Many studies indicate that both obstetrical complications (OCs) and bi
rth in winter or early spring are risk factors for schizophrenia, but
few studies have examined how these risk factors covary in the same su
bjects. We assessed pre- and perinatal OCs, while blind to diagnosis,
using medical data recorded at the time of subjects' births, in 29 pro
bands with DSM-III schizophrenia or schizoaffective disorder and 39 of
their unaffected adult sibs. Pre- and perinatal OCs were both signifi
cantly more common in probands than sibs. Schizophrenics not born duri
ng the winter or early spring had significantly more total and perinat
al OCs than schizophrenics born in other months, but did not differ fo
r prenatal OCs. Results indicate that OCs increase risk for schizophre
nia, but also suggest the possibility that the impact of OCs on this r
isk may be affected by season of birth.