{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:53Z","timestamp":1747183253269,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>The effect of foetal position on the degree of antenatal hydronephrosis (ANH) is unknown. We hypothesized that foetal position is an important contextual factor in ANH, with consequences on prenatal counselling and postnatal management. The current study aimed to investigate the effect of foetal position on the degree of ANH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was carried out on consecutive pregnancies with isolated ANH over a 10\u2010year period. Gestational age, foetal presentation (cephalic vs. breech), and degree of ANH (as measured by the AP diameter) were retrieved. Foetuses with other ultrasound findings of the renal tract (renal parenchymal abnormality, ureteric dilatation, or bladder abnormalities) were excluded. Logistic regression analysis was conducted to examine the relationship between the anterior\u2013posterior diameter (APD) and the mode of presentation (cephalic or breech). A <jats:italic>P<\/jats:italic>\u2010value of &lt;0.05 was considered significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Initially 745 scans were identified, with 436 included in the final analysis. Overall, there was an association between foetal presentation and APD regardless of trimester, with cephalic presentations having a greater APD (OR 1.07, 95% CI 1.02\u20131.11, <jats:italic>P<\/jats:italic>\u2009=\u20090.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cephalic presentations are associated with a significantly greater APD indicating that foetal position should be considered when stratifying ANH. Furthermore, foetal position may be a contributing factor in the mechanism of \u2018physiological\u2019 hydronephrosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18611","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T06:18:22Z","timestamp":1689661102000},"page":"2706-2709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of foetal position on the degree of isolated antenatal hydronephrosis"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1837-9966","authenticated-orcid":false,"given":"Kiarash","family":"Taghavi","sequence":"first","affiliation":[{"name":"Department of Paediatric Urology Monash Children's Hospital, Monash Health  Melbourne Australia"},{"name":"Department of Paediatrics Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Van Haltren","sequence":"additional","affiliation":[{"name":"Monash Health Imaging Monash Children's Hospital, Monash Health  Melbourne Australia"},{"name":"Department of Medical Imaging and Radiation Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Woods","sequence":"additional","affiliation":[{"name":"Monash Health Imaging Monash Children's Hospital, Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davina","family":"Tai","sequence":"additional","affiliation":[{"name":"Fetal Diagnostic Unit Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Teoh","sequence":"additional","affiliation":[{"name":"Fetal Diagnostic Unit Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1259-4304","authenticated-orcid":false,"given":"Maurizio","family":"Pacilli","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Monash University  Melbourne Australia"},{"name":"Department of Paediatric Surgery Monash Children's Hospital, Monash Health  Melbourne Australia"},{"name":"Department of Surgery Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4438-0263","authenticated-orcid":false,"given":"Ramesh M.","family":"Nataraja","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Monash University  Melbourne Australia"},{"name":"Department of Paediatric Surgery Monash Children's Hospital, Monash Health  Melbourne Australia"},{"name":"Department of Surgery Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Kimber","sequence":"additional","affiliation":[{"name":"Department of Paediatric Urology Monash Children's Hospital, Monash Health  Melbourne Australia"},{"name":"Department of Paediatrics Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2014.10.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0120"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-019-04546-7"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.12.093"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.178282"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000169158.86418.46"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2967\/jnumed.118.215921"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2010.02.205"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2016.12.012"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.841495"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)41080-9"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2000.00645.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12626"},{"key":"e_1_2_9_15_1","first-page":"97","article-title":"Measurable changes in hydronephrosis during pregnancy induced by positional changes: ultrasonic assessment and its diagnostic implication","volume":"2","author":"Isfahani MR","year":"2009","journal-title":"Urol. 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