{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:17:59Z","timestamp":1762899479454},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the outcomes of patients transferred to King Edward Memorial Hospital (<jats:styled-content style=\"fixed-case\">KEMH<\/jats:styled-content>) with signs of labour at preterm gestations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective observational study of the 69 cases transferred to <jats:styled-content style=\"fixed-case\">KEMH<\/jats:styled-content> during 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Patient transfers from all locations across Western Australia (<jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content>) to the sole tertiary perinatal centre in Perth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Pregnant women within <jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content> with threatened or actual preterm labour (<jats:styled-content style=\"fixed-case\">PTL<\/jats:styled-content>) or preterm prelabour rupture of membranes (<jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content>) between 23 and 32\u00a0weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The occurrence of delivery during the admission and time\u2010to\u2010delivery as well as length of admission and association between clinical factors and time\u2010to\u2010delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The percentage of the study population delivered during the admission following transfer was 72.5%. Eighty\u2010six per cent of those who delivered did so within 72\u00a0hours of transfer. The median time from transfer to delivery was 1\u00a0day. Sixty\u2010three per cent of those who did not deliver during the admission progressed to 36\u00a0weeks gestation. Patients transferred with <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> were less likely to deliver during the admission compared to those with uterine activity (50% versus 19.6%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.007) and nulliparas were more likely to deliver (93.5% versus 55.3%, <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of women transferred with signs of <jats:styled-content style=\"fixed-case\">PTL<\/jats:styled-content> progress to delivery during the same admission with the highest risk of delivery being the first 72\u00a0hours following transfer. If the pregnancy is ongoing at 72\u00a0hours, there is a reasonable chance of progression to late preterm gestation supporting the return of woman to their place of origin for antenatal care following discharge.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12380","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T12:36:43Z","timestamp":1511440603000},"page":"42-47","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Time to delivery: Transfers for threatened preterm labour and prelabour rupture of membranes in Western Australia"],"prefix":"10.1111","volume":"26","author":[{"given":"Jade","family":"Hollingworth","sequence":"first","affiliation":[{"name":"School of Women's and Infants\u2019 Health King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Pietsch","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Epee\u2010Bekima","sequence":"additional","affiliation":[{"name":"School of Women's and Infants\u2019 Health King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Nathan","sequence":"additional","affiliation":[{"name":"School of Women's and Infants\u2019 Health King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"HutchisonM JoyceA.Western Australia's Mothers and Babies 2013: 31st Annual Report of the Western Australian Midwives\u2019 Notification System.Western Australia:Department of Health 2016:139. 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