Does Ultrasound cause Autism?
Because we have a baby on the way, we've been getting a lot
of advice...
One bit of advice we got, a warning really, was to tell us that
we are bombarding our unborn child with ultrasound, and that could lead to autism.
Ultrasound has been around for many decades, if there were
any clear dangers it would have been obvious by now.
To suddenly fear something that has been demonstrated to work safely for
decades just seem silly to me. But to
be fair, if there were some sort of subtle damage being done, during an
ultrasound exam, it may indeed take this long to discover it.
So what new studies do the anti-ultrasound people have back
up this claim? Typically they don't
seem to have any, they seem to rely on the fear of "what if it's true". I imagine that, for a lot of people, that's all it
would take. However, I need to know
what the evidence points to before I can make an informed decision. So after looking around the internet at
some reputable sites (like WebMD and HeathCentral)
and only finding positive things being said about the safety of ultrasound, I started
looking at what the anti-ultrasound websites had to say. I found that those websites make a lot of claims,
but the only actual evidence they seem to offer is that they refer back to one or two studies. So off I went looking for those two studies.
The first study, they refer to, is a 20 year old study
(See 1993
Lancet article), that seemed to have found that human fetuses, that were
exposed to multiple ultrasound (in the third trimester), had a slightly lower
birth weight. However, if you actually
read the article, it turns out that the weight difference that they found was 25 grams (less than one ounce), and that was the difference in the mean birth
weight of the two groups. You might be
asking yourself "what does low birth weight have to do with autism
anyways?". That's a great
question, birth weight shouldn't have
anything to do with autism. This study seems to be sited only in order to show that
ultrasound might be affecting your baby, somehow.
It's also worth noting that when anti-ultrasound websites site this
study they don't bother to mention the follow-up study. The same group that performed the first
study did a follow-up on those same children, eight years later (see Lancet article). The newer study
found that there was no perceivable differences between the children of two
groups. NO DIFFERENCE! The findings from the original study
doesn't seem to have ever been confirmed by any newer studies. The first study may only been a statistical aberration.
The second study, that they seem to site, is a 2006 study done at
Yale (you can see/hear it at 2006 NPR
article). As the research team
leader (Dr. Rakic) points out, this study was done with relatively high
levels of ultrasound (because of relatively small size of the mice), and for
prolonged periods of time (30 minutes focused on the brain) and the effects they found were
slight. The study makes no association
with any behavioral changes in the mice later on. When evaluating a study like this, keep in mind that the damage
done by sound waves is all about the dosage level, the volume. High levels of sound can be damaging, it
can damage to your hearing and it can even damage the mechanical integrity of
objects (like breaking a glass).
However, low intensity sounds will never accumulate to cause that same
kind of damage. The Yale study can not be used as
any evidence for the dangers of normal ultrasounds, performed for normal durations.
So, you might be asking yourself "what's the harm with just being wary of
ultrasounds?" Like with all
beliefs, the harm depends on whether or not the belief is actually real,
and how you act on those beliefs.
In the case of ultrasound, there are real demonstrable
benefits to using it. If you avoid the
doctor proscribed ultrasounds you risks complications, ranging from minor
complications all the way up to death.
If you avoid extra (elective) ultrasounds you may only loose an extra
baby picture. Now, weigh those
benefits, which are real, against the risks, which are just speculations based
on nothing more than the fear of "what if".
Also, the harm might not just come from just being wary of ultrasounds, it could come from
something entirely different. Believing
in one irrational thing often leads to believing in other irrational things. If you're going to change your behavior,
about ultrasound, based on an unsubstantiated belief what other claims are you
also going to act on without sufficient evidence?
Will you be wary of cell phones because some have claimed
they might cause brain cancer (I wonder what they do to fetuses)? Are you going to move away from power poles,
because some have claimed they might cause leukemia? Will you be wary of vaccinations because some claim they might
cause autism?
"The wise man
proportions their belief to the evidence" - David Hume
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