{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:47:30Z","timestamp":1782276450265,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Routine third trimester ultrasound scans have been introduced in several maternity centres to increase detection of fetal growth disorders and improve perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess changes in obstetric and neonatal outcomes and service delivery following implementation of a routine third trimester ultrasound policy in a tertiary hospital in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A single\u2010centre retrospective cohort study was conducted comparing a pre\u2010policy cohort that received ultrasound scans measuring biometry and fetal Dopplers when deemed clinically necessary during the third trimester with a post\u2010policy cohort in which all pregnant women were offered an ultrasound at 35\u201337\u2009weeks gestation. Results of the ultrasound were communicated to the obstetric team. Primary study outcomes were changes to service delivery, obstetric and neonatal outcomes and detection of fetal growth abnormalities. Differences in proportions were compared using the chi\u2010squared test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the pre\u2010policy cohort, there were 4826 singleton deliveries \u2265\u200935\u2009weeks gestation and 34% of these women received a third trimester scan, compared to 4499 deliveries in the post\u2010policy cohort in which 81% received a scan. There was a statistically significant increase in detection of LGA fetuses from 27% to 43% but no significant change in SGA detection or preterm birth rates post policy implementation. Early term births (37\u201338\u2009+\u20096\u2009weeks) increased (26.9% vs. 31.2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) along with induction of labour (33.5% vs. 38.2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was no decrease in stillbirths or adverse neonatal outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The benefits of implementing routine third trimester scans in \u2018real\u2010world\u2019 clinical practice remain unclear given these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70139","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:11:28Z","timestamp":1777464688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of a Routine Third Trimester Ultrasound Policy on Obstetric, Neonatal and Service Delivery Outcomes in an Australian Tertiary Centre"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7213-7597","authenticated-orcid":false,"given":"Praneel","family":"Kumar","sequence":"first","affiliation":[{"name":"Obstetrics Registrar, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Gordon","sequence":"additional","affiliation":[{"name":"Neonatologist, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"},{"name":"Co\u2010Chair Sydney Institute for Women, Children and Their Families, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Clinical Professor, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Fisher","sequence":"additional","affiliation":[{"name":"Neonatology Registrar, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Garcia","family":"Flores","sequence":"additional","affiliation":[{"name":"Obstetrician, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleem","family":"Khan","sequence":"additional","affiliation":[{"name":"Data Scientist, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajit","family":"Narayan","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Specialist, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5620-0170","authenticated-orcid":false,"given":"Bradley D. E.","family":"Vries","sequence":"additional","affiliation":[{"name":"Obstetrician, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"},{"name":"Management Group Member Sydney Institute for Women, Children and Their Families, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Associate Professor, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8019-1289","authenticated-orcid":false,"given":"Jon","family":"Hyett","sequence":"additional","affiliation":[{"name":"Neonatology Registrar, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"},{"name":"Emeritus co\u2010Chair Sydney Institute for Women, Children and Their Families, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Professor of Obstetrics and Gynaecology, Department of Obstetrics and Gynecology, Faculty of Medicine Western Sydney University  Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5421-4694","authenticated-orcid":false,"given":"Ritu","family":"Mogra","sequence":"additional","affiliation":[{"name":"Head of Department, Obstetric and Gynecological Ultrasound, Royal Prince Alfred Hospital, Women and Babies  Sydney New South Wales Australia"},{"name":"Member Sydney Institute for Women, Children and Their Families, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Consultant, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002199"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000388"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)00131\u20102"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14278"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l5517"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23618"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2024.101294"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12020"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14697"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100242"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(23)02228\u20106"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.20857"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003503"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.17395"},{"key":"e_1_2_10_17_1","unstructured":"\u201cStillbirth Centre of Research Excellence @font\u2010Face et\u00a0al. 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