生二胎的顾虑！！！！

陶琳

烦啊.年纪大了想生又不敢生.想抱养又怕白养.没有又想要怕以后儿子没有人依靠.郁闷...............

BertMom

下面引用由[U]linmin0057[/U]发表的内容：

过去别人劝我生二胎，我坚决反对，甚至很反感，有点生气。可随着年龄的增加，时间的推移，想法不一样了。昨天我还到计生委咨询怎么拿指标呢。但我也是哭着回家的，对女儿的爱不知到底该怎样做才好。但有一个健康的孩...

What are your chances of having another child on the spectrum?  This question comes up on our forum periodically, so I thought I'd gather information on this in one spot.  If anyone else has statistics on this subject, let me know.

2 to 8%, according to an article

cited by the Center for Disease Control.

"The recurrence rate in siblings of affected children is 2% to 8%, much higher than the prevalence rate in the general population but much lower than in single-gene diseases."  From the article "The Genetics of Autism" by Muhle et al., published in Pediatrics in 2004.  You can read the entire article here:

Source:  http://pediatrics.aappublications.org/cgi/content/full/113/5 /e472

The authors base those numbers on the following published work:

Gillberg C, Coleman M. The Biology of the Autistic Syndromes. 3rd ed. London, UK: Mac Keith Press, Distributed by Cambridge University Press; 2000
Chakrabarti S, Fombonne E. Pervasive developmental disorders in preschool children. JAMA. 2001;285 :3093 –3099[Abstract/Free Full Text]
Chudley AE, Gutierrez E, Jocelyn LJ, Chodirker BN. Outcomes of genetic evaluation in children with pervasive developmental disorder. J Dev Behav Pediatr. 1998;19 :321 –325[ISI][Medline]
The CDC cited Muhle's article here:

http://0-www.cdc.gov.mill1.sjlibrary.org/ncbddd/autism/overv iew.htm#_ftnref6



10% chance if the family has one autistic child,

50% chance if the family already has two autistic children,

according to an interview with a genetic researcher:

Lisa Jo Rudy of www.autism.about.com was lucky enough to get a personal interview with the Cold Spring Harbor researcher, Jonathan Sebat.  Sebat said that the average risk for child number two having autism is 10%, but the risk is lower if it's the result of a spontaneous mutation rather than heredity.  If you have two kids with autism, the risk is up to 50% for male third-borns.

Anyhow, anyone interested in reading more can go to:

http://autism.about.com/b/a/257919.htm (Part 1)

http://autism.about.com/od/causesofautism/a/newmutations.htm (Part 2)

28%, if you interpret the results

of an early diagnosis study

I also recently ran across a relevant study by Dr. Landa at Kennedy Krieger.  That study investigated very early diagnosis (14 months), but you can also draw conclusions about risks because the study involved baby siblings of autistics.  

Thirty of the 107 baby siblings ended up with an autism label, either at 14 months or later at age 3.  That is 28% -- which seems significantly higher than 10%.  Problem is, we don't know if any of these baby sibs came from families that already had more than one child diagnosed.  

You can read Newsweek's report on that study here:

http://www.msnbc.msn.com/id/19588967/site/newsweek/page/0/

Sample topic on our forum:

http://www.autism-pdd.net/forum/forum_posts.asp?TID=19546&am p;am p;KW=Newsweek&PN=0&TPN=1





__________________
Norway Mom (mother of 2 sons who were born in 1998 and 2001. Both have atypical autism).

妈妈爱你

不要考虑那么多了，这个病不遗传，我家老二快3岁了，健康聪明可爱，我怀孕期间没有任何人帮我照顾孩子（直到生孩子的前2天才找了一个保姆），都是自己挺过来的，再累再难，我都觉的值

欣妈

不用考虑太多了。看自己家的条件吧。

岚海之韵

我家儿子也是四岁了，目前在机构训练，训练的老师都劝我们准备准备生个小二子，我们也有这个打算，估计想等两年后吧，6岁前对儿子来说是很重要的时间段，不想错过。想问问生了二胎的妈妈们，生二胎时的年龄是多大啊？想想两年后我都要34岁了，算不算高龄啦~~~~~~~

thankstoyilin

跟梁洛施比是高龄，和林青霞比是低龄。

kaima

我原来也每天纠结在生与不生之中，不生，将来孩子无依无靠；生，精力，财力都不宽裕，如果因此而忽略了儿子将不能原谅自己。在我们这里自闭是不能批二胎的，超生 工作不保，还要罚10多万。后来觉得一直纠结在生与不生之间折磨自己干什么，无法预测将来就先做好眼前吧，顺其自然，国家允许生就再考虑，不允许就踏踏实实的带好这个孩子。

来苏安安

我们一家三口昨天到北医六院查的与自闭症相关的染色体和基因，也是因为想要二胎，我觉得检查结果如果有问题，最好不能要；没有问题，可以根据家庭情况斟酌要。本人建议要二胎，虽然我快35岁了，且一个人带孩子身体也不好，但我还是希望女儿能有一个弟弟妹妹，亲情是最值得信赖的~~~北医六院做检测的医生叫王力芬，人很和气，有想要二胎做检查的朋友可以联系她。

含妈妈

我今年34了，刚生了老二，感觉很好。

kfq87522497

下面引用由[U]来苏安安[/U]发表的内容：

我们一家三口昨天到北医六院查的与自闭症相关的染色体和基因，也是因为想要二胎，我觉得检查结果如果有问题，最好不能要；没有问题，可以根据家庭情况斟酌要。

这个就是搞医学研究的吧？请问具体是查什么呢？

宋宇

知道我为什么总潜水吗？因为16岁的老大，青春了！情绪问题，SEX问题，实在不知道如何与人讨论，尤其是这里大多是小朋友的家长，还怕吓到脆弱的年轻的妈妈的心。4岁的老二，又实在是太聪明了，聪明得没法在这里交流，怕酸到脆弱的年轻妈妈的心。想生老二的家长快去我的博里看看吧！你们会迫不及待了。我都快想生老三了！

成长的妈妈

我家老二很可爱，老大在老二出生后一下子懂事了很多，他也很开心，我觉得挺好的。

xusirm2012

就怕厄运再次降临呀