{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:08:37Z","timestamp":1765667317472,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"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":[[2021,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Stillbirth increases steeply after 42\u00a0weeks gestation; hence, induction of labour (IOL) is recommended after 41\u00a0weeks. Recent Victorian data demonstrate that term stillbirth risk rises at an earlier gestation in south Asian mothers (SAM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine the impact on a non\u2010tertiary hospital in Melbourne, Australia, if post\u2010dates IOL were recommended one week earlier at 40\u00a0+\u00a03 for SAM; and to calculate the proportion of infants with birthweight\u00a0&lt;\u00a03rd centile that were undelivered by 40\u00a0weeks in SAM and non\u2010SAM, as these cases may represent undetected fetal growth restriction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Singleton births\u00a0\u2265\u00a037\u00a0weeks during 2017\u201318 were extracted from the hospital Birthing Outcomes System. Obstetric and neonatal outcomes for pregnancies that birthed after spontaneous onset of labour or IOL were analysed according to gestation and country of birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 5408 births included, and 24.9% were born to SAM (<jats:italic>n<\/jats:italic>\u00a0=\u00a01345). SAM women had a higher rate of IOL\u00a0\u2265\u00a037\u00a0weeks compared with non\u2010SAM women (42.5% vs 35.0%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). If all SAM accepted an offer of IOL at 40\u00a0+\u00a03, there would be an additional 80 term inductions over two years. There was no significant difference in babies\u00a0&lt;\u00a03rd centile undelivered by 40\u00a0weeks in SAM compared with non\u2010SAM (29.6% vs 37.7%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.42).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Earlier IOL for post\u2010term SAM would only modestly increase the demand on birthing services, due to pre\u2010existing high rates of IOL. Our current practices appear to capture the majority at highest risk of stillbirth in our SAM population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13268","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T11:01:25Z","timestamp":1604314885000},"page":"244-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The predicted clinical workload associated with early post\u2010term surveillance and inductions of labour in south Asian women in a non\u2010tertiary hospital setting"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5680-6853","authenticated-orcid":false,"given":"Brittany","family":"Green","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Howat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-3562","authenticated-orcid":false,"given":"Lisa","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Institute of Health and Welfare (AIHW) 2019.Stillbirths and neonatal deaths in Australia 2015 and 2016: in brief. Perinatal statistics series no. 36. Cat. no. PER 102.Canberra Australia:AIHW 2019."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178727"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e318235215c"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.11.032"},{"key":"e_1_2_6_8_1","unstructured":"Australian Institute of Health and Welfare (AIHW) 2019.Australia\u2019s mothers and babies 2017\u2014in brief. Perinatal statistics series no. 35. Cat. no. PER 100.Canberra Australia:AIHW;2019."},{"key":"e_1_2_6_9_1","unstructured":"Induction of Labour. [Internet]. Victoria: Safer Care Victoria;2017August [updated 2018 December 18 cited 2020 March 10.] Available from URL:https:\/\/www.bettersafercare.vic.gov.au\/resources\/clinical\u2010guidance\/maternity\u2010ehandbook\/induction\u2010of\u2010labour#goto\u2010induction\u2010of\u2010labour\u2010indications"},{"volume-title":"Safer Baby Bundle Handbook and Resource Guide: Working together to reduce stillbirth","year":"2019","author":"Centre of Research Excellence Stillbirth","key":"e_1_2_6_10_1"},{"issue":"5","key":"e_1_2_6_11_1","article-title":"Induction of labour for improving birth outcomes for women at or beyond term","volume":"5","author":"Middleton P","year":"2018","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39132.482025.80"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00131-2"},{"key":"e_1_2_6_14_1","unstructured":"HuntRW Ryan\u2010AtwoodTE DaveyM\u2010A et al.on behalf ofthe Maternal and Newborn Clinical Network INSIGHT Committee 2019.Victorian perinatal services performance indicators 2018\u201319.Melbourne Vic.:Safer Care Victoria Victorian Government 2019."},{"key":"e_1_2_6_15_1","unstructured":"1269.0 \u2013 Standard Australian Classification of Countries (SACC) Second Edition [Internet].Canberra:Australian Bureau of Statistics; 2008 May 19 [updated 2019 April 2; cited 2020 April 1.] Available from URL:https:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Latestproducts\/3E3848A2DCF7FF4FCA25744B001535DB?opendocument"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11331"},{"key":"e_1_2_6_17_1","first-page":"1","volume-title":"Clinical Practice Guideline for Care Around Stillbirth and Neonatal Death. 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