Publications by authors named "D C Ellwood"
Gestational Age-Specific Stillbirth Rates: Are We Using the Right Denominator?
Paediatr Perinat Epidemiol
December 2024
Article Synopsis
- Stillbirths happen globally every 17 seconds, leading to almost 2 million cases annually, and the common measure used, stillbirth rate, often overlooks important gestational age-specific trends.
- This study focused on analyzing stillbirth trends in Australia from 1998 to 2018, using three different methodologies to calculate stillbirth rates based on gestational age and risk: GS-SBR, FAR, and ccFAR.
- Results showed that the FAR and ccFAR measures provided a more accurate understanding of stillbirth risk as pregnancy progresses, highlighting distinct trends that could assist clinicians in their decision-making.
Support for parents and families after stillbirth and neonatal death.
Cochrane Database Syst Rev
November 2024
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To identify and assess the effect of support interventions focused on psychological, social, and emotional outcomes for bereaved parents (including birth and non-birthing mothers, fathers, partners) and family members of parents (e.g.
View Article and Find Full Text PDFArticle Synopsis
- The Safer Baby Bundle (SBB) initiative in Australia aimed to lower stillbirth rates by enhancing pregnancy care through five key practices, including smoking cessation and fetal monitoring.
- A study assessed changes in healthcare professionals' (HCPs) knowledge and women's experiences regarding pregnancy care before and after the SBB's implementation, surveying over 1,200 women and 1,400 HCPs.
- Results showed a significant increase in HCPs consistently applying best practices and improved conversations about stillbirth risk; however, progress in smoking cessation practices was less marked.
Introduction: There has been increased use of both induction of labor (IOL) and cesarean section for women with term pregnancies in many high-income countries, and a trend toward birth at earlier gestational ages. Existing evidence regarding the association between IOL and cesarean section for term pregnancies is mixed and conflicting, and little evidence is available on the differential effect at each week of gestation, stratified by parity.
Material And Methods: To explore the association between IOL and primary cesarean section for singleton cephalic pregnancies at term, compared with two definitions of expectant management (first: at or beyond the week of gestation at birth following IOL; and secondary: only beyond the week of gestation at birth following IOL), we performed analyses of population-based historical cohort data on women who gave birth in one Australian state (Queensland), between July 1, 2012 and June 30, 2018.