{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:05:58Z","timestamp":1781841958966,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"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":[[2020,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine if a policy recommending administration of terbutaline prior to emergency caesarean section improved arterial umbilical cord pH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was a prospective audit between February 2018 and June 2019 among women who underwent a category one or two caesarean section. Neonatal cord gas results and perinatal outcomes were compared before and after the introduction of a policy recommending subcutaneous terbutaline prior to emergency caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 423 women in the pre\u2010policy change cohort and 253 post\u2010policy change, there was no difference in arterial cord pH (median pH\u00a0=\u00a07.24 before the policy and median pH\u00a0=\u00a07.24 after the policy was introduced, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.88). There was no statistically significant difference in any perinatal outcome, apart from the median arterial cord lactate which was higher in the post\u2010treatment group (4.2\u00a0mmol\/L vs 3.9\u00a0mmol\/L, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.006). Maternal heart rate was higher (median 110 vs 95, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001) in the post\u2010treatment group. Breastfeeding was more common in the post\u2010treatment group (99% vs 95%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.005). There was no difference in estimated blood loss or rate of post\u2010partum haemorrhage. A post hoc analysis according to treatment received, limited to caesarean section when the indication was suspected fetal compromise, demonstrated that among women who received terbutaline the rate of low pH (&lt;7.1) was 3.8% (5\/130) when terbutaline was given, compared with 6.6% (18\/272) when terbutaline was not given (\u03c7<jats:sup>2<\/jats:sup><jats:sub>1<\/jats:sub>\u00a0=\u00a01.3, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.26).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Changing our labour ward policy to recommending terbutaline prior to all category one and category two caesarean sections did not change arterial cord pH.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13170","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T03:09:26Z","timestamp":1588820966000},"page":"884-889","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes 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