns of behavior, according to the Diagnostic and Statistical Manual of Mental Disorders. It is suspected that the etiology of this disorder is multifactorial, associated with neurological, genetic and environmental factors. Objective: to identify gestational and obstetric intercurrences, as well as to veri fy their prevalence in the gestation of children with autism spectrum disorder from a specialized school. Methods: a descriptive, cross--sectional and non-experimental study with retrospective reference period, based on data collection in medical records of children with autism spectrum disorder enrolled in a specialized school in the city of Salvador – BA. Results: the data was collected from 209 medical records, but 65 were excluded due to incomplete filling. The total sample was 144. Of these, 41.66% had no gestational and obstetric intercurrence and 58.33% had some kind of intercurrence. In the intercurrence group, 35 different alterations were found, with some individuals presenting more than one (average of 1.69 alterations perchild). Conclusions: this study found that pregnancies of children with autism spectrum disorder had a high prevalence of intercurren
ces. Prematurity, bleeding during gestation and fetal distress were the
most prevalent intercurrences in the gestation of children with autism spectrum disorder at the specialized school investigated. Children with
severe autism had a higher prevalence of intercurrences when com pared to children with mild autism.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Associação Americana de Psiquiatria. Manual diagnóstico e estatístico de transtornos mentais – DSM-5. Porto Alegre: Artmed; 2014.
2. Fuentes J, Bakare M, Munir K, Aguayo P, Gaddour N, Öner Ö. Autism Spectrum Disorder. In: Rey JM (Ed). IACAPAP e-textbook of child and adolescent mental health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions; 2014. p.1-35.
3. Klin A. Autismo e síndrome de Asperger: uma visão geral. Rev Bras Psiquiatr. 2006;28(Supl I):3-11. DOI: http://dx.doi.org/10.1590/S1516-44462006000500002
4. Gardener H, Spiegelman D, Buka SL. Prenatal risk factors for autism: a comprehensive meta-analysis. Br J Psychiatry. 2009;195(1):7-14. DOI: https://doi.org/10.1192/bjp.bp.108.051672
5. Langridge AT, Glasson EJ, Nassar N, Jacoby P, Pennell C, Hagan Ronald et al. Maternal conditions and perinatal characteristics associated with autism spectrum disorder and intellectual disability. PLoS One. 2013;8(1):e50963. DOI: https://doi.org/10.1371/journal.pone.0050963
6. Pereira AM. Autismo infantil: tradução e validação da CARS (childhood autism rating scale) para uso no Brasil [acesso em 26 nov 2018]. Porto Alegre (RS). Dissertação [Mestrado em Ciências Médicas] – Universidade Federal Rio Grande do Sul; 2007. Disponível em: https://www.lume.ufrgs.br/bitstream/handle/10183/12936/000634977.pdf
7. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico de Salvador [acesso em 12 dez 2018]. Salvador: IBGE; 2010. Disponível em: https://cidades.ibge.gov.br/brasil/ba/salvador/panorama
8. Sanches CP, Brunoni D. Intercorrências perinatais em indivíduos com transtornos invasivos do desenvolvimento: uma revisão [acesso em 12 dez 2018]. Cadernos de Pós-Graduação em Distúrbios do Desenvolvimento. 2010;10(1):21-31. Disponível em: https://www.mackenzie.br/fileadmin/ARQUIVOS/Public/6-pos-graduacao/upm-higienopolis/mestrado-doutorado/disturbios_desenvolvimento/2010/cadernos/1/62118_3.pdf
9. Fezer GF, Matos MB, Nau AL, Zeigelboim BS, Marques JM, Liberalesso PBN. Características perinatais de crianças com transtorno do espectro autista. Rev Paul Pediatr. 2017;35(2):130-5. DOI: http://dx.doi.org/10.1590/1984-0462/;2017;35;2;00003
10. Porto RF, Brunoni D. Transtornos do espectro do autismo: intercorrências perinatais. In: D'Antino ME, Brunoni D, Schwartzman JS (Eds.). Contribuições para a inclusão escolar de alunos com necessidades especiais: estudos interdisciplinares em educação e saúde em alunos com transtorno do espectro do autismo no município de Barueri, SP. São Paulo: Memnon Edições Científicas; 2015. p. 32-41.
11. Fadda MG; Cury VE. O enigma do autismo: contribuições sobre a etiologia do transtorno [acesso em 12 dez 2018]. Psicol Estud. 2016;21(3):411-23. Disponível em: http://periodicos.uem.br/ojs/index.php/PsicolEstud/article/view/30709
12. Grabrucker AM. Environmental factors in autism. Front Psychiatry. 2013;3(118):1-13. DOI: https://doi.org/10.3389/fpsyt.2012.00118
13. Tordjman S, Somogyi E, Coulon N, Kermarrec S, Cohen D, Bronsard G et al. Gene × environment interactions in autism spectrum disorders: role of epigenetic mechanisms. Front Psychiatry. 2014;5(53):1-17. DOI: https://doi.org/10.3389/fpsyt.2014.00053
14. Guinchat V, Thorsen P, Laurent C, Cans C, Bodeau N, Cohen D. Pre-, peri- and neonatal risk factors for autism. Acta Obstet Gynecol Scand. 2012;91(3):287-300. DOI: https://doi.org/10.1111/j.1600-0412.2011.01325.x