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How do de novo mutations during pregnancy contribute to the development of autism? 

Author: Beatrice Holloway, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Recent studies show that de novo mutations and autism may be closely linked, particularly when these genetic changes occur spontaneously during pregnancy. These are not inherited from either parent but arise for the first time in the sperm, egg, or embryo potentially altering early brain development.

Some of these changes may affect genes responsible for neural communication or structural development. While not all de novo mutations and autism outcomes are clear-cut, a subset of mutations has been strongly associated with an increased chance of diagnosis. Unlike inherited genetic risk, de novo variants can emerge without family history, making their identification important for better understanding the diverse causes of autism. Early genetic screening can sometimes offer insights and inform decisions around support during prenatal development.

Early Behaviours That May Signal Autism

Children with autism often display distinctive patterns of behaviour. The earlier these signs are recognised, the sooner targeted help can be offered.

Delayed or absent speech

Children may speak later than expected or use very few words, relying on gestures or repetition.

Little interest in peer interaction

You may notice that a child prefers to play alone or shows limited interest in other children.

Fixed routines and resistance to change

Even small disruptions to routine can lead to stress or emotional outbursts.

Visit providers like Autism Detect for personal consultations and insights tailored to your child’s developmental needs.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Pre‑natal and Birth‑related Factors.

Beatrice Holloway, MSc
Beatrice Holloway, MSc
Author

Beatrice Holloway is a clinical psychologist with a Master’s in Clinical Psychology and a BS in Applied Psychology. She specialises in CBT, psychological testing, and applied behaviour therapy, working with children with autism spectrum disorder (ASD), developmental delays, and learning disabilities, as well as adults with bipolar disorder, schizophrenia, anxiety, OCD, and substance use disorders. Holloway creates personalised treatment plans to support emotional regulation, social skills, and academic progress in children, and delivers evidence-based therapy to improve mental health and well-being across all ages.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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