Evidence map›Paper›PMID 38114608›Full record

SynthesisPediatric research2024

Antenatal and neonatal exposure to SARS-CoV-2 and children's development: a systematic review and meta-analysis.

Rebecca Jackson, Kathryn Woodward, Meg Ireland, Conor Larkin, Jennifer J Kurinczuk, Marian Knight, Chris Gale, Samantha Johnson, Rosie Cornish, Ela Chakkarapani

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. The association of in utero SARS-CoV-2 exposure on neurodevelopmental outcomes at 12 and 22 months.Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

10 authors at 4 institutions in 1 country.

Rebecca JacksonTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Kathryn WoodwardTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Meg IrelandTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Conor LarkinTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Jennifer J KurinczukNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Marian KnightNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Chris GaleNeonatal Medicine, School of Public Health, Imperial College London, London, United Kingdom.
Samantha JohnsonDepartment of Population Health Sciences, University of Leicester, Leicester, United Kingdom.
Rosie CornishPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Ela ChakkarapaniTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom. ela.chakkarapani@bristol.ac.uk.ORCID http://orcid.org/0000-0003-3380-047X
University of Bristol · GBUniversity of Oxford · GBImperial College London · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo conduct a systematic review of the impact of antenatal and neonatal exposure to SARS-CoV-2 on developmental outcomes in preterm and term-born infants.

methodsWe searched Embase, Emcare, MEDLINE, PsycINFO, Web of Science and grey literature on May 27, 2022 and updated on May 8, 2023. Studies defining exposure with a positive SARS-CoV-2 protein or genetic material, used a contemporaneous non-exposed cohort, and reported developmental outcomes up to 2 years of age were included.

resultsFour out of 828 screened studies were included. Meta-analysis included 815 infants screened for developmental delay (n = 306 exposed; n = 509 non-exposed) between 3- and 11-months of age. Among term-born infants, we did not find an increased risk of delay in communication (odd's ratio: 0.73 (95% CI: 0.24-2.24)), gross motor (1.50 (0.62, 3.62)), fine motor (2.90 (0.58, 14.43)), problem-solving (1.19 (0.54, 2.66)) or personal-social development (1.93 (0.78, 4.75)) in exposed infants. The number of preterm-born infants in the exposed (n = 37) and comparison cohorts (n = 41) were too few to report meaningful comparisons.

conclusionEvidence regarding the potential impact of antenatal or neonatal exposure to SARS-CoV-2 infection on developmental outcomes in early infancy is limited and inconsistent. Larger cohorts with outcomes beyond the first year of life are needed. IMPACT: The current evidence examining associations between SARS-CoV-2 exposure during the neonatal period and developmental outcomes in infancy is limited by there being few studies with extremely small sample sizes. Based on sparse data there was no consistent association between antenatal or neonatal exposure to SARS-CoV-2 infection and an adverse impact on developmental outcomes below 12 months of age for babies born preterm or at term. This study highlights that larger cohorts with outcomes assessed beyond the first year are needed to determine the potential longer-term impact of SARS-CoV-2 infection exposure on child development.

Indexed as

Child DevelopmentCOVID-19SARS-CoV-2Developmental DisabilitiesFemaleHumansInfantInfant, NewbornInfant, PrematurePregnancyPregnancy Complications, InfectiousPrenatal Exposure Delayed Effects

Identifiers

PMID38114608
PMCPMC11257989
OpenAlexW4389949494

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.