{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T14:43:51Z","timestamp":1775486631678,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,3]],"date-time":"2021-01-03T00:00:00Z","timestamp":1609632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1078477"],"award-info":[{"award-number":["1078477"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1168623"],"award-info":[{"award-number":["1168623"]}],"id":[{"id":"10.13039\/501100000925","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":[[2021,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Antenatal ultrasound is used frequently in pregnancies complicated by hyperglycaemia; however, it is unclear which measurements have the greatest association with adverse neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the association between third trimester ultrasound parameters with adverse neonatal outcomes in pregnancies complicated by hyperglycaemia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All pregnant women with gestational or type 2 diabetes who birthed in a regional hospital over 12\u00a0months were included. A composite adverse neonatal outcome was defined by one or more: admission to special care nursery, acidosis, hypoglycaemia, jaundice, shoulder dystocia, respiratory distress syndrome or 5\u2010minute Apgar score\u00a0&lt;\u00a05. Logistic regression was used to determine odds ratios (OR) for an adverse neonatal outcome, according to pre\u2010specified cut points in both lower and upper percentiles of abdominal circumference (AC) and estimated fetal weight (EFW).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 275 births an adverse outcome occurred in 122 (44%). Unadjusted OR (95% CI) for AC \u226430<jats:sup>th<\/jats:sup> was 3.2 (1.1\u20138.8) and &gt;95<jats:sup>th<\/jats:sup> percentile was 3.1 (1.5\u20136.0) compared with the reference group of 31\u201370<jats:sup>th<\/jats:sup> percentile. Unadjusted OR for EFW \u226430<jats:sup>th<\/jats:sup> was 1.5 (0.7\u20133.1) and &gt;95<jats:sup>th<\/jats:sup> percentile was 3.0 (1.4\u20136.3). After adjusting for maternal age, body mass index, diabetes type, ethnicity, gravidity, mode of delivery and gestation at birth the OR (95% CI) were as follows: AC \u226430<jats:sup>th<\/jats:sup> percentile, 3.7 (1.1\u201312.4); AC &gt;95<jats:sup>th<\/jats:sup>, 2.2 (1.1\u20134.8); EFW \u226430<jats:sup>th<\/jats:sup>, 2.6 (1.1\u20136.1); EFW &gt;95<jats:sup>th<\/jats:sup>, 2.5 (1.1\u20136.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An AC and EFW up to the 30<jats:sup>th<\/jats:sup> percentile may pose just as great a risk to the fetus as an AC or EFW &gt;95<jats:sup>th<\/jats:sup> percentile in pregnancies complicated by hyperglycaemia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13281","type":"journal-article","created":{"date-parts":[[2021,1,3]],"date-time":"2021-01-03T13:55:42Z","timestamp":1609682142000},"page":"366-372","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Rethinking third trimester ultrasound measurements and risk of adverse neonatal outcomes in pregnancies complicated by hyperglycaemia: A retrospective study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-0188","authenticated-orcid":false,"given":"Anna","family":"McLean","sequence":"first","affiliation":[{"name":"Department of Endocrinology Cairns Diabetes Centre Cairns Queensland Australia"},{"name":"Wellbeing and Chronic Preventable Diseases Division Menzies School of Health Research Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Cairns Diabetes Centre Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Oats","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiqiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Wellbeing and Chronic Preventable Diseases Division Menzies School of Health Research Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Barr","sequence":"additional","affiliation":[{"name":"Wellbeing and Chronic Preventable Diseases Division Menzies School of Health Research Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Maple\u2010Brown","sequence":"additional","affiliation":[{"name":"Wellbeing and Chronic Preventable Diseases Division Menzies School of Health Research Darwin Northern Territory Australia"},{"name":"Department of Endocrinology Royal Darwin Hospital Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003790"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-0407.13042"},{"key":"e_1_2_6_4_1","unstructured":"NankervisAMH MosesR RossGPet al.ADIPS Consensus Guidelines for the Testing and Diagnosis of Hyperglycaemia in Pregnancy in Australia and New Zealand (modified November 2014) 2014[cited 2019 February]. 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