Evidence map›Paper›PMID 36431112›Full record

ArticleJournal of clinical medicine2022

Impact of COVID-19 Related Maternal Stress on Fetal Brain Development: A Multimodal MRI Study.

Vidya Rajagopalan, William T Reynolds, Jeremy Zepeda, Jeraldine Lopez, Skorn Ponrartana, John Wood, Rafael Ceschin, Ashok Panigrahy

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Perinatal hardship and infant neurodevelopment: insights from a global pandemic.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Mental Health Challenges during the COVID-19 Pandemic.Journal of clinical medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Vidya RajagopalanDepartment of Radiology, Children's Hospital Los Angeles, Keck School of Medicine University of Southern California, Los Angeles, CA 90033, USA.
William T ReynoldsDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA 15206, USA.ORCID 0000-0002-7240-5213
Jeremy ZepedaDepartment of Radiology, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.ORCID 0000-0001-8955-2992
Jeraldine LopezNeuropsychology Core, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
Skorn PonrartanaDepartment of Pediatric Radiology, Keck School of Medicine University of Southern California, Los Angeles, CA 90033, USA.
John WoodDepartments of Radiology and Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine University of Southern California, Los Angeles, CA 90033, USA.
Rafael CeschinDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15206, USA.
Ashok PanigrahyDepartment of Pediatric Radiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA 15224, USA.ORCID 0000-0003-1966-6681
University of Southern California · USChildren's Hospital of Los Angeles · USUniversity of Pittsburgh · USChildren's Hospital of Pittsburgh · US

Funding

The internship in Biomedical Research, Informatics, and Computer Science (iBRIC): Biomedical Informatics and Data Science research experiences for students from Minority Serving InstitutionsT15LM007059 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRY S HOCHHEISER · 1987 to 2026
$23.9M
Influence of placental impairments and maternal-fetal environment on neurodevelopmental outcomes in Congenital Heart DiseaseK01HL153942 · NHLBI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI RAJAGOPALAN, VIDYA · 2020 to 2024
$735k
NHLBI NIH HHS K01 HL153942NIH HHS NHLBI K01HL153942NLM NIH HHS T15 LM007059
6 · The paper itself

Abstract

backgroundDisruptions in perinatal care and support due to the COVID-19 pandemic was an unprecedented but significant stressor among pregnant women. Various neurostructural differences have been re-ported among fetuses and infants born during the pandemic compared to pre-pandemic counterparts. The relationship between maternal stress due to pandemic related disruptions and fetal brain is yet unexamined.

methodsPregnant participants with healthy pregnancies were prospectively recruited in 2020-2022 in the greater Los Angeles Area. Participants completed multiple self-report assessments for experiences of pandemic related disruptions, perceived stress, and coping behaviors and underwent fetal MRI. Maternal perceived stress exposures were correlated with quantitative multimodal MRI measures of fetal brain development using multivariate models.

resultsIncreased maternal perception of pandemic related stress positively correlated with normalized fetal brainstem volume (suggesting accelerated brainstem maturation). In contrast, increased maternal perception of pandemic related stress correlated with reduced global fetal brain temporal functional variance (suggesting reduced functional connectivity).

conclusionsWe report alterations in fetal brainstem structure and global functional fetal brain activity associated with increased maternal stress due to pandemic related disruptions, suggesting altered fetal programming. Long term follow-up studies are required to better understand the sequalae of these early multi-modal brain disruptions among infants born during the COVID-19 pandemic.

Indexed as

COVID-19 pandemicfetal brain functionmaternal stress

Identifiers

PMID36431112
PMCPMC9695517
OpenAlexW4308720831

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.