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Published on: November 20, 2015
Upper respiratory infection during pregnancy and neurodevelopmental outcomes among offspring
Samantha E Parker1, Virginia A Lijewski1, Patricia A Janulewicz2
1Department of Epidemiology, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, United States.
Insights
Maternal upper respiratory infection (URI) during pregnancy did not impact child cognition but was linked to increased behavioral problems. Mid-pregnancy infections showed a stronger association with poorer outcomes.
Area of Science:
- Perinatal Psychiatry
- Developmental Psychology
- Epidemiology
Background:
- Maternal infections during gestation are linked to offspring psychiatric disorders.
- Understanding prenatal exposure effects on child development is crucial.
Purpose of the Study:
- To investigate the association between maternal upper respiratory infection (URI) during pregnancy and cognitive and behavioral outcomes in children.
- To explore if the timing of URI in pregnancy influences these outcomes.
Main Methods:
- Longitudinal study of 534 mother-child pairs.
- Prenatal exposures assessed via interview; child outcomes assessed between ages 5-12.
- Cognition measured by PPVT-III and VMI-5; behavior by CBCL and TRF.
Main Results:
- Maternal URI during pregnancy was not associated with cognitive outcomes in offspring.
- URI was associated with modest increases in behavioral problems reported by mothers and teachers.
- Infections in mid-pregnancy (months 4-5) correlated with poorer behavioral scores compared to early pregnancy (months 2-3).
Conclusions:
- Maternal URI during pregnancy does not appear to negatively affect childhood cognition.
- Prenatal URI may be associated with an increased risk of behavioral problems in children.
- The timing of URI in pregnancy might influence the severity of behavioral outcomes.
Objective:
Maternal infection during pregnancy is associated with psychiatric disorders among offspring. The aim of this study was to investigate associations between upper respiratory infection (URI) in pregnancy and measures of cognitive and behavioral outcomes in child offspring.
Materials And Methods:
A longitudinal study of 534 mother-child pairs with information regarding prenatal exposures collected through an interview conducted on average one year after delivery and subsequent participation in a childhood cognitive and psychosocial assessment between the ages 5-12years. Childhood cognition was measured using the Peabody Picture Vocabulary Test (PPVT-III) and the Beery-Buktenica Test of Visual Motor Integration-Fifth Edition (VMI-5) and behavioral function measured using the Child Behavior Checklist (CBCL) and teacher-report using the Teacher Report Form (TRF). Adjusted mean differences (adjMD) in outcome measures were calculated between mothers reporting the presence or absence of a URI during pregnancy.
Results:
URI during pregnancy was not associated with the two measures of cognition given to offspring, but was associated with modest increases in total behavioral problems reported by mothers (adjMD: 3.72; CI: 1.91-5.54) and teachers (adjMD: 2.74; CI: 0.97-4.50). We observed differences in CBCL and TRF scores based on timing of URI: infections in mid-pregnancy (lunar months 4-5) were associated with poorer scores than were infections in early pregnancy (lunar months 2-3).
Conclusions:
In general, URI in pregnancy was not associated with decrements in childhood cognition, but may be associated with behavior problems.
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