{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:45:27Z","timestamp":1790725527303,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"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":[[2015,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In New South Wales and the Australian Capital Territory, <jats:italic>in utero<\/jats:italic> transfers to manage maternal or neonatal risks are highly challenging owing to geography and centralisation of tertiary perinatal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The study aims to document the outcomes of high\u2010risk obstetric transfers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A prospective observational study was conducted from 2010 to 2011 documenting urgent requests for obstetric transfers to tertiary centres across <jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ACT<\/jats:styled-content> for pregnancies 20\u00a0weeks\u2019 gestation or greater. Outcomes of transfers were allocated <jats:italic>apriori<\/jats:italic> to \u2018delivered at the receiving hospital\u2019, \u2018failed\/delayed transfer\u2019 or \u2018discharged\/transferred undelivered\u2019. Our hypothesis is that each outcome has a specific group of associated clinical factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 249 transfer requests included in the study, 40% delivered at the receiving hospital, 7% were failed\/delayed transfers, and 45% were discharged\/transferred undelivered. Cases delivering at the receiving hospital were significantly associated with older mothers, twin pregnancies, pregnancy induced hypertension (PIH) or premature rupture of membranes (PROM) with\/without threatened preterm labour (TPL) as the indications for transfer and having three indications for transfer. Cases that were discharged\/transferred undelivered were significantly associated with singleton pregnancies, <jats:styled-content style=\"fixed-case\">TPL<\/jats:styled-content> and\/or antepartum haemorrhage (APH) as the indication for transfer and having one indication for transfer. There were no significantly associated factors for failed\/delayed transfers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study confirms the hypothesis that particular transfer outcomes are associated with different factors. The findings also show that less than half of urgent obstetric transfers result in delivery at the receiving hospital, suggesting that there exists significant opportunities for further research into predicting preterm delivery, thereby improving the care of women with high\u2010risk pregnancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12375","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T22:22:26Z","timestamp":1436912546000},"page":"434-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Outcomes of high\u2010risk obstetric transfers in New South Wales and the Australian Capital Territory: The High\u2010Risk Obstetric Transfer Study"],"prefix":"10.1111","volume":"55","author":[{"given":"Amy","family":"Goh","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Browning Carmo","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital at Westmead Westmead New South Wales Australia"},{"name":"Newborn and Paediatric Emergency Transport Service Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital St. Leonard New South Wales Australia"},{"name":"University of Sydney Medical School Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Berry","sequence":"additional","affiliation":[{"name":"Newborn and Paediatric Emergency Transport Service Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Wall","sequence":"additional","affiliation":[{"name":"Newborn and Paediatric Emergency Transport Service Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abdel\u2010Latif","sequence":"additional","affiliation":[{"name":"Neonatology Unit Canberra Hospital Garran Australian Capital Territory Australia"},{"name":"The Clinical School Australian National University Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1540"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01117.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1226"},{"key":"e_1_2_7_5_1","volume-title":"NSW State and Regional Indicators","author":"Australian Bureau of Statistics","year":"2009"},{"key":"e_1_2_7_6_1","unstructured":"Family Planning New South Wales.The law on abortion in NSW. 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