{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T09:02:28Z","timestamp":1788858148325,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100031299","name":"Calgary Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031299","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010785","name":"Canada First Research Excellence Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010785","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Concerns have been raised about the nutritional adequacy of a gluten\u2010free (GF) diet during pregnancy, specifically in the absence of celiac disease, and its impact on fetal development. The objective of this study was to investigate the association between a GF diet during pregnancy and obstetrical outcomes, with further sensitivity analyses exploring those without celiac disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using data from the ongoing P3 Cohort study, self\u2010reported data were obtained on participant demographics, GF diet, celiac disease, and obstetrical outcomes. Fisher exact, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      , Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      and two\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, and regression models were used to examine differences in patient characteristics and outcomes between those who did and did not follow a GF diet in pregnancy. A sensitivity analysis was conducted to examine outcomes among those without celiac disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 2359 participants included, 108 (4.6%) reported following a GF diet in pregnancy. The majority of these individuals (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200968, 63.0%) were non\u2010celiac. Participants in the GF group were older, more likely to identify as white, and more likely to take prenatal vitamin B supplements. There were no significant differences in obstetrical outcomes between the GF and non\u2010GF participants. Sensitivity analyses excluding patients with celiac disease demonstrated similar results, with no difference in obstetrical outcomes observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Following a GF diet in pregnancy, even in individuals without celiac disease, was not associated with adverse obstetrical outcomes. These results provide some reassurance on the safety of a GF diet in pregnancy but require validation in larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70843","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:14:01Z","timestamp":1769771641000},"page":"340-346","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Obstetrical outcomes in pregnant patients following a gluten\u2010free diet: A prospective cohort study"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0304-2209","authenticated-orcid":false,"given":"Amelia","family":"Srajer","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Calgary  Calgary Alberta Canada"},{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"},{"name":"Lunenfeld\u2010Tanenbaum Research Institute  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessry","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Dalere","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"},{"name":"Southern Alberta Clinic University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice C.","family":"Skiffington","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Slater","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Calgary  Calgary Alberta Canada"},{"name":"Department of Physiology and Pharmacology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Leijser","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Newborn Critical Care University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Metcalfe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Calgary  Calgary Alberta Canada"},{"name":"Department of Community Health Sciences University of Calgary  Calgary Alberta Canada"},{"name":"Department of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1113994"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.037"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2020.104958"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20200082"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3148\/cjdpr-2021-040"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.06.009"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjnut.2025.03.005"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.09.080"},{"issue":"1","key":"e_1_2_10_10_1","first-page":"12","article-title":"Adverse pregnancy outcomes in women with celiac disease: a systematic review and meta\u2010analysis","volume":"36","author":"Arvanitakis K","year":"2023","journal-title":"Ann Gastroenterol"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-017-0597-2"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuae102"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.06.020"},{"key":"e_1_2_10_14_1","unstructured":"Statistics Canada.Maternity Experiences Survey (MES).2007Ottawa: Statistics Canada. 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