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SUSPECTED CAUSE OF AUTISM DUE TO EVENTS IN PREGNANCY OR BIRTH AS UNDERSTOOD BY THE PARENT
Include any of the following that occured in your case

Birth Trauma Conditions. *

Fetal distress in womb - cord compression, cord around neck, unknown distress. Premature birth < 37 weeks. Baby born blue black (hypoxia) Meconium Aspiration Twin birth Prolonged labor (> 8hrs) after water break. Other birth trauma

If Other please explain: *

Maternal Complications *

Infections in mother during pregnancy. Gestational high blood pressure in mother. Gestational diabetes. Hormonal, or neurotransmitter based medications in pregnancy. Extreme emotional stress of mother. Uterine or placental complications Other complications

If Other Please Explain: *

Genetic Condition *

Downs Syndrome Fragile X syndrome Dyslexia Tourette's Other known Genetic condition Unknown Genetic condition

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SUSPECTED CAUSE OF AUTISM DUE TO EVENTS IN PREGNANCY OR BIRTH AS UNDERSTOOD BY THE PARENTInclude any of the following that occured in your case

SUSPECTED CAUSE OF AUTISM DUE TO EVENTS IN PREGNANCY OR BIRTH AS UNDERSTOOD BY THE PARENT
Include any of the following that occured in your case