{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:21:07Z","timestamp":1784740867226,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001511","name":"Auckland Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001511","id-type":"DOI","asserted-by":"publisher"}]}],"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>Background<\/jats:title><jats:p>A greater understanding of the risk factors for spontaneous preterm birth and the importance of risk stratification to guide interventions has led to the introduction of preterm birth prevention clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the experience and outcomes of the first specialised preterm birth clinic in New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This observational study reviewed pregnancies cared for in a preterm birth clinic from 2013 to 2018. Cases were identified and data collected from a maternity database and electronic medical records. Analysis was by referral type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 423 cases were included; 309 elective and 22 acute referrals in pregnancy, and 92 consultations outside pregnancy. For those referred electively in pregnancy, 138\/309 (44.7%) fulfilled multiple referral criteria, and 57\/309 (18.4%) had \u22652 previous spontaneous preterm births or second trimester losses. Excluding five pregnancies with first trimester miscarriage, 77\/304 (25.3%) were managed with a history\u2010indicated cerclage (11 placed pre\u2010conception) and 217\/304 (71.4%) had cervical surveillance as primary management, of which 133 (61.3%) did not require treatment. The remaining had treatment for a short cervix; 37 (17.0%) received an ultrasound\u2010indicated cerclage only, 21 (9.7%) vaginal progesterone only and 26 (12.0%) both. Five women (1.6%) had a second trimester loss at 13<jats:sup>+0<\/jats:sup>\u201319<jats:sup>+6<\/jats:sup> and 58\/297 (19.5%) had a spontaneous preterm birth at 20<jats:sup>+0<\/jats:sup>\u201336<jats:sup>+6<\/jats:sup>\u00a0weeks. The \u2018take home baby\u2019 rate was 95.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pregnancy outcomes were similar to those reported by other preterm birth prevention clinics. The majority of women who received cervical surveillance as primary management were able to avoid additional treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13176","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T06:36:27Z","timestamp":1589870187000},"page":"904-913","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The experience and outcomes of a specialised preterm birth clinic in New Zealand"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-1370","authenticated-orcid":false,"given":"Lisa","family":"Dawes","sequence":"first","affiliation":[{"name":"Liggins Institute The University of Auckland Auckland New Zealand"},{"name":"National Women\u2019s Health Auckland City Hospital Auckland New 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