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Congratulations to Still Aware board member Associate Professor Jane Warland and Still Aware clinical advisor Professor Alexander Heazell and worldwide collaborators on your published research findings.
Click here for PDF on information compiled from published research data. Please note, through prenatal care, an expectant families individual history should be considered and a conversation relating to potential risk factors is suggested.
PWC for the Stillbirth Foundation
BACKGROUND: A large proportion of stillbirths are unexplained. In 2012, the number of unexplained antepartum deaths was 20.4%. 3 This lack of clarity complicates the implementation of effective interventions to reduce the rate and effects of stillbirth.
Objective: To determine if maternal country of birth is associated with the risk of antepartum stillbirth in late pregnancy.
Conclusion: Women born in South Asia have an increased risk of antepartum stillbirth in late pregnancy, compared with other women. This observation may have implications for the delivery of pregnancy care in Australia.
Click here for PDF advice compiled for government and endorsed by like minded organisations
Click here for PDF of clinical guideline produced by a multidisciplinary working group led by the Mater Research Institute, University of Queensland, Brisbane, Australia, under the auspices of the Stillbirth and Neonatal Death Alliance (SANDA) of the Perinatal Society of Australia and New Zealand (PSANZ). Endorsed by:Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG); Australian College of Midwives (ACM); Stillbirth Foundation Australia; Australian National Council for Stillbirth and Neonatal Death Support (SANDS); Red Nose; and Still Aware.
Click here for PDF of flow chart of care pathway for women presenting with DFM from 28 weeks gestation. (Gardener et al. page 6)
Jane Warland & Jillian Dorrian
BACKGROUND: There is emerging research to suggest that supine maternal sleep position in late pregnancy may adversely affect fetal wellbeing. However, these studies have all been based on maternal report of sleeping position. Before recommendations to change sleep position can be made it is important to determine the validity of these studies by investigating how accurate pregnant women are in reporting their sleep position. If avoiding the supine sleeping position reduces risk of poor pregnancy outcome, it is also important to know how well women can comply with the instruction to avoid this position and sleep on their left.
CONCLUSION: On average participant reports of sleep position were relatively accurate but there were large individual differences in reporting accuracy and in objectively-determined time on left side. Night-to-night consistency was substantial. For those who do not ordinarily sleep on that side, asking participants to sleep on their left may result in reduced sleep duration. This is an important consideration during a sleep-critical time such as late pregnancy.
New Zealand multi centre stillbirth case-control study
Lesley M. E. McCowan, John M. D. Thompson, Robin S. Cronin, Minglan Li, Tomasina Stacey, Peter R. Stone, Beverley A. Lawton, Alec J. Ekeroma, Edwin, A. Mitchell
CONCLUSION: Supine going-to-sleep position is associated with a 3.7 fold increase in overall late stillbirth
risk, independent of other common risk factors. A public health campaign encouraging
women not to go-to-sleep supine in the third trimester has potential to reduce late stillbirth
by approximately 9%.
Louise M. O’Brien & Jane Warland
Australian Institute of Health and Welfare
The AIHW reported that in 2014 there were 2,200 were stillbirths of which 51% were boys and 49% were girls/ 5.3% of which were Aboriginal and/or Torres Strait Islander.
National Centre for Immunisation Research & Surveillance (NCIRS)
Studies show, vaccines in pregnant women that there is no increased risk of adverse pregnancy outcomes (such as stillbirth, fetal distress or low birth weight) related to pertussis vaccination during pregnancy.
Australian Institute of Health & Welfare
This first Australian report of stillbirths examines the association of maternal, pregnancy and birth factors with stillbirth. The report makes use of the extensive data about pregnancy and birth that have been collected in all states and territories since 1991.