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The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function

Survivors of the 2003 SARS epidemic were found to have higher rates of adverse mental conditions. This study aimed to assess cognitive function in women delivering during the COVID-19 pandemic, as compared to women who delivered before the COVID-19 pandemic. A cohort study was performed during the i...

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Autores principales: Hamami, Hagai, Sheiner, Eyal, Wainstock, Tamar, Mazor, Elad, Lanxner Battat, Talya, Walfisch, Asnat, Kosef, Tamar, Pariente, Gali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699685/
https://www.ncbi.nlm.nih.gov/pubmed/33233589
http://dx.doi.org/10.3390/jcm9113727
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author Hamami, Hagai
Sheiner, Eyal
Wainstock, Tamar
Mazor, Elad
Lanxner Battat, Talya
Walfisch, Asnat
Kosef, Tamar
Pariente, Gali
author_facet Hamami, Hagai
Sheiner, Eyal
Wainstock, Tamar
Mazor, Elad
Lanxner Battat, Talya
Walfisch, Asnat
Kosef, Tamar
Pariente, Gali
author_sort Hamami, Hagai
collection PubMed
description Survivors of the 2003 SARS epidemic were found to have higher rates of adverse mental conditions. This study aimed to assess cognitive function in women delivering during the COVID-19 pandemic, as compared to women who delivered before the COVID-19 pandemic. A cohort study was performed during the immediate postpartum period of women delivering singletons at term. Cognitive function was assessed using an objective neurocognitive test (Symbol Digit Modalities Test SDMT90, SDMT4) and a subjective self-estimation questionnaire (Attention Function Index AFI). The exposed group was recruited during the COVID-19 outbreak in Israel (May 2020), whereas the comparison group consisted of women delivering at the same medical center before the COVID-19 pandemic (2016–2017). Multivariable regression models were constructed to control potential confounders. There were 79 parturients recruited during the COVID-19 pandemic and compared with 123 women who delivered before the COVID-19 pandemic. Women delivering during the COVID-19 pandemic scored lower in the subjective AFI test compared to the unexposed group (70.0 ± 15.4 vs. 75.1 ± 14.7, p = 0.018). However, no significant difference was found in the objective SDMT tests scores. These results remained similar in the multivariable regression models when controlling for maternal age, ethnicity and time from admission to assessment, for AFI, SDMT90 and SDMT4 scores (p = 0.014; p = 0.734; p = 0.786; respectively). While no significant difference was found in objective tests, our findings propose that the exposure to the COVID-19 pandemic is independently associated with a significant decrease in subjective maternal cognitive function during the immediate postpartum period.
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spelling pubmed-76996852020-11-29 The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function Hamami, Hagai Sheiner, Eyal Wainstock, Tamar Mazor, Elad Lanxner Battat, Talya Walfisch, Asnat Kosef, Tamar Pariente, Gali J Clin Med Article Survivors of the 2003 SARS epidemic were found to have higher rates of adverse mental conditions. This study aimed to assess cognitive function in women delivering during the COVID-19 pandemic, as compared to women who delivered before the COVID-19 pandemic. A cohort study was performed during the immediate postpartum period of women delivering singletons at term. Cognitive function was assessed using an objective neurocognitive test (Symbol Digit Modalities Test SDMT90, SDMT4) and a subjective self-estimation questionnaire (Attention Function Index AFI). The exposed group was recruited during the COVID-19 outbreak in Israel (May 2020), whereas the comparison group consisted of women delivering at the same medical center before the COVID-19 pandemic (2016–2017). Multivariable regression models were constructed to control potential confounders. There were 79 parturients recruited during the COVID-19 pandemic and compared with 123 women who delivered before the COVID-19 pandemic. Women delivering during the COVID-19 pandemic scored lower in the subjective AFI test compared to the unexposed group (70.0 ± 15.4 vs. 75.1 ± 14.7, p = 0.018). However, no significant difference was found in the objective SDMT tests scores. These results remained similar in the multivariable regression models when controlling for maternal age, ethnicity and time from admission to assessment, for AFI, SDMT90 and SDMT4 scores (p = 0.014; p = 0.734; p = 0.786; respectively). While no significant difference was found in objective tests, our findings propose that the exposure to the COVID-19 pandemic is independently associated with a significant decrease in subjective maternal cognitive function during the immediate postpartum period. MDPI 2020-11-20 /pmc/articles/PMC7699685/ /pubmed/33233589 http://dx.doi.org/10.3390/jcm9113727 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hamami, Hagai
Sheiner, Eyal
Wainstock, Tamar
Mazor, Elad
Lanxner Battat, Talya
Walfisch, Asnat
Kosef, Tamar
Pariente, Gali
The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title_full The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title_fullStr The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title_full_unstemmed The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title_short The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
title_sort association between delivery during the covid-19 pandemic and immediate postpartum maternal cognitive function
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699685/
https://www.ncbi.nlm.nih.gov/pubmed/33233589
http://dx.doi.org/10.3390/jcm9113727
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