Evidence map›Paper›PMID 33143711›Full record

ArticleBMC medicine2020

Impact of Covid-19 in pregnancy on mother's psychological status and infant's neurobehavioral development: a longitudinal cohort study in China.

Yuanyuan Wang, Lian Chen, Tianchen Wu, Huifeng Shi, Qin Li, Hai Jiang, Danni Zheng, Xiaoli Wang, Yuan Wei, Yangyu Zhao and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Impact of SARS-Cov-2 exposure during pregnancy on child neurodevelopment: systematic review and meta-analysis.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Yuanyuan WangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Lian ChenDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Tianchen WuDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, 100191, China.
Huifeng ShiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Qin LiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Hai JiangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Danni ZhengDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Xiaoli WangDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, 100191, China.
Yuan WeiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China. weiyuanbysy@163.com.
Yangyu ZhaoDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China. zhaoyangyu@bjmu.edu.cn.
Jie QiaoDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China. jie.qiao@263.net.
National Clinical Research Center for Digestive Diseases · CNPeking University · CNPeking University Third Hospital · CN

Funding

Chinese Academy of Engineering 2020-KYGG-01-06National Natural Science Foundation of China 72042013Peking University Health Science Center BMU2020HKYZX001
6 · The paper itself

Abstract

backgroundEvidence concerning the long-term impact of Covid-19 in pregnancy on mother's psychological disorder and infant's developmental delay is unknown.

methodsThis study is a longitudinal single-arm cohort study conducted in China between May 1 and July 31, 2020. Seventy-two pregnant patients with Covid-19 participated in follow-up surveys until 3 months after giving birth (57 cases) or having abortion (15 cases). We collected data from medical records regarding Covid-19, delivery or abortion, testing results of maternal and neonatal specimens, and questionnaires of quarantine, mother-baby separation, feeding, and measuring of mothers' mental disorders and infants' neurobehavioral disorders.

resultsAll cases infected in the first trimester and 1/3 of cases infected in the second trimester had an abortion to terminate the pregnancy. 22.2% of pregnant patients were suffering from post-traumatic stress disorder or depression at 3 months after delivery or induced abortion. Among 57 live births, only one neonate was positive of nucleic acid testing for throat swab, but negative in repeated tests subsequently. The median duration of mother-baby separation was 35 days (interquartile range 16 to 52 days). After the termination of maternal quarantine, 49.1% of mothers chose to prolong the mother-baby separation (median 8 days; IQR 5 to 23 days). The breastfeeding rate was 8.8% at 1 week after birth, 19.3% at the age of 1 month, and 36.8% at the age of 3 months, respectively. The proportion of "monitoring" and "risk" in the social-emotional developmental domain at the age of 3 months was 22.7% and 63.6%, respectively. After the adjustment of preterm, neonatal sex, admitted to NICU, and the mother's Covid-19 condition, the negative associations were significantly identified (p < 0.05) between mother-baby separation days and three developmental domains: communication, gross motor, and personal-social.

conclusionsThere is no definite evidence on vertical transmission of SARS-CoV-2. In addition to control infection risk, researchers and healthcare providers should pay more attention to maternal mental health and infant's feeding, closeness with parents, and early development.

Indexed as

BetacoronavirusChild DevelopmentInfectious Disease Transmission, VerticalAdultChinaCohort StudiesCoronavirus InfectionsCOVID-19FemaleFollow-Up StudiesHumansInfantInfant BehaviorInfant, NewbornLongitudinal StudiesMaleChild early developmentCovid-19Maternal health

Identifiers

PMID33143711
PMCPMC7609382
OpenAlexW3096426648

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.