{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T10:18:05Z","timestamp":1773051485283,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,6,12]],"date-time":"2015-06-12T00:00:00Z","timestamp":1434067200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Cerebral Palsy Alliance Innovative Research Grant","award":["IGR-2010-CR"],"award-info":[{"award-number":["IGR-2010-CR"]}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Australian and New Zealand clinical practice guidelines, endorsed by the <jats:styled-content style=\"fixed-case\">NHMRC<\/jats:styled-content> in 2010, recommend administration of antenatal magnesium sulphate to women at risk of imminent preterm birth at less than 30\u00a0weeks' gestation to reduce the risk of their very preterm babies dying or having cerebral palsy. The purpose of the ongoing <jats:styled-content>W<\/jats:styled-content>orking to <jats:styled-content>I<\/jats:styled-content>mprove <jats:styled-content>S<\/jats:styled-content>urvival and <jats:styled-content>H<\/jats:styled-content>ealth for babies born very preterm (<jats:styled-content style=\"fixed-case\">WISH<\/jats:styled-content>) implementation project is to monitor and improve the uptake of this neuroprotective therapy across Australia and New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To quantify and explore reasons for nonreceipt of antenatal magnesium sulphate at the Women's and Children's Hospital, in Adelaide, South Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Data from the case records of women who gave birth between 23<jats:sup>+0<\/jats:sup> and 29<jats:sup>+6<\/jats:sup>\u00a0weeks' gestation from 2010 to mid\u20102013 were reviewed to determine the proportion of eligible mothers not receiving antenatal magnesium sulphate and to explore reason(s) for nonreceipt over this time period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a reduction in the proportion of eligible mothers not receiving antenatal magnesium sulphate from 2010 (69.7%) to 2011 (26.9%), which was maintained in 2012 and 2013 (22.5%). In 2012\u20132013, nonreceipt was predominantly associated with immediately imminent (advanced labour, rapid progression of labour) or indicated emergent birth (actual or suspected maternal or fetal compromise).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of antenatal magnesium sulphate at the Women's and Children's Hospital is now predominantly in\u2010line with the binational guideline recommendations. Ongoing education and enhanced familiarity with procedures may facilitate timely administration in the context of some precipitous or immediately imminent births.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12334","type":"journal-article","created":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T08:39:18Z","timestamp":1434616758000},"page":"233-238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Nonreceipt of antenatal magnesium sulphate for fetal neuroprotection at the Women's and Children's Hospital, Adelaide 2010\u20132013"],"prefix":"10.1111","volume":"55","author":[{"given":"Kasia","family":"Siwicki","sequence":"first","affiliation":[{"name":"Women's and Children's Hospital Adelaide Australia"},{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Bain","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Bubner","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pat","family":"Ashwood","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"Middleton","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline A.","family":"Crowther","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Health of Women and Babies Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide Adelaide Australia"},{"name":"Liggins Institute The University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60136-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.1.134"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0706475"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0091"},{"key":"e_1_2_6_6_1","volume-title":"Australian Cerebral Palsy Register Report: birth years 1993\u20132006","author":"Australian Cerebral Palsy Register Group","year":"2013"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.02047.x"},{"key":"e_1_2_6_8_1","volume-title":"The Economic Impact of Cerebral Palsy in Australia in 2007","author":"Access Economics Pty Ltd","year":"2008"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03358.x"},{"key":"e_1_2_6_10_1","first-page":"CD004661","article-title":"Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus","volume":"1","author":"Doyle LW","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_11_1","volume-title":"Antenatal Magnesium Sulphate Prior to Preterm Birth for Neuroprotection of the Fetus, Infant and Child: National Clinical Practice Guidelines","author":"Antenatal Magnesium Sulphate for Neuroprotection Guideline Development Panel","year":"2010"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2007.01.014"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-239"},{"key":"e_1_2_6_14_1","volume-title":"South Australian Perinatal Practice Guidelines. 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