{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T03:00:37Z","timestamp":1781319637381,"version":"3.54.1"},"reference-count":18,"publisher":"Walter de Gruyter GmbH","issue":"5","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0579_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There is little evidence guiding the delivery of babies who are antenatally detected to have antenatal urinary tract abnormalities (AN-UTA), and some clinicians would deliver early purely because of AN-UTA. With growing evidence of adverse events resulting from early-term delivery this study aimed to assess delivery patterns for babies with AN-UTA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0579_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Parents of children referred to our service with AN-UTA from May 2022- Sept 2023 were asked about their recollection of delivery discussions and methods. Data were collected on antenatal scans, delivery timing and method and then subsequent urological investigations and management were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0579_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy-two babies (53 male) were included. 22 (31\u202f%) were born via spontaneous labour and delivery, 33 underwent planned delivery for non-urological reasons and 17 (24\u202f%) had planned delivery purely because of their AN-UTA. 11\/17 of these were before 39\u00a0weeks (early-term). 3\/17 (18\u202f%) underwent emergency caesarean section for failure to progress during early induction. There was no significant difference between babies born early for AN-UTA with regards to urgent urological investigations (36\u202f% vs. 16\u202f%, p=0.207), nor for early surgery (27\u202f% vs. 10\u202f%, p=0.134).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0579_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>24\u202f% of babies had planned delivery purely for their AN-UTA, without any change to their urological management. The majority of these were &lt;39\u00a0weeks gestation. In the absence of other maternal\/fetal concerns, delivery &lt;39\u00a0weeks should be avoided to optimise global outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0579","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T05:55:46Z","timestamp":1778046946000},"page":"848-852","source":"Crossref","is-referenced-by-count":0,"title":["An audit of delivery plans for babies with antenatal urinary tract abnormalities: the mothers\u2019 perspective"],"prefix":"10.1515","volume":"54","author":[{"given":"Patrick","family":"Green","sequence":"first","affiliation":[{"name":"Alder Hey Children\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Ndzi","sequence":"additional","affiliation":[{"name":"Alder Hey Children\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giles","family":"Carey","sequence":"additional","affiliation":[{"name":"Alder Hey Children\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthonia","family":"Adefolaju","sequence":"additional","affiliation":[{"name":"Liverpool Women\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umber","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Liverpool Women\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5470-1457","authenticated-orcid":false,"given":"Harriet J.","family":"Corbett","sequence":"additional","affiliation":[{"name":"Alder Hey Children\u2019s Hospital NHS Foundation Trust , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"2026061302442418406_j_jpm-2025-0579_ref_001","doi-asserted-by":"crossref","unstructured":"Dudley, JA, Haworth, JM, McGraw, ME, Frank, JD, Tizard, EJ. Clinical relevance and implications of antenatal hydronephrosis. Arch Dis Child Fetal Neonatal Ed 1997;76. https:\/\/doi.org\/10.1136\/FN.76.1.F31.","DOI":"10.1136\/fn.76.1.F31"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_002","doi-asserted-by":"crossref","unstructured":"Arora, M, Prasad, A, Kulshreshtha, R, Baijal, A. Significance of third trimester ultrasound in detecting congenital abnormalities of kidney and urinary tract\u00a0\u2013\u00a0a prospective study. J\u00a0Pediatr Urol 2019;15:334\u201340. https:\/\/doi.org\/10.1016\/J.JPUROL.2019.03.027.","DOI":"10.1016\/j.jpurol.2019.03.027"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_003","doi-asserted-by":"crossref","unstructured":"Corbett, HJ, Williams, R, Agarwal, U. Timing of delivery in antenatal fetal hydronephrosis: a snap shot social media survery of obstetric and fetal medicine practice. J\u00a0Perinat Med 2022;50:620\u20134. https:\/\/doi.org\/10.1515\/JPM-2022-0120.","DOI":"10.1515\/jpm-2022-0120"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_004","doi-asserted-by":"crossref","unstructured":"Bilsteen, JF, Taylor-Robinson, D, B\u00f8rch, K, Strandberg-Larsen, K, Nybo Andersen, AM. Gestational age and socioeconomic achievements in young adulthood: a Danish population-based study. JAMA Netw Open 2018;1. https:\/\/doi.org\/10.1001\/JAMANETWORKOPEN.2018.6085.","DOI":"10.1001\/jamanetworkopen.2018.6085"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_005","doi-asserted-by":"crossref","unstructured":"Mackay, DF, Smith, GCS, Dobbie, R, Pell, JP. Gestational age at delivery and special educational need: retrospective cohort study of 407,503 schoolchildren. PLoS Med 2010;7. https:\/\/doi.org\/10.1371\/JOURNAL.PMED.1000289.","DOI":"10.1371\/journal.pmed.1000289"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_006","doi-asserted-by":"crossref","unstructured":"Risnes, K, Bilsteen, JF, Brown, P, Pulakka, A, Andersen, AMN, Opdahl, S, et al.. Mortality among young adults born preterm and early term in 4 nordic nations. JAMA Netw Open 2021;4. https:\/\/doi.org\/10.1001\/JAMANETWORKOPEN.2020.32779.","DOI":"10.1001\/jamanetworkopen.2020.32779"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_007","doi-asserted-by":"crossref","unstructured":"Liu, DB, Armstrong, WR, Maizels, M. Hydronephrosis: prenatal and postnatal evaluation and management. Clin Perinatol 2014;41:661\u201378. https:\/\/doi.org\/10.1016\/J.CLP.2014.05.013.","DOI":"10.1016\/j.clp.2014.05.013"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_008","doi-asserted-by":"crossref","unstructured":"Yang, J, Baker, Z, Dillon, H, Hannallah, A, Klecha, I, SooHoo, M, et al.. Reduction in maternal anxiety following prenatal pediatric urology consultation. Frontiers in Urology 2022;2:1089135. https:\/\/doi.org\/10.3389\/FRURO.2022.1089135\/BIBTEX.","DOI":"10.3389\/fruro.2022.1089135"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_009","doi-asserted-by":"crossref","unstructured":"Gimpel, C, Avni, FE, Bergmann, C, Cetiner, M, Habbig, S, Haffner, D, et al.. Perinatal diagnosis, management, and Follow-up of cystic renal diseases: a clinical practice recommendation with systematic literature reviews. JAMA Pediatr 2018;172:74\u201386. https:\/\/doi.org\/10.1001\/JAMAPEDIATRICS.2017.3938.","DOI":"10.1001\/jamapediatrics.2017.3938"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_010","doi-asserted-by":"crossref","unstructured":"Sinha, A, Bagga, A, Krishna, A, Bajpai, M, Srinivas, M, Uppal, R, et al.. Revised guidelines on management of antenatal hydronephrosis. Indian J Nephrol 2013;23:83\u201397. https:\/\/doi.org\/10.4103\/0971-4065.109403.","DOI":"10.4103\/0971-4065.109403"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_011","unstructured":"Saving babies\u2019 lives version three A care bundle for reducing perinatal mortality n.d. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2023\/05\/PRN00614-Saving-babies-lives-version-three-a-care-bundle-for-reducing-perinatal-mortality.pdf."},{"key":"2026061302442418406_j_jpm-2025-0579_ref_012","doi-asserted-by":"crossref","unstructured":"Tita, ATN, Jablonski, KA, Bailit, JL, Grobman, WA, Wapner, RJ, Reddy, UM, et al.. Neonatal outcomes of elective early-term births after demonstrated fetal lung maturity. Am J Obstet Gynecol 2018;219:296.e1\u2013296.e8. https:\/\/doi.org\/10.1016\/J.AJOG.2018.05.011.","DOI":"10.1016\/j.ajog.2018.05.011"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_013","doi-asserted-by":"crossref","unstructured":"Parikh, LI, Reddy, UM, M\u00e4nnist\u00f6, T, Mendola, P, Sjaarda, L, Hinkle, S, et al.. Neonatal outcomes in early term birth. Am J Obstet Gynecol 2014;211:265.e1\u2013265.e11. https:\/\/doi.org\/10.1016\/j.ajog.2014.03.021.","DOI":"10.1016\/j.ajog.2014.03.021"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_014","doi-asserted-by":"crossref","unstructured":"Engle, WA. Morbidity and mortality in late preterm and early term newborns: a continuum. Clin Perinatol 2011;38:493\u2013516. https:\/\/doi.org\/10.1016\/j.clp.2011.06.009.","DOI":"10.1016\/j.clp.2011.06.009"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_015","doi-asserted-by":"crossref","unstructured":"Morris, RK, Malin, GL, Khan, KS, Kilby, MD. Antenatal ultrasound to predict postnatal renal function in congenital lower urinary tract obstruction: systematic review of test accuracy. BJOG 2009;116:1290\u20139. https:\/\/doi.org\/10.1111\/J.1471-0528.2009.02194.X.","DOI":"10.1111\/j.1471-0528.2009.02194.x"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_016","doi-asserted-by":"crossref","unstructured":"Johnson, MP, Danzer, E, Koh, J, Polzin, W, Harman, C, O\u2019Shaughnessy, R, et al.. Natural history of fetal lower urinary tract obstruction with normal amniotic fluid volume at initial diagnosis. Fetal Diagn Ther 2018;44:10\u20137. https:\/\/doi.org\/10.1159\/000478011.","DOI":"10.1159\/000478011"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_017","doi-asserted-by":"crossref","unstructured":"Clayton, DB, Brock, JW. Lower urinary tract obstruction in the fetus and neonate. Clin Perinatol 2014;41:643\u201359. https:\/\/doi.org\/10.1016\/j.clp.2014.05.012.","DOI":"10.1016\/j.clp.2014.05.012"},{"key":"2026061302442418406_j_jpm-2025-0579_ref_018","doi-asserted-by":"crossref","unstructured":"Rabie, N, Magann, E, Steelman, S, Ounpraseuth, S. Oligohydramnios in complicated and uncomplicated pregnancy: a systematic review and meta-analysis. Ultrasound Obstet Gynecol 2017;49:442\u20139. https:\/\/doi.org\/10.1002\/UOG.15929.","DOI":"10.1002\/uog.15929"}],"container-title":["Journal of Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jpm-2025-0579\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jpm-2025-0579\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T02:47:44Z","timestamp":1781318864000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/jpm-2025-0579\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,2,16]]},"published-print":{"date-parts":[[2026,6,24]]}},"alternative-id":["10.1515\/jpm-2025-0579"],"URL":"https:\/\/doi.org\/10.1515\/jpm-2025-0579","relation":{},"ISSN":["0300-5577","1619-3997"],"issn-type":[{"value":"0300-5577","type":"print"},{"value":"1619-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]}}}