{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:27:11Z","timestamp":1762918031747},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T00:00:00Z","timestamp":1571184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>To develop a model for predicting emergency cesarean for fetal distress (ECFD<\/jats:styled-content>) at term using a combination of maternal and late pregnancy ultrasound parameters measured at more than 36 gestational weeks.<\/jats:p><\/jats:sec>Methods<\/jats:title>A study of prospectively collected data, including ultrasound scans at 36\u201338\u00a0weeks, for singleton non\u2010anomalous deliveries at Mater Mother's Hospital, Brisbane, Australia, between January 2010 and April 2017. Univariable and multivariable mixed\u2010effects generalized linear models were generated. The final model was validated by the K\u2010fold cross validation technique.<\/jats:p><\/jats:sec>Results<\/jats:title>Overall, 5439 women met the inclusion criteria; of these, 230 (4.2%) underwent ECFD<\/jats:styled-content>. There were more nulliparous women and women with induction of labor (IOL<\/jats:styled-content>) in the ECFD<\/jats:styled-content> cohort (both P\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.001). ECFD<\/jats:styled-content> neonates had lower z<\/jats:italic>\u2010scores for estimated fetal weight (EFW<\/jats:styled-content>), cerebroplacental ratio (CPR<\/jats:styled-content>), and middle cerebral artery pulsatility index; and higher scores for umbilical artery pulsatility index. Ethnicity, nulliparity, IOL<\/jats:styled-content>, EFW <\/jats:styled-content>z<\/jats:italic>\u2010score, and CPR <\/jats:styled-content>z<\/jats:italic>\u2010score were included in the final prediction model, which showed high accuracy with an area under the receiver operator characteristic curve of 0.77.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The study shows that a prediction model combining the continuous standardized measures of CPR<\/jats:styled-content> and EFW<\/jats:styled-content> and several maternal factors was able to identify ECFD<\/jats:styled-content> with improved accuracy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12979","type":"journal-article","created":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T07:53:40Z","timestamp":1569225220000},"page":"41-47","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Development of a cross\u2010validated model for predicting emergency cesarean for 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