{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:58:47Z","timestamp":1782968327987,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the association between coronavirus disease 2019 (COVID\u201019) infection during the peripartum period and obstetric anal sphincter injuries (OASIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted, including all singleton vaginal deliveries and cesarean deliveries due to failed vacuum extraction, between June 2020 and January 2022 at a large tertiary medical center. OASIS complication during childbirth was compared between women with and without peripartum diagnosis of COVID\u201019, defined as a positive polymerase chain reaction test obtained within 1\u2009week before delivery or up to 3\u2009days after delivery. Universal screening for COVID\u201019 was implemented. A logistic regression model was used to adjust for confounding variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 22\u2009911 women, among whom 468 (2.0%) tested positive for COVID\u201019 and 22\u2009443 women had no COVID\u201019 diagnosis. After adjusting for confounding variables, peripartum infection with COVID\u201019 was found to be independently associated with OASIS (adjusted odds ratio 4.38, 95% confidence interval 2.00\u20139.61;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Infection with COVID\u201019 during the peripartum period significantly increases the risk for OASIS by more than fourfold. These findings emphasize the importance of understanding the impact of COVID\u201019 on birth complications, such as OASIS, to improve public health measures and enhance obstetric outcomes during pandemics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15966","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T05:09:47Z","timestamp":1729487387000},"page":"1088-1092","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does infection with\n                    <scp>COVID<\/scp>\n                    \u20102019 during labor increase the risk for obstetric anal sphincter injuries?"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8261-5364","authenticated-orcid":false,"given":"Alla","family":"Saban","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Leybovitz\u2010Haleluya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reli","family":"Hershkovitz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Geva","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi Y.","family":"Weintraub","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1631\/jzus.B2000083"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.Report of the WHO\u2010China Joint Mission on Coronavirus Disease 2019 (COVID\u201019).2020.https:\/\/www.who.int\/docs\/default\u2010source\/coronaviruse\/who\u2010china\u2010joint\u2010mission\u2010on\u2010covid\u201019\u2010final\u2010report.pdf"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2022.08.003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003884"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00079-6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3414"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016340903576004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5041\/rmmj.10295"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.20471\/acc.2019.58.02.22"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-59"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12137"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13472"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12278"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12594"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11030756"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa067"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.102966"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.01.012"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18126516"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000930364.55630.dc"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40249-020-00662-x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11684-020-0773-x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1581-6899"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/tsm2.194"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2893-4"}],"container-title":["International Journal of Gynecology &amp; 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