{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T07:09:36Z","timestamp":1784790576157,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Guidelines for managing a small symphysial fundal height (SFH) measurement during pregnancy are well established, but guidelines identifying and managing a large SFH measurement at term are not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine the relationship between a large SFH at term and intra\u2010partum risk, and to determine if there is an SFH cut\u2010off that could predict the following adverse outcomes: emergency caesarean section (CS), instrumental delivery, postpartum haemorrhage (PPH) and admission of neonate to the special care nursery (SCN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective audit was performed on 775 deliveries at a regional Australian hospital. SFH measurement at term was the primary variable for investigation. The largest measurement taken within 14\u2009days of delivery was accepted as the primary SFH measurement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In primiparous women, an SFH of 36\u2009cm was associated with the lowest incidence of emergency CS (8%) and 35\u2009cm was associated with the lowest incidence of PPH (8%). Both risks trebled at an SFH of 40\u2009cm (24%) and quintupled at 43\u2009cm (42%). In multiparous women the emergency CS rate was not correlated with SFH, but the PPH rate was correlated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A SFH measurement at term is currently a neglected but useful measurement for triaging women early in labour. An SFH of 36\u2009cm is most reassuring as the parturient is at low risk of an emergency CS or a PPH whereas a SFH of 40\u2009cm or more indicates increased risk and intra\u2010partum care should be modified to reflect this increased risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70113","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:00:33Z","timestamp":1775041233000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["In Primiparous Women at Term, a Symphysial Fundal Height of 36\u2009cm Is Linked to the Lowest Risk of Emergency Caesarean Section and Postpartum Haemorrhage"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2139-1004","authenticated-orcid":false,"given":"John Robert","family":"Salmon","sequence":"first","affiliation":[{"name":"University of New South Wales \u2010 Albury Campus  Wodonga Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashlee","family":"Jarratt","sequence":"additional","affiliation":[{"name":"University of New South Wales  Albury New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1906.25210240013001d"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-191009000-00005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0272718"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016347709154978"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1984.tb01487.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91342-6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12902"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12441"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01354.x"},{"key":"e_1_2_8_11_1","volume-title":"Recommendations Routine Antenatal Clinical Care","author":"NICE Guidelines 2021"},{"key":"e_1_2_8_12_1","volume-title":"Routine Antenatal Assessment in the Absence of Pregnancy Complications","author":"RANZCOG Guidelines","year":"2022"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncomms5108"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000292658"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6661(199703\/04)6:2<103::AID-MFM8>3.0.CO;2-R"},{"issue":"6","key":"e_1_2_8_16_1","first-page":"457","article-title":"A Simple Clinical Formula for Predicting Fetal Weight in Labour at Term\u2014Derivation and Validation","volume":"99","author":"Buchmann E.","year":"2009","journal-title":"South African Medical Journal"}],"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.70113","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.70113","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:34:44Z","timestamp":1784788484000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.70113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/ajo.70113"],"URL":"https:\/\/doi.org\/10.1111\/ajo.70113","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70113"}}