Understanding the connection between developmental delays and autism begins with a clear grasp of developmental milestones and the screening process for Autism Spectrum Disorder (ASD).
Developmental Milestones
Developmental milestones are markers of a child’s development from infancy to early childhood. They serve as a guide to determine whether a child is progressing at a typical rate for their age. These milestones encompass various areas, such as motor skills, language and communication, social and emotional development, and cognitive abilities.
As children grow, they reach certain milestones that indicate their progress in these different domains. For example, milestones can include rolling over, sitting up, babbling, making eye contact, recognizing familiar faces, and following simple instructions.
Monitoring a child’s progress through developmental milestones provides valuable insights for parents and caregivers. This approach helps identify potential delays early on, allowing for timely interventions and support. Early detection is essential for addressing any issues and ensuring that the child receives the appropriate care and guidance needed for their development.
Screening for ASD
Screening for Autism Spectrum Disorder is an essential part of early detection and intervention. The American Academy of Pediatrics advises regular developmental screenings at 9, 18, and 30 months, along with targeted ASD screenings at 18 and 24 months. Children who are at a higher risk of ASD, such as those with a family history of the disorder, may require additional screening.
It is important to note that there is no single diagnostic tool for ASD. Instead, doctors rely on their observations of the child’s behavior and reports of their cognitive functioning. These observations are then compared to the criteria outlined in the American Psychiatric Association‘s Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which provides guidelines for diagnosing ASD.
Identifying ASD can be a complex process, as it requires careful assessment and consideration of various factors. However, early identification is crucial for early intervention and support, which can significantly improve outcomes for children with ASD.
The Centers for Disease Control and Prevention (CDC) reports that approximately one in 68 children in the United States receives an autism diagnosis. This prevalence highlights the importance of better understanding the differences in development, including during the neonatal period, to enhance our ability to detect and address developmental delays and ASD.
Staying informed about developmental milestones and participating in regular screenings enable caregivers and healthcare professionals to identify potential delays and provide essential support to children at risk for ASD.
Preemies and Autism Risk
Understanding the connection between preemie delays and autism is crucial for caregivers and individuals with autism. We’ll delve into two key areas: the gaze aversion observed in preemies and the study findings at age 2.
Preemies’ Gaze Aversion
Researchers at Washington University School of Medicine in St. Louis conducted a study that found a correlation between preemies’ gaze aversion in early infancy and reduced likelihood of displaying symptoms of autism at age 2. The study involved 62 premature infants who were born at least 10 weeks before full term. Interestingly, many of the preemies who averted their gazes and showed signs of nystagmus as infants did not exhibit warning signs of autism when screened at age 2. This suggests that the absence of gaze aversion in premature infants could indicate an inability to avoid stressors, as speculated by the researchers.
Study Findings at Age 2
At age 2, approximately 21 percent of the babies in the study screened positive for autism using a recognized checklist for toddlers. This finding suggests that these children are at risk and should undergo further diagnostic testing.
These findings underscore the need to monitor preemies’ development, as early intervention is key to supporting their growth and well-being. Understanding the link between gaze aversion and autism risk in preemies helps caregivers and professionals identify potential autism factors, emphasizing the importance of ongoing research in this area.
Factors Affecting Autism Diagnosis
Diagnosing autism involves considering various factors that can affect the likelihood of a diagnosis and the traits associated with the condition. We’ll examine the likelihood of autism across various groups and analyze the differences in autistic traits between preterm and full-term children.

Odds of Autism in Different Groups
Research has shown that the odds of having autism can vary among different groups of children. One study found that children in the “low-declining” group, referring to those who started with high scores but experienced a drop over time, had the highest odds of being diagnosed with autism. Approximately 35 percent of children in this group were diagnosed with autism by the age of 5. In comparison, autistic children make up only 9 percent of the group that started high and dropped in score, and just 3 percent of the group whose scores remained stable.
Furthermore, the study revealed that children in the “low-declining” group were 15 times more likely to be diagnosed with autism by age 5 compared to children in the “high-stable” group. These findings highlight the importance of early identification and intervention for children who show a decline in developmental scores.
Autism Traits Comparison
Autistic children born preterm score lower on nonverbal social behaviors, such as eye contact, facial expressions, and gestures, compared to full-term autistic children. Research also shows that autism traits are more consistent among preterm children, suggesting preterm birth may influence a uniform presentation of these traits.
Understanding the factors that affect autism diagnosis and the differences in autism traits can provide valuable insights for caregivers and healthcare professionals. Early identification and intervention remain key in supporting children with autism and ensuring they receive the appropriate care and resources they need. By recognizing the odds of autism in different groups and understanding the variations in autism traits, we can work towards better diagnosing and supporting individuals on the autism spectrum.
Early Diagnosis and Interventions
Early diagnosis and interventions are essential for optimizing outcomes in autism, particularly for preterm babies who may be at a higher risk. Identifying autism early in these infants allows caregivers to implement appropriate therapies, providing the necessary support to enhance the child’s development.
Therapies in Infancy
Recent research indicates that preterm infants who are eventually diagnosed with autism often show progressively worsening developmental delays during early infancy. This distinct pattern can serve as an indicator for doctors to identify autism in preterm babies and initiate therapies as early as 6 months of age. Early intervention therapies can help address the specific developmental needs of the child and facilitate their progress.
Various types of therapies may be beneficial for infants with autism, including:

The specific therapies recommended for each infant will depend on their unique needs and developmental profile. Caregivers need to work closely with healthcare professionals and therapists to determine the most appropriate interventions for their child.
Importance of Early Detection
Early detection of autism in preterm babies is essential for several reasons. It allows for timely interventions to mitigate developmental delays and support optimal growth, improving outcomes and quality of life. It also gives caregivers access to autism-specific resources and support networks, helping them navigate challenges and secure necessary services. Additionally, it enables researchers and healthcare professionals to gather valuable data on developmental trajectories, enhancing understanding and informing future research and interventions.
Early diagnosis and timely interventions are crucial for preterm babies who may be at risk for autism. Identifying autism in infancy and applying the right therapies allows caregivers to support the child’s development effectively and improve their long-term outcomes. The significance of early detection is profound, as it lays the groundwork for customized interventions and ensures access to vital resources.
Preterm Babies and Autism Statistics
When it comes to understanding the connection between preemie delays and autism, it’s important to explore the prevalence of autism in preterm babies as well as the specific autism traits exhibited by these children.
Prevalence of Autism in Preterm Babies
Research has shown that the prevalence of autism in preterm babies is higher compared to the general population. Approximately 7 percent of children born preterm are diagnosed with autism, while the prevalence in the general population ranges from 1 to 2 percent. Researchers cannot reliably predict which preterm infants are at the highest risk of being diagnosed with autism later on. This emphasizes the need for ongoing monitoring and early intervention to support the development of preterm babies.

Autism Traits in Preterm Children
Studies have revealed that autistic children who are born preterm exhibit specific traits that distinguish them from their full-term counterparts. These traits are related to nonverbal behaviors that are crucial for social interactions. Autistic children who are born preterm tend to score lower on measures of these nonverbal behaviors compared to autistic children who are born full-term. Furthermore, the research indicates that autism traits among preterm children are more similar to each other than among full-term children. This suggests that preterm birth may have an impact on the specific manifestation of autism traits.
Understanding the prevalence of autism in preterm babies and the distinct traits exhibited by these children can contribute to early identification and intervention strategies. By recognizing the unique challenges faced by preterm babies with autism, caregivers and healthcare professionals can provide targeted support to optimize their development and enhance their quality of life.
At A Better Way ABA, we offer an exceptional ABA therapy program in New York, designed to address the specific needs of each child with personalized and effective strategies. Contact us today to learn more about how our dedicated team can support your child’s journey.
Sources:
https://www.medicalnewstoday.com/articles/developmental-delay-vs-autism