
Asphyxia at Birth Linked With Schizophrenia
STOCKHOLM (Reuters Health) Jun 04 - Infants deprived
of oxygen at birth due to obstetric complications have
a four times higher risk of developing schizophrenia
later in life than other children, new research
suggests.
Many different obstetric complications during
pregnancy and delivery are associated with a future
risk of schizophrenia, said Dr. Christina Dalman, a
psychiatrist who reported these findings in her
doctoral thesis at Gothenburg University. The study
will soon be published, according to Dr. Dalman.
Using a large sampling of schizophrenics obtained
through Sweden's National Birth Register, Dr. Dalman
compared 524 schizophrenics in Stockholm with 1,043
nonschizophrenic controls matched for sex and age.
After eliminating factors such as hereditary
psychosis, she found that the risk of schizophrenia
was 4.4 times higher for children who experienced
hypoxia during childbirth.
"I've been looking at fetal factors like
preeclampsia" and low-weight fetuses, Dr. Dalman
told Reuters Health. "If the fetuses are thin or
the mothers have preeclampsia, those babies have a
doubled risk of schizophrenia later on in life,"
she said.
"I've also looked at babies born before week
33, and they...have a doubled risk." Children
with signs of asphyxia "have a four times higher
risk of schizophrenia later in life," Dr. Dalman
said.
"Dr Dalman's work is among the most impressive
of any research in this area and puts beyond doubt the
evidence that a range of factors during pregnancy and
birth can increase the later risk of
schizophrenia," said Dr. Robin Murray, a
professor of psychiatry at London's Institute of
Psychiatry. "These include poor nutrition and
slow growth of the foetus, hypoxia at birth, and
neonatal jaundice."
Every tenth child is exposed to some complication
during childbirth that could lead to schizophrenia,
Dr. Dalman explained, but most do not develop
schizophrenia. While the etiology of schizophrenia is
largely unknown, the greatest known risk factor is
still genetic; children with a schizophrenic parent
have a 10-fold increased risk of developing this
disease.
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