{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:33:29Z","timestamp":1791232409645,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":355,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the adverse maternal and neonatal outcomes among pregnant women with COVID\u201019 at King Salman Armed Forces Hospital in Tabuk and examine the relationship between the severity of COVID\u201019 infection and these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study enrolled COVID\u201019\u2013positive pregnant women. Demographic and obstetric information, clinical characteristics (including symptoms and preexisting comorbid conditions), and maternal and neonatal outcomes were collected from medical records, reviewed, and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 138 COVID\u201019\u2013positive women, with the majority of cases diagnosed in the third trimester (85.5%). Assessment of the severity of COVID\u201019 infection showed that a large proportion were asymptomatic (39.1%) or had mild disease (39.9%), while 14.5% had moderate disease and 6.5% experienced severe illness. Adverse maternal and neonatal outcomes included preeclampsia (5.1%), gestational diabetes (4.3%), placental abruption, premature rupture of membranes (2.9% each), maternal intensive care unit (ICU) admission (1.4%), preterm births (12.3%), low birth weight (15.2%), and neonatal ICU admission (10.1%). Additionally, the incidences of preeclampsia and maternal ICU admission were significantly higher in women with severe COVID\u201019 compared to those with milder or asymptomatic cases (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004 each). Neonatal ICU admission showed the highest incidence (33.3%) among severe cases (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.031). Asthma was significantly linked to a higher risk of neonatal ICU admission (23.1% vs. 7.1%). Diabetes mellitus was associated with an increased rate of maternal ICU admission (13.3% vs. 0%). Hypertension showed significant associations with elevated rates of preeclampsia (35.7% vs. 1.6%), maternal ICU admission (14.3% vs. 0%), and neonatal ICU admission (35.7% vs. 7.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>COVID\u201019 infection during pregnancy was associated with several adverse maternal and neonatal outcomes, including preeclampsia, gestational diabetes, preterm birth, low birth weight, and increased ICU admissions. Severe maternal disease and existing comorbidities further elevated the risks of complications for both mother and newborn.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ogi\/3287655","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:04:28Z","timestamp":1766426668000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Retrospective Cohort Study of Pregnancy Maternal Outcomes of Women With COVID\u201019 in King Salman Armed Forces Hospital, Tabuk, Kingdom of Saudi Arabia"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5236-5577","authenticated-orcid":false,"given":"Abdulrahman Wasel","family":"Koja","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2409-5617","authenticated-orcid":false,"given":"Rofayda Mansour Ahmed","family":"Mohamad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4634-8285","authenticated-orcid":false,"given":"Mubarak Saleh","family":"Almarjan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4250-6838","authenticated-orcid":false,"given":"Mayar Hamed","family":"Albakri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-020-00439-w"},{"key":"e_1_2_10_2_2","first-page":"483","article-title":"Impact of the COVID-19 Outbreak on Routine Obstetrical Management","volume":"22","author":"Meyer R.","year":"2020","journal-title":"The Israel Medical Association Journal"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3320"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.22088"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13867"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.11.05018"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60101676"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.10.017"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.S445950"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2023.131002"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-022-01501-7"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.03.021"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13533"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10020166"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1155\/ogi\/5252919"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-020-05848-0"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1590\/s1678-9946202062062"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/jog.14321"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0234187"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-92357-y"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17114176"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003857"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa158"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.7523"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.07.009"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2021.100049"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2022.2162867"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202604"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.S469764"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-07093-8"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10735-021-09970-4"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6925a1"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30360-3"},{"key":"e_1_2_10_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30183-5"},{"key":"e_1_2_10_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01798-1"},{"key":"e_1_2_10_36_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13700"},{"key":"e_1_2_10_37_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8860"},{"key":"e_1_2_10_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.100972"},{"key":"e_1_2_10_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30566-3"},{"key":"e_1_2_10_40_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1966"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ogi\/3287655","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/ogi\/3287655","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ogi\/3287655","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:38:02Z","timestamp":1772973482000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/ogi\/3287655"}},"subtitle":[],"editor":[{"given":"Gabriel","family":"Levin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/ogi\/3287655"],"URL":"https:\/\/doi.org\/10.1155\/ogi\/3287655","archive":["Portico"],"relation":{},"ISSN":["1687-9589","1687-9597"],"issn-type":[{"value":"1687-9589","type":"print"},{"value":"1687-9597","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3287655"}}