Evidence map›Paper›PMID 41729987›Full record

ArticlePloS one2026

Maternal and neonatal outcomes following SARS-CoV-2 infection in an unvaccinated pregnant cohort: A trimester-specific analysis.

Rozhan Khezri, Kamran Ebrahimi, Saeedeh Askari, Shayesteh Jahanfar, Fateme Darvish Motevalli, Kourosh Javdani Esfehani

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rozhan KhezriStudent Research Committee, Iran University of Medical Sciences, Tehran, Iran.
Kamran EbrahimiDepartment of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saeedeh AskariDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Shayesteh JahanfarSchool of Public Health and Community Medicine, Tufts School of Medicine, Boston, United States of America.
Fateme Darvish MotevalliStudent Research Committee, Department of Medical Laboratory Science, School of Allied Medical Science, Iran University of Medical Science, Tehran, Iran.ORCID https://orcid.org/0000-0002-8619-6213
Kourosh Javdani EsfehaniDepartment of Emergency Medicine, Emergency Medicine Management Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0009-0003-2349-3311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse pregnancy outcomes are significant public health issues in developing countries. This study aims to evaluate the trimester-specific impact of COVID-19 infection on maternal and neonatal outcomes in a cohort of unvaccinated Iranian women. A multi-center cross-sectional study was conducted between March 21, 2020, and March 21, 2021, involving 217 unvaccinated pregnant women with RT-PCR-confirmed SARS-CoV-2 infection who delivered in hospitals across three counties in Northwest Iran. Participants were stratified by the trimester of COVID-19 diagnosis: first (n = 20), second (n = 87), and third (n = 110). Data on demographics, as well as maternal, obstetric, and neonatal outcomes, were extracted from the National Health System. Statistical analyses included ANOVA, Chi-square, Fisher's exact and Kruskal-Wallis tests, with post-hoc Bonferroni corrections. A significant association was found between the trimester of infection and the rate of PTB (p = 0.028). Women infected in the third trimester had a substantially higher PTB rate (26.4%) compared to those infected in the second (11.5%) and first (15.0%) trimesters. Neonatal outcomes also varied significantly; APGAR scores at 1 and 5 minutes were lowest in the third-trimester infection group (8.16 ± 0.78 and 8.39 ± 0.80, respectively) compared to the first (9.08 ± 0.88 and 9.03 ± 0.90) and second (8.45 ± 0.71 and 8.79 ± 0.83) trimesters (p < 0.001 for both). Fever was significantly more prevalent in the third trimester (33.6%) than in the first (10.0%, p = 0.013). No vertical transmission or neonatal deaths were recorded. This study demonstrates a clear trimester-specific risk gradient for SARS-CoV-2 infection in unvaccinated pregnant women. Infection during the third trimester was associated with a significantly increased odds of PTB and lower neonatal APGAR scores(1,5). These findings underscore the critical vulnerability of late pregnancy to COVID-19 complications and highlight the importance of trimester-specific vigilance, enhanced antenatal surveillance, and robust vaccination advocacy for pregnant women.

Indexed as

COVID-19Pregnancy Complications, InfectiousPregnancy OutcomeAdultCross-Sectional StudiesFemaleHumansInfant, NewbornIranPregnancyPregnancy TrimestersPremature BirthSARS-CoV-2Unvaccinated PersonsYoung Adult

Identifiers

PMID41729987
PMCPMC12928596

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.