Show simple item record

dc.contributor.authorFlenady, V
dc.contributor.authorGardener, G
dc.contributor.authorBoyle, FM
dc.contributor.authorCallander, E
dc.contributor.authorCoory, M
dc.contributor.authorEast, C
dc.contributor.authorEllwood, D
dc.contributor.authorGordon, A
dc.contributor.authorGroom, KM
dc.contributor.authorMiddleton, PF
dc.contributor.authorNorman, JE
dc.contributor.authorWarrilow, KA
dc.contributor.authorWeller, M
dc.contributor.authorWojcieszek, AM
dc.contributor.authorCrowther, C
dc.date.accessioned2019-12-11T01:12:53Z
dc.date.available2019-12-11T01:12:53Z
dc.date.issued2019
dc.identifier.issn1471-2393
dc.identifier.doi10.1186/s12884-019-2575-1
dc.identifier.urihttp://hdl.handle.net/10072/389646
dc.description.abstractBACKGROUND: Stillbirth is a devastating pregnancy outcome that has a profound and lasting impact on women and families. Globally, there are over 2.6 million stillbirths annually and progress in reducing these deaths has been slow. Maternal perception of decreased fetal movements (DFM) is strongly associated with stillbirth. However, maternal awareness of DFM and clinical management of women reporting DFM is often suboptimal. The My Baby's Movements trial aims to evaluate an intervention package for maternity services including a mobile phone application for women and clinician education (MBM intervention) in reducing late gestation stillbirth rates. METHODS/DESIGN: This is a stepped wedge cluster randomised controlled trial with sequential introduction of the MBM intervention to 8 groups of 3-5 hospitals at four-monthly intervals over 3 years. The target population is women with a singleton pregnancy, without lethal fetal abnormality, attending for antenatal care and clinicians providing maternity care at 26 maternity services in Australia and New Zealand. The primary outcome is stillbirth from 28 weeks' gestation. Secondary outcomes address: a) neonatal morbidity and mortality; b) maternal psychosocial outcomes and health-seeking behaviour; c) health services utilisation; d) women's and clinicians' knowledge of fetal movements; and e) cost. 256,700 births (average of 3170 per hospital) will detect a 30% reduction in stillbirth rates from 3/1000 births to 2/1000 births, assuming a significance level of 5%. Analysis will utilise generalised linear mixed models. DISCUSSION: Maternal perception of DFM is a marker of an at-risk pregnancy and commonly precedes a stillbirth. MBM offers a simple, inexpensive resource to reduce the number of stillborn babies, and families suffering the distressing consequences of such a loss. This large pragmatic trial will provide evidence on benefits and potential harms of raising awareness of DFM using a mobile phone app. TRIAL REGISTRATION: ACTRN12614000291684. Registered 19 March 2014. VERSION: Protocol Version 6.1, February 2018.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom430: 1
dc.relation.ispartofpageto430: 11
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Pregnancy and Childbirth
dc.relation.ispartofvolume19
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1114
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1117
dc.subject.keywordsBest practice
dc.subject.keywordsDecreased fetal movements
dc.subject.keywordsMaternity care
dc.subject.keywordsMobile phone application
dc.subject.keywordsStillbirth
dc.titleMy Baby's Movements: a stepped wedge cluster randomised controlled trial to raise maternal awareness of fetal movements during pregnancy study protocol
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationFlenady, V; Gardener, G; Boyle, FM; Callander, E; Coory, M; East, C; Ellwood, D; Gordon, A; Groom, KM; Middleton, PF; Norman, JE; Warrilow, KA; Weller, M; Wojcieszek, AM; Crowther, C, My Baby's Movements: a stepped wedge cluster randomised controlled trial to raise maternal awareness of fetal movements during pregnancy study protocol, BMC Pregnancy and Childbirth, 2019, 19 (1), pp. 430: 1-430: 11
dcterms.dateAccepted2019-10-31
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2019-12-10T04:18:01Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorCallander, Emily J.
gro.griffith.authorEllwood, David A.


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record