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Association between prenatal exposure to antipsychotics and attention-deficit/hyperactivity disorder, autism spectrum disorder, preterm birth, and small for gestational age

JAMA Aug 20, 2021

Wang Z, Chan AYL, Coghill D, et al. - Prenatal exposure to antipsychotics is suggested to have no correlation with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), preterm birth (< 37 gestational weeks), and small for gestational age (birth weight < 2 standard deviations below the mean for gestational age). However, there may be a correlation of underlying maternal psychiatric disorders with the risk of ADHD and ASD in children.

  • From the Hong Kong Clinical Data Analysis and Reporting System, researchers retrieved data of children born between January 2001 and January 2015 with follow-up to December 2019 for this population-based cohort study.

  • This cohort study included 411,251 mother-child pairs.

  • Prenatal use of antipsychotics did not link with an increased risk of ADHD, ASD, preterm birth, and small for gestational age.

  • A significantly increased risk of ADHD and ASD was evident in correlation with maternal psychiatric disorders.

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