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. Author manuscript; available in PMC: 2024 Mar 1.
Published in final edited form as: Trends Cogn Sci. 2023 Jan 4;27(3):302–316. doi: 10.1016/j.tics.2022.12.002

Table 1:

Cognition in the Postpartum Period. Direction of Results indicates which group or timepoint showed better performance, for example “Controls>Postpartum” indicates superior performance in the control group, “n.s” indicates non-significance. The significant differences column indicates the cognitive domain(s) which showed significant effects. Significant effects that suggest cognitive improvement in the postpartum period are colored pink, and those that suggest deficits are colored grey. No Significant Differences indicates the cognitive domains which did not show significant effects, shown in blue. Sleep and Mood indicate whether a study has collected (Y) measures of sleep or mood, or not (N).

Cognitive Domain(s)
N Time Postpartum Direction of Results Significant Difference No Significant Difference Parity Sleep Mood
Cross-Sectional Studies
Eidelman et al. (1993) 100 Postpartum, 20 Controls, 3 days n.s - Verbal Memory Visuospatial Memory Multiparous Mothers, Nulliparous Controls N N
Swain et al. (1997) 30 Postpartum, 28 Controls 3 weeks n.s - Memory Attention Psychomotor Speed Mothers Not Stated, Parous Controls Y Y
Parsons et al. (2004) 7 Primiparous, 9 Multiparous 1 month Multiparous>Primiparous Verbal Memory Verbal Fluency Trail-Making Comprehension Semantic Memory Attention Executive Control Visuospatial Skill Non-Verbal IQ 7 Primiparous, 9 Multiparous N Y
Almanza-Sepulveda et al. (2018) 27 Postpartum, 25 Controls 2–6 months Controls>Postpartum Spatial Working Memory Executive Function Not Stated N Y
Janes et al., (1999) 20 Postpartum, 20 Controls 0–12 months Controls>Postpartum Working Memory Implicit Memory Explicit Memory Primiparous Mothers, Nulliparous Controls Y Y
Casey et al. (1999) 44 Postpartum, 23 Controls 0–12 months (n=22), >12months (n=22) n.s - Implicit Memory Explicit Memory Semantic Memory Short-Term Memory Prospective Memory Mothers Not Stated, Nulliparous Controls Y Y
Orchard et al. (2021) 43 Postpartum, 43 Controls 12 months n.s. - Verbal Memory Short-Term Memory Working Memory Processing Speed Theory of Mind Primiparous Mothers, Nulliparous Controls Y Y
Pownall et al. (2021) 102 Pregnant 126 Postpartum 136 Controls 0–2 years Postpartum and Controls>Pregnant Verbal Memory - Primiparous Pregnant Women, Nulliparous Controls, Postpartum Not Stated N N
Controls>Pregnant and Postpartum Verbal Memory
Miller et al. (2020) 36 Postpartum, 62 Controls 3.5 years Postpartum>Controls Executive Control Accuracy Alerting Disengaging Moving + Engaging Orienting Mothers Not Stated, Nulliparous Controls Y N
Controls>Postpartum Reaction Time
Longitudinal Studies
Stark (2000) 56 Mothers 1 week Postpartum>Pregnancy Divided Attention Working Memory Short-Term Memory Directed Attention Mental Effort 89.5% Primiparous, 10.5% Multiparous N Y
Harris et al. (1996) 20 Postpartum, 20 Controls 1 month n.s - Executive Function Attention Logical Memory Processing Speed Psychomotor Speed Not Stated N Y
Hoekzema et al. (2018) 25 Postpartum, 20 Controls 2.5 months n.s - Verbal Memory Working Memory Reaction Time Primiparous Mothers, Nulliparous Controls N Y
Rutherford & Anderson (2020) 25 Postpartum, 25 Controls 3 months n.s - Verbal IQ Non-Verbal IQ Full-Scale IQ Primiparous Mothers, Nulliparous Controls Y N
Glynn (2010) 254 Postpartum, 48 Controls 3 months Controls>Postpartum Verbal Memory Working Memory Facial Recognition Mothers: 44% Primiparous, 56% Multiparous, Controls: 42% Nulliparous, 58% Parous N N
Henry & Sherwin (2012) 55 Postpartum, 21 Controls 3 months Controls>Postpartum Verbal Memory Executive Function Paragraph Recall Spatial Ability Attention Primiparous Mothers, Nulliparous Controls Y Y
Farrar et al. (2014) 23 Postpartum, 24 Controls 3 months Control>Postpartum Spatial Recognition Working Memory Divided Attention Perceptual Matching Mothers: 39% Primiparous, 61% Multiparous, Controls: 46% Nulliparous, 54% Parous N Y
Logan et al. (2014) 21 Postpartum, 21 Controls 3–6 months n.s - Verbal Learning Working Memory Cognitive Control Visuospatial Memory Processing Speed Mothers Not Stated, Nulliparous Controls N Y
Casey (2000) 28 Mothers, 24 Controls 2–8 months n.s - Vocabulary Short-Term Memory Working Memory Semantic Memory Abstract Reasoning Not Stated Y Y
de Groot et al. (2006) 57 Postpartum, 50 Controls 8 months Controls>Postpartum Verbal Memory Information Processing Processing Speed Mothers: 40% Primiparous, 60% Multiparous, Controls: 30% Nulliparous, 70% Parous N N
Mickes et al. (2009) 37 Mothers 3–12 months Postpartum>Pregnancy Verbal Memory Recognition Memory Not Stated N N
Crawley et al. (2003) 25 Mothers, 10 Controls 10–13 months n.s - Verbal Memory Focused Attention Divided Attention Mothers: 36% Primiparous, 64% Multiparous, Controls: 50% Nulliparous, 50% Parous N N
Rendell & Henry (2008) 15 Mothers 13 months Postpartum>Pregnancy Naturalistic Prospective Memory - Mothers: 70% Primiparous, 30% Multiparous, Controls: 70% Nulliparous, 30% Parous Y N
Buckwalter et al. (2001) 11 Mothers 2 years Postpartum>Pregnancy Attention Psychomotor Speed IQ Visual Perception Not Stated Y Y
Christensen et al. (2010) 188 Postpartum, 542 Controls Not Stated n.s - Verbal Memory Working Memory Processing Speed Primiparous Mothers, Nulliparous Controls Y Y
Keenan et al. (1998) 10 Postpartum, 10 Controls Not Stated n.s - Implicit Memory Explicit Memory Mothers Not Stated, Non-Pregnant Controls Y Y