Evidence map›Paper›PMID 39391946›Full record

ReviewBJPsych bulletin2025

Functional neurological disorder in pregnancy, labour and the postpartum period: systematic review.

Verónica Cabreira, Caoimhe McLoughlin, Natasha Shivji, Alexandra Lodge, Sanne Van Rhijn, Roxanne C Keynejad, Jan Coebergh, Alan Carson, Jon Stone, Alex Lehn and 1 more

Abstract readReview
In one paragraph

Review in BJPsych bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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.

Verónica CabreiraCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0001-9945-7681
Caoimhe McLoughlinCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Natasha ShivjiPerinatal Psychiatry, Central and North West London NHS Foundation Trust, London, UK.
Alexandra LodgeSt George's Hospitals and University, London, UK.
Sanne Van RhijnPerinatal Mental Health Service, West London NHS Trust, London, UK.
Roxanne C KeynejadDepartment of Health Service and Population Research, King's College London, London, UK.ORCID https://orcid.org/0000-0003-4434-3526
Jan CoeberghSt George's Hospitals and University, London, UK.
Alan CarsonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Jon StoneCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Alex LehnPrincess Alexandra Hospital, Brisbane, Queensland, Australia.
Ingrid HoeritzauerCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

methodFunctional neurological disorder (FND) most often presents in women of childbearing age, but little is known about its course and outcomes during pregnancy, labour and postpartum (the perinatal period). We searched MEDLINE, PsycInfo and Embase combining search terms for FND and the perinatal period. We extracted data on patient demographics, subtype of FND, timing of symptom onset, comorbidities, medications, type of delivery, investigations, treatment, pregnancy outcomes and FND symptoms at follow-up.

resultsWe included 36 studies (34 case reports and 2 case series) describing 43 patients. Six subtypes of FND were identified: functional (dissociative) seizures, motor weakness, movement disorder, dissociative amnesia, speech disorders and visual symptoms. New onset of perinatal FND was more common in the third trimester and onwards. Some women with functional seizures were exposed to unnecessary anti-seizure prescriptions and intensive care admissions. CLINICAL IMPLICATIONS: Prospective studies are urgently needed to explore how FND interacts with women's health in the perinatal period.

Indexed as

conversion disorderfunctional neurological disorderperinatalpostpartumPregnancy

Identifiers

PMID39391946
PMCPMC12676229

What OpenQuestion holds

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LicenceCC BY-NC
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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.