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Cited by 39Attention Deficit Hyperactivity DisorderPrenatal Substance Exposure EffectsMaternal Mental Health During Pregnancy and Postpartum

Predicting attention deficit hyperactivity disorder using pregnancy and birth characteristics

Schwenke, Eva, Fasching, Peter A., Faschingbauer, Florian, Pretscher, Jutta, Kehl, Sven, Peretz, Roberta, Keller, Andrea, Häberle, Lothar +5 more·2018·Archives of Gynecology and Obstetrics
DOI 10.1007/s00404-018-4888-0
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Abstract

Purpose The aim of this study was to evaluate maternal, prenatal, perinatal, and postpartum parameters as risk factors for the later development of an attention deficit hyperactivity disorder (ADHD) in the child.Methods Women who had given birth at Erlangen University Hospital between 1996 and 1999 were sent a questionnaire in 2009. The results of the questionnaire were correlated with the prospectively collected data for the births in 1996-1999.Results A total of 573 mother and child pairs were analyzed. Forty-four of the mothers reported that their child had ADHD (7.7%). No significant associations were found for the following parameters: mother's age; mother's educational level; number of the pregnancy; maternal weight before and at the end of pregnancy; mother's height; alcohol consumption during pregnancy; mode of delivery; gestational week; birthweight; umbilical artery blood values; Apgar score at 5 and 10 min; or breastfeeding. The parameters of smoking in pregnancy and an Apgar score lower than 7 after 1 min were significantly associated with a risk for later development of ADHD.Conclusions This analysis of maternal, prenatal, perinatal, and postnatal parameters found that smoking in pregnancy and a low Apgar score 1 min after birth are associated with a significantly greater risk for the development of ADHD. Beyond the question of the causal mechanism involved, this is a relevant finding, since smoking during pregnancy is a preventable risk factor.

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  • Prenatal and perinatal factors including maternal alcohol consumption and smoking, maternal stress, and low birth weight and prematurity are frequently associated with ADHD.

    “Prenatal and perinatal factors, including maternal alcohol consumption and smoking (Yoshimasu et al., 2009; Silva et al., 2014; Schwenke et al., 2018), maternal stress (Grizenko et al., 2008; Van Batenburg-Eddes et al., 2013; Glover, 2014), and low birth weight and prematurity (Mick et al., 2002; Thapar et al., 2013) are frequently associated with ADHD.”

    From A Review of Heterogeneity in Attention Deficit/Hyperactivity Disorder (ADHD) (2019) · cites this paper as Schwenke et al., 2018

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Authors
Schwenke, E., Fasching, P. A., Faschingbauer, F., Pretscher, J., Kehl, S., Peretz, R., Keller, A., Häberle, L., Eichler, A., Irlbauer-Müller, V., Dammer, U., Beckmann, M. W., & Schneider, M.
Affiliations
Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
Corresponding author
Schwenke, Eva
ORCID
Venue
Archives of Gynecology and Obstetrics
Publisher
Springer Science and Business Media LLC
Published
2018-09-08
Volume
298
Issue
5
Pages
889-895
ISSN
  • 0003-9128 (ISSN-L)
  • 0932-0067
  • 1432-0711
DOI
10.1007/s00404-018-4888-0
OpenAlex
W2890913542
Cited by
39
References
32
Citations by year
2026: 1 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 9 · 2021: 4 · 2020: 6 · 2019: 4
FWCI
2.75
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Gynecology and Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
Universitätsklinikum Erlangen
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
attention deficit hyperactivity disorder, prenatal risk factors, smoking during pregnancy, Apgar score, perinatal factors, birth characteristics, preventable risk factors
MeSH terms
Adult, Apgar Score, Attention Deficit Disorder with Hyperactivity, Birth Weight, Female, Humans, Infant, Newborn, Male, Pregnancy, Prenatal Exposure Delayed Effects, Surveys and Questionnaires, Risk Factors, Parturition

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