{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:47:37Z","timestamp":1784238457859,"version":"3.55.0"},"reference-count":27,"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":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005866","name":"Far Eastern Memorial Hospital","doi-asserted-by":"publisher","award":["FEMH\u20102026\u2010C\u2010062"],"award-info":[{"award-number":["FEMH\u20102026\u2010C\u2010062"]}],"id":[{"id":"10.13039\/501100005866","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["MOST 105\u20102314\u2010B\u2010418\u2010003\u2010MY3"],"award-info":[{"award-number":["MOST 105\u20102314\u2010B\u2010418\u2010003\u2010MY3"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Reprod Medicine &amp; Biology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess whether autoimmune thyroiditis is associated with obstetric, perinatal, and fetal complications in a nationally representative population of pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study utilized data from the U.S. Nationwide Inpatient Sample (NIS) and included women aged \u2265\u200918\u2009years with delivery\u2010related hospitalizations between 2016 and 2020. Patients were categorized based on the presence\/absence of autoimmune thyroiditis. Propensity score matching was applied to balance baseline characteristics. Associations between autoimmune thyroiditis and adverse outcomes were assessed using multivariable logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 3.76 million delivery\u2010related hospitalizations, 17\u2009716 were included. Autoimmune thyroiditis was independently associated with increased risk of gestational diabetes (adjusted odds ratio [aOR]\u2009=\u20091.10, 95% CI: 1.01\u20131.20), preeclampsia (aOR\u2009=\u20091.22, 95% CI: 1.08\u20131.38), induction of labor (aOR\u2009=\u20091.18, 95% CI: 1.09\u20131.26), failed induction of labor (aOR\u2009=\u20091.36, 95% CI: 1.07\u20131.72), abnormal fetal heart rate or rhythm (aOR\u2009=\u20091.15, 95% CI: 1.06\u20131.25), and fetal growth restriction (aOR\u2009=\u20091.33, 95% CI: 1.12\u20131.59). Associations were more pronounced in women younger than 35\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Autoimmune thyroiditis is associated with modest increases in adverse pregnancy risk and may inform risk assessment and individualized clinical monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rmb2.70020","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:18:37Z","timestamp":1769840317000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Autoimmune Thyroiditis on Pregnancy Outcomes: Analysis of the Nationwide Inpatient Sample, 2016\u20132020"],"prefix":"10.1002","volume":"25","author":[{"given":"Chung\u2010Jen","family":"Teng","sequence":"first","affiliation":[{"name":"Division of Oncology and Hematology, Department of Medicine Far Eastern Memorial Hospital  New Taipei City Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Institute of Public Health, College of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Huang","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Institute of Hospital and Health Care Administration National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5166-2684","authenticated-orcid":false,"given":"Yiing\u2010Jenq","family":"Chou","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Office of the Deputy 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