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Case
Li Mei's first child was diagnosed with autism, and she is now pregnant with her second child.
Li Mei is afraid to face the challenge of autism again, but she can't bear to give up a new life. After much deliberation, she decided to give birth to this child.
During her pregnancy, Li Mei carefully maintained her health, hoping to create the best conditions for her child.
After the birth of her second child, Li Mei was very pleased with his progress. At 11 months old, he can talk, laugh, and make eye contact.
But by the time she was more than two years old, her son began to show signs of autism, and Li Mei's hopes were once again shattered by reality.
I believe that many parents have heard of similar cases, and there are many such stories on the Internet. Many people wonder: What is the risk of inheriting autism in families? If you have an autistic baby in your first child, do you want to have a second child?
What is the genetic risk of autism?
While there is no single gene that directly causes autism, studies have found that other people with autism are more likely to have other autistic people in their family members. If there are more people with autism in a person's relatives, then the higher the risk of developing autism.
In addition, if there are other neurodevelopmental disorders in the family, such as ADHD, psycho**, and bipolar disorder, the risk of autism is also increased.
If a first-degree relative, such as a sibling or parent, has a brain disorder other than autism, then the chances of a child developing autism are 4 higher7 times more likely to have both conditions at the same time6x. [1]
If the first-born child has autism, the probability of the next child developing autism is significantly higher than that of the normal population, ranging from 8 to 25 percent [2].
If one child is autistic, do you want to have a second child?
Many families want a second or even a third child because the first child is autistic.
But if autism does happen to another child, then the above genetic risk is 100%, because the genetics of autism are full of uncertainties, so parents must consider carefully.
In addition to genetic risk, parents also need to consider the harm caused by autism to families and children. [3]
1. The impact of autism on children
Children with autism may have deficiencies in their ability to deal with things. They tend to stick to certain routines and methods, resolutely reject changes in habits and routines, have narrow interests, and focus on a certain object.
This is especially true in everyday life, where they may show a strong interest in a particular shape and part of an object.
Autism can also affect a child's neurological function. Studies have shown that neurological development in people with autism may be in a state of stagnation. However, if it can be detected in time and education and intervention can be carried out, the patient's neurological recovery will be better.
2. The impact of autism on the family
It is difficult for people with autism to actively communicate and communicate with their families in their daily lives, and they are confined to their own "world" and closed spaces for a long time.
When dealing with daily tasks, they often have a strong dependence on family members for help, which not only brings great pressure to the families of the affected children, but also brings a corresponding burden to society.
For families with autistic children, whether to have a second child is a question that needs to be pondered.
This decision needs to take into account the genetic risk of autism, as well as the family's financial, mental, and caring capacity.
It is very important to have an in-depth discussion with your doctor or genetic counselor before making a decision.
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References: 1] Piven J, Palmer P, Jacobi D, Childress D, Arndt S broader autism phenotype: evidence from a family history study of multiple-incidence autism families. am j psychiatry. 1997 feb;154(2):185-90. doi: 10.1176/ajp.154.2.185. pmid: 9016266.[2] Duan Yunfeng, Wu Xiaoli, Jin Feng. Research progress on ** and ** methods of autism[J].Science in China:Life Sciences,2015,45(9):820-844[3]刘颖,朱huan,杨梅. Research on the causes, harms and physical intervention of autism in children[J].Neijiang Science & Technology,2023,44(11):102-104
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