{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T22:31:57Z","timestamp":1772749917880,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T00:00:00Z","timestamp":1363132800000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Approximately 10\u201315% of term babies may require admission to neonatal special care units. This level of care is frequently an unexpected event for parents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review the frequency and obstetric risk factors associated with the admission of term neonates to a tertiary hospital special care unit (<jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>All babies born \u226537\u2010weeks gestation admitted to the <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content> at <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ing <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>dward <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>emorial <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital between 2004 and 2006 were identified from the institutional maternity and neonatal databases. Maternal and obstetric factors were reviewed to identify potential predictors of admission to the <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 1671 term neonates born to 1624 women were admitted to the <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content> (14.4% of term deliveries). Neonatal intensive care unit admissions accounted for 10.6% of the term admissions. The most common reasons for <jats:styled-content style=\"fixed-case\">SCN<\/jats:styled-content> admission were respiratory complications (<jats:italic>n<\/jats:italic>\u00a0=\u00a0421, 25.2%), observation postresuscitation (<jats:italic>n<\/jats:italic>\u00a0=\u00a0402, 24.1%) and hypoglycaemia (<jats:italic>n<\/jats:italic>\u00a0=\u00a0152, 9.1%). Elective caesarean delivery was significantly associated with admission to the special care unit for respiratory complications compared with all other delivery modes (37 vs 23%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), particularly if the birth occurred at &lt;39\u2010weeks gestation (38 vs 24%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our population of women delivering at a tertiary maternity facility, approximately 1:8 term babies were admitted to the neonatal special care unit. Elective caesarean delivery was associated with a significant risk of admission for respiratory complications compared with other birth modes, especially when &lt;39\u2010weeks gestation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12070","type":"journal-article","created":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T08:39:54Z","timestamp":1363250394000},"page":"277-282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Evaluation of the frequency and obstetric risk factors associated with term neonatal admissions to special care units"],"prefix":"10.1111","volume":"53","author":[{"given":"Aseel","family":"Alkiaat","sequence":"first","affiliation":[{"name":"Obstetric and Gynaecology Clinical Care Unit King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Obstetric and Gynaecology Clinical Care Unit King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Jacques","sequence":"additional","affiliation":[{"name":"Women and Infants Research Foundation Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary J.","family":"Sharp","sequence":"additional","affiliation":[{"name":"Neonatology Clinical Care Unit King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan E.","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Obstetric and Gynaecology Clinical Care Unit King Edward Memorial Hospital Perth Western Australia Australia"},{"name":"Women and Infants Research Foundation Perth Western Australia Australia"},{"name":"School of Women's and Infants' Health The University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1542\/peds.97.6.832","article-title":"Normal birth weight intensive care unit survivors: outcome assessment","volume":"97","author":"Gray JE","year":"1996","journal-title":"Pediatrics"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2007.00188.x"},{"key":"e_1_2_5_4_1","first-page":"199","article-title":"Two\u2010year outcome of normal birth\u2010weight infants admitted to a Singapore neonatal intensive care\u2010unit","volume":"31","author":"Lian WB","year":"2002","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2010.551150"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39405.539282.BE"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.801008.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.10.096"},{"key":"e_1_2_5_9_1","unstructured":"Timing of Elective Caesarean Section at Term (C\u2010Obs 23). RANZCOG College Statement. March 2012."},{"key":"e_1_2_5_10_1","unstructured":"National Institute of Health and Clinical Excellence.Clinical Guideline Caesarean section 2011. Available from:www.nice.org.uk\/cg132[accessed 9 July 2012]."},{"key":"e_1_2_5_11_1","first-page":"139","article-title":"Workload, short\u2010term outcome of babies weighing 2,500 grams or more at birth admitted to the pediatric unit of the Hospital Rotunda","volume":"17","author":"Rohininath T","year":"2005","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0803267"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/fetalneonatal-2011-301507"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000289"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992280204100805"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12070","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T12:51:53Z","timestamp":1700657513000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,13]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1111\/ajo.12070"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12070","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,13]]},"assertion":[{"value":"2012-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-01-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-03-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}