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Maternal infections during pregnancy and child cognitive outcomes.

Published version
Peer-reviewed

Type

Article

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Authors

Hall, Hildigunnur Anna 
Murray, Aja Louise 
Lombardo, Michael Vincent 
Auyeung, Bonnie 

Abstract

BACKGROUND: Maternal prenatal infections have been linked to children's neurodevelopment and cognitive outcomes. It remains unclear, however, whether infections occurring during specific vulnerable gestational periods can affect children's cognitive outcomes. The study aimed to examine maternal infections in each trimester of pregnancy and associations with children's developmental and intelligence quotients. The ALSPAC birth cohort was used to investigate associations between maternal infections in pregnancy and child cognitive outcomes. METHODS: Infection data from mothers and cognition data from children were included with the final study sample size comprising 7,410 mother-child participants. Regression analysis was used to examine links between maternal infections occurring at each trimester of pregnancy and children's cognition at 18 months, 4 years, and 8 years. RESULTS: Infections in the third trimester were significantly associated with decreased verbal IQ at age 4 (p < .05, adjusted R2 = 0.004); decreased verbal IQ (p < .01, adjusted R2 = 0.001), performance IQ (p < .01, adjusted R2 = 0.0008), and total IQ at age 8 (p < .01, adjusted R2 = 0.001). CONCLUSION: Results suggest that maternal infections in the third trimester could have a latent effect on cognitive development, only emerging when cognitive load increases over time, though magnitude of effect appears to be small. Performance IQ may be more vulnerable to trimester-specific exposure to maternal infection as compared to verbal IQ. Future research could include examining potential mediating mechanisms on childhood cognition, such as possible moderating effects of early childhood environmental factors, and if effects persist in future cognitive outcomes.

Description

Keywords

ALSPAC, Child development, Cognition, Infections, Pregnancy, Pregnancy, Female, Humans, Child, Preschool, Child, Intelligence Tests, Pregnancy Trimester, Third, Cognition, Mothers

Journal Title

BMC Pregnancy Childbirth

Conference Name

Journal ISSN

1471-2393
1471-2393

Volume Title

22

Publisher

Springer Science and Business Media LLC
Sponsorship
Horizon 2020 Framework Programme (813546)
Wellcome Trust (217065/Z/19/Z)
Medical Research Council (G9815508, MC_PC_19009, MC_PC_15018)