Evidence map›Paper›PMID 41417528›Full record

SynthesisRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2025

Impact of SARS-Cov-2 exposure during pregnancy on child neurodevelopment: systematic review and meta-analysis.

Paloma Alves Miquilussi, Thalis Vasconcellos de Aguiar, Paula Lima da Cruz, Ana Paula Duca, Marcos Ribeiro, Cristiano Miranda de Araújo, Rosane Sampaio Santos, Angela Graciela Deliga Schroder, Ana Chrystina de Souza Crippa

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Paloma Alves MiquilussiUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-2847-8199
Thalis Vasconcellos de AguiarUniversidade Federal do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0009-0004-6121-072X
Paula Lima da CruzUniversidade Federal do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0009-0005-4435-1413
Ana Paula DucaUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-2952-2182
Marcos RibeiroUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-2546-0735
Cristiano Miranda de AraújoUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-1325-4248
Rosane Sampaio SantosUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0001-6400-5706
Angela Graciela Deliga SchroderUniversidade Tuiuti do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0002-1852-8423
Ana Chrystina de Souza CrippaUniversidade Federal do Paraná, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0001-6669-7312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to investigate the impact of intrauterine exposure to SARS-CoV-2 on neurodevelopment in children up to 2 years of age. DATA SOURCE: A combination of keywords and truncations was adapted for five electronic databases: Excerpta Medica Database (EMBASE), Latin American and Caribbean Literature in Health Sciences (LILACS), PubMed/Medline, Scopus, and Web of Science. Additionally, gray literature sources were consulted, including the American Speech-Language-Hearing Association (ASHA), Google Scholar, and ProQuest Dissertations and Theses. The quality of evidence was assessed using the Joanna Briggs Institute's Critical Appraisal Checklist. A random-effects meta-analysis was performed to evaluate the primary outcome using R in R Studio version 1.2.1335 (RStudio Inc., Boston, USA). Study weights were calculated using the Mantel-Haenszel method, and variance, expressed by Tau2 values, employed the DerSimonian-Laird estimator. The Freeman-Tukey double arcsine transformation was applied to approximate a normal data distribution, and 95% confidence intervals were calculated for each meta-analysis. DATA SYNTHESIS: Nine articles were included in the qualitative synthesis and eight in the quantitative analysis. There was no statistically significant difference in neurodevelopment between infants exposed and unexposed to SARS-CoV-2 during pregnancy [RR=5.10; 95%CI 0.36-71.85; I2=91%]. However, for the "fine motor" domain, the exposed group had a 2.38 times higher risk of deficit [95%CI 1.22-4.68] compared to the non-exposed group, with low heterogeneity in the analysis (I2=0%).

conclusionsExposure to the SARS-CoV-2 virus during the gestational period is not associated with neurodevelopmental delay up to 2 years of age, although it has been linked to an increased risk of delayed fine motor development. However, this evidence remains uncertain due to the limited number of studies on the topic and the heterogeneity of methodologies.

Indexed as

Child DevelopmentCOVID-19Neurodevelopmental DisordersPregnancy Complications, InfectiousPrenatal Exposure Delayed EffectsChild, PreschoolFemaleHumansInfantInfant, NewbornPregnancySARS-CoV-2

Identifiers

PMID41417528
PMCPMC12704932

What OpenQuestion holds

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LicenceCC BY
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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.