{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:20:56Z","timestamp":1787502056240,"version":"build-2736575974"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"vor","delay-in-days":28,"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":[[2017,2]]},"abstract":"\n Background<\/jats:title>\n A pregnancy risk score system in popular use in provincial and rural Queensland to assist with the triage decisions regarding the appropriate facility for pregnancy care has been upgraded with more recently recognised pregnancy risk factors.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To review the usefulness of the revised pregnancy risk score system and the integrity of its continuing use.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n 459 women attending regional\/rural hospitals and 1963 women attending a major specialist hospital for their pregnancy care had a prospective risk score assessed, and the resulting score was examined in relationship to pregnancy outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There was a statistically significant positive relationship between a risk score of eight or more and an adverse outcome and a statistically significant negative relationship between a risk score of zero or one and adverse outcomes.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study revalidates the risk score process for use in provincial and rural Queensland in delineating those women requiring care in a location with higher levels of clinical service capability. Women with a risk score of 8 or more have an increased likelihood of needing birth intervention and\/or having an adverse neonatal outcome and should be recognised as needing the development of a multidisciplinary care plan and assessment in a facility that is appropriately resourced for their end of pregnancy care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ajo.12579","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T22:50:27Z","timestamp":1488408627000},"page":"63-67","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Obstetric risk score \u2013 revalidated for triaging high\u2010risk pregnancies in rural areas"],"prefix":"10.1111","volume":"57","author":[{"given":"Michael D.","family":"Humphrey","sequence":"first","affiliation":[{"name":"Queensland Maternal and Perinatal Quality Council Queensland Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie F.","family":"Foxcroft","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Research Unit Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie K.","family":"Callaway","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Medicine Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004902.pub4"},{"key":"e_1_2_6_3_1","first-page":"346","volume-title":"Effective Care in Pregnancy and Childbirth","author":"Alexander S","year":"1990"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610410001685439"},{"key":"e_1_2_6_5_1","first-page":"139","article-title":"The beneficial use of risk scoring in a remote and high risk pregnant population","volume":"35","author":"Humphrey MD","year":"1995","journal-title":"J Obstet Gynaecol"},{"key":"e_1_2_6_6_1","unstructured":"Primary Clinical Care Manual. [Accessed 3 February 2015.] Available from URL:http:\/\/www.health.qld.gov.au\/pccm\/default.asp"}],"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.12579","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12579","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T12:32:42Z","timestamp":1695472362000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12579"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1111\/ajo.12579"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12579","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]},"assertion":[{"value":"2016-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-11-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}