Background: - Autism spectrum disorders (ASD) are neurodevelopmental disorders that affects a child’s communication and language skills. Its risk factors need to be better understood and identified. Early interventions can improve ASD children’s communication skills.

Objectives: To investigate the socio-demographic characteristics, some of the perinatal risk factors, presenting complaints of ASD children and assess their parent's opinion toward provided services in AlBaha Region.

Methods: - Case control study was done on 65 ASD children attending Taatuf daycare rehabilitation center in AlBaha Region   and 65 control from siblings of autistic children. We use structured questionnaire including Sociodemographic data, Sheet of pregnancy and birth complications, presenting complaints of ASD children and parents opinion to existing services through interviewing their parents.

Results: -   Male children (83.1%), labor complications (15.4%), respiratory complications during labor (10.8%), post-natal Seizures (12.3 %) were higher among ASD children with statistically significant association. Social skills deficits appeared in (70.8%)of ASD children by the age of < 3 years (80%). Most of parents were not satisfied with provided services to ASD children in AlBaha region.

 Conclusions:

 - The most prominent risk factors for autism were males, exposure to labor complications, experiencing respiratory complications during labor, occurrence of post-natal seizures.  Social skills deficits   by the age of less than 3 years was the commonest complaint. Existing ASD services were not enough.

Keywords: - Autism, Perinatal Risk Factors, Complaints, Educational services, Rehabilitation Services, Health Services, AlBaha Region.