Evidence map›Paper›PMID 42053190›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2026

Impact of a Routine Third Trimester Ultrasound Policy on Obstetric, Neonatal and Service Delivery Outcomes in an Australian Tertiary Centre.

Praneel Kumar, Adrienne Gordon, Elizabeth Fisher, Jose Garcia Flores, Saleem Khan, Rajit Narayan, Bradley D E Vries, Jon Hyett, Ritu Mogra

Abstract read
In one paragraph

Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Praneel KumarObstetrics Registrar, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.ORCID 0000-0002-7213-7597
Adrienne GordonNeonatologist, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.
Elizabeth FisherNeonatology Registrar, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.
Jose Garcia FloresObstetrician, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.
Saleem KhanData Scientist, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.
Rajit NarayanMaternal Fetal Medicine Specialist, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.
Bradley D E VriesObstetrician, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.ORCID 0000-0002-5620-0170
Jon HyettNeonatology Registrar, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.ORCID 0000-0001-8019-1289
Ritu MograHead of Department, Obstetric and Gynecological Ultrasound, Royal Prince Alfred Hospital, Women and Babies, Sydney, New South Wales, Australia.ORCID 0000-0001-5421-4694

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine third trimester ultrasound scans have been introduced in several maternity centres to increase detection of fetal growth disorders and improve perinatal outcomes.

aimsTo 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. MATERIALS AND

methodsA single-centre retrospective cohort study was conducted comparing a pre-policy cohort that received ultrasound scans measuring biometry and fetal Dopplers when deemed clinically necessary during the third trimester with a post-policy cohort in which all pregnant women were offered an ultrasound at 35-37 weeks 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-squared test.

resultsIn the pre-policy cohort, there were 4826 singleton deliveries ≥ 35 weeks gestation and 34% of these women received a third trimester scan, compared to 4499 deliveries in the post-policy 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 (37-38 + 6 weeks) increased (26.9% vs. 31.2%; p < 0.001) along with induction of labour (33.5% vs. 38.2%; p < 0.001). There was no decrease in stillbirths or adverse neonatal outcomes.

conclusionThe benefits of implementing routine third trimester scans in 'real-world' clinical practice remain unclear given these findings.

Indexed as

Fetal Growth RetardationPregnancy Trimester, ThirdUltrasonography, PrenatalAdultAustraliaFemaleFetal MacrosomiaHumansInfant, Large for Gestational AgeInfant, NewbornInfant, Small for Gestational AgePregnancyPregnancy OutcomePremature BirthRetrospective StudiesTertiary Care Centersfetal growth restrictionfetal macrosomiathird trimesterultrasound

Identifiers

PMID42053190
PMCPMC13127102

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.