Evidence map›Paper›PMID 41639085›Full record

ArticleTranslational psychiatry2026

SARS-CoV-2 infection during pregnancy and neurodevelopmental outcomes in early childhood.

Lisa A Croen, Yinge Qian, Luke Grosvenor, Stacey Alexeeff, Robert Yolken, Jennifer L Ames, Paul Ashwood, Danielle Hj Kim, Judy Van de Water

Abstract read
In one paragraph

Article in Translational psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Lisa A CroenDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA. lisa.a.croen@kp.org.ORCID http://orcid.org/0000-0001-7849-9428
Yinge QianDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Luke GrosvenorDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.ORCID http://orcid.org/0000-0002-8643-5894
Stacey AlexeeffDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Robert YolkenJohns Hopkins University, Baltimore, MD, USA.
Jennifer L AmesDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Paul AshwoodUniversity of California at Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-4255-1893
Danielle Hj KimUniversity of California at Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-8136-7095
Judy Van de WaterUniversity of California at Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0003-1193-5875

Funding

Maternal Inflammation during Pregnancy and Neurodevelopmental DisordersR01HD095128 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI CROEN, LISA A, VAN DE WATER, JUDY A. · 2018 to 2022
$3.4M
NICHD NIH HHS R01 HD095128U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD095128
6 · The paper itself

Abstract

SARS-CoV-2 infection in pregnancy has become common, yet very little is known about the impact of prenatal exposure on child development. Our objective was to examine the impact of infection with SARS-CoV-2 during pregnancy on child neurodevelopment in the first years of life. We conducted a longitudinal prospective cohort study among a diverse population of 69,987 children born January 2020-September 2021 in Northern California to members of an integrated healthcare system. Maternal SARS-CoV-2 infection during pregnancy was confirmed by polymerase chain reaction (PCR) test. All neurodevelopmental disorders (NDD) diagnosed in children by December 2023 were identified, including autism spectrum disorder (ASD), speech/language delay, and motor delay. Cox proportional hazards regression models estimated hazard ratios (HR) and 95% confidence intervals (CIs), with adjustment for maternal sociodemographic and clinical characteristics, SARS-CoV-2 vaccination status during pregnancy, and child sex. A total of 2777 (3.97%) pregnant individuals had PCR-confirmed SARS-CoV-2 infection during pregnancy. Among 69,987 children aged 27-48 months, 12,006 (17.15%) were diagnosed with NDD; 2724 (3.89%) with ASD, 10,047 (14.36%) with speech/language delay, and 2716 (3.88%) with motor delay. Maternal infection with SARS-CoV-2 during pregnancy was not associated with an increased risk of speech/language delay or motor delay but was associated with an elevated risk of ASD among females (aHR = 1.44, 95% CI 1.05-1.97) but not males (aHR = 1.04, 95% CI 0.83-1.31). Prenatal exposure to SARS-CoV-2 infection may increase risk for autism spectrum disorders among females. Future studies are needed to confirm and extend these findings.

Indexed as

COVID-19Neurodevelopmental DisordersPregnancy Complications, InfectiousPrenatal Exposure Delayed EffectsAdultCaliforniaChild, PreschoolFemaleHumansInfantLongitudinal StudiesMaleNeurodevelopmentPregnancyProspective StudiesSARS-CoV-2

Identifiers

PMID41639085
PMCPMC12886865

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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 Socratic graph.