{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:50:08Z","timestamp":1792000208393,"version":"4.4.0"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe clinical management of congenital uterine anomalies in Australia and New Zealand and identify areas requiring standardisation, we conducted a cross\u2010sectional online survey of members of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and the Australasian Society for Ultrasound in Medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 23\u2010item Qualtrics survey assessed clinical experience, diagnostic approaches, imaging, classification use, training and challenges among clinicians providing reproductive healthcare. Participation was voluntary and anonymous. The survey was distributed via institutional channels: ASUM at multiple time points and its 2024 annual meeting, and RANZCOG over 5\u2009weeks (July\u2013August 2024) with committee approval. Ethics was obtained from the Australian National University Human Research Ethics Committee (ANU HREC 2023\/1238). Descriptive analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 317 responses were analysed. CUAs were infrequently encountered, with septate, arcuate and bicornuate anomalies most commonly identified. Classification practices varied, with ESHRE\/ESGE most frequently used, although no system was uniformly adopted. Referrals were most common for infertility care and second opinions, while surgical intervention was less frequent. Limited access to specialised imaging and subspeciality care was a key barrier, particularly outside metropolitan areas. Training and confidence varied by location, with greater limitations in remote settings. Clinicians supported standardised classification, improved imaging access and integration of CUA risk factors into national care systems. ASUM findings were consistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical management of CUAs in Australia and New Zealand remains variable, highlighting the need for greater standardisation, improved diagnostic access and multidisciplinary collaboration to support consistent, evidence\u2010based care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70175","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:21:42Z","timestamp":1791998502000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Missed, Misclassified or Misunderstood? Clinician Perspectives on Congenital Uterine Anomalies in Australia and New Zealand"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2602-0229","authenticated-orcid":false,"given":"Kyra","family":"Innis","sequence":"first","affiliation":[{"name":"Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-4610","authenticated-orcid":false,"given":"Boon","family":"Lim","sequence":"additional","affiliation":[{"name":"Australian National University  Canberra Australia"},{"name":"ACT Health  Canberra Australia"},{"name":"University of Tasmania  Hobart Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4706-2412","authenticated-orcid":false,"given":"Julie","family":"Quinlivan","sequence":"additional","affiliation":[{"name":"ACT Health  Canberra Australia"},{"name":"University of Notre Dame  Fremantle, Western Australia Australia"},{"name":"Centenary Hospital for Women and Children  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4306-2933","authenticated-orcid":false,"given":"Abdel\u2010Latif","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Australian National University  Canberra Australia"},{"name":"ACT Health  Canberra Australia"},{"name":"Centenary Hospital for Women and Children  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"413","volume-title":"Larsen's Human Embryology","author":"Schoenwolf G.","year":"2015"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5935\/1518\u20100557.20210021"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10214797"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000408"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/GCO.0b013e32814b0649","article-title":"Reproductive Performance of Women With m\u00fc Llerian Anomalies","volume":"19","author":"Rackow B. W.","year":"2007","journal-title":"Current Opinion in Obstetrics & Gynecology"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr028"},{"key":"e_1_2_9_8_1","unstructured":"American Society for Reproductive Medicine \u201cASRM M\u00fcllerian Anomalies Classification (MAC2021) \u201d(2026)."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.18923"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13821"},{"key":"e_1_2_9_12_1","unstructured":"Australian Living Evidence Collaboration \u201cAustralian Pregnancy Care Guidelines. Living Evidence for Australian Pregnancy and Postnatal Care (LEAPP). Melbourne VIC \u201d(2024) https:\/\/leappguidelines.org\/."},{"key":"e_1_2_9_13_1","unstructured":"DoHAC \u201cNational Stillbirth Action and Implementation Plan Annual Report 3 2024 \u201d(2024)."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11051251"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.24905"}],"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.70175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.70175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:21:45Z","timestamp":1791998505000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.70175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/ajo.70175"],"URL":"https:\/\/doi.org\/10.1111\/ajo.70175","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-05-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70175"}}