{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:07:06Z","timestamp":1790683626890,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reducing rates of preterm birth (PTB) remains a significant challenge. The Northern Territory (NT) records some of the highest rates of PTB in the country, especially in First Nations women. In 2014, a Western Australian (WA) preterm birth prevention initiative involved the implementation of seven key initiatives. One of these was routine mid\u2010trimester cervical length measurement. The initiative successfully reduced PTB rates following its first year of implementation. This was the first successful reduction in PTB, including the earlier gestational ages, across a population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the uptake of routine cervical length measurement in the Top End of the NT after the success of the WA PTB prevention initiative and assess if treatment of a short cervix improved PTB rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of all women who received antenatal care and delivered their baby at the NT's only tertiary hospital was performed. Mid\u2010trimester ultrasound scan data were collected from two separate time windows, before and after the implementation of the WA intervention. Treatments and gestational age at birth were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adoption of routine screening of cervical length measurement at mid\u2010trimester ultrasound in the NT was successful, increasing from 4 to 88%. Detection rates of short cervix doubled. However, there was no difference to PTB rates despite targeted management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PTB remains a significant challenge in the NT, especially for First Nations women who are found to have a short cervix more commonly than non\u2010Indigenous women in the Top End.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13676","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T04:35:17Z","timestamp":1680669317000},"page":"521-526","source":"Crossref","is-referenced-by-count":4,"title":["Short cervix and preterm birth in the top end"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5100-6398","authenticated-orcid":false,"given":"Kiarna","family":"Brown","sequence":"first","affiliation":[{"name":"Menzies School of Health Research Charles Darwin University"},{"name":"Department of Obstetrics and Gynaecology Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chor Kiu (Maree)","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Binks","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research Charles Darwin University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"AIHW Australia's mothers and babies AIHW Editor.2022: Web report."},{"key":"e_1_2_6_3_1","volume-title":"Mothers and babies 2019: Northern Territory Midwives' Collection","author":"Bhat SLL","year":"2021"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.11.1037"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05222-9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.04.027"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.11.576"},{"issue":"9","key":"e_1_2_6_8_1","article-title":"Cervical assessment by ultrasound for preventing preterm delivery","volume":"9","author":"Berghella V","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_9_1","article-title":"Measurement of cervical length for prediction of preterm birth","author":"RANZCOG","year":"2021","journal-title":"Best Practice Statement"},{"key":"e_1_2_6_10_1","volume-title":"Oripro Consumer Medicine Information","author":"TGA","year":"2019"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-032763"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60074-4"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.08.034"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1071\/MA22032"},{"key":"e_1_2_6_15_1","volume-title":"Incidence of Gestational Diabetes in Australia","author":"AIHW","year":"2019"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T13:05:04Z","timestamp":1691586304000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/ajo.13676"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13676","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,4]]}}}