Publications by authors named "Kylie Crawford"

Introduction: The aim of this study was to evaluate differences in circulating maternal placental biomarkers and fetoplacental Dopplers in women with diabetes mellitus in pregnancy (DIP) with prenatally identified small fetuses (defined as <20th centile for gestational age) compared to women with small fetuses without DIP.

Methods: This was a prospective cohort study of women with DIP with small infants compared to a non-diabetic cohort with similarly small fetuses. Multivariable logistic regression was used to evaluate the effect of DIP on placental biomarkers, fetoplacental Dopplers, and adverse perinatal outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • - The RidStress 2 trial is a phase III study investigating whether maternal oral sildenafil citrate during labor can reduce the need for emergency caesarean sections due to fetal distress in women with small for gestational age infants.
  • - The trial involves 660 women and aims to determine the effect of sildenafil citrate on cesarean rates, along with assessing cost-effectiveness and long-term child neurodevelopment.
  • - Ethics approval has been secured, and results will be shared through scientific presentations and publications, with the trial registered with relevant clinical trial authorities.
View Article and Find Full Text PDF

Introduction: The aim of this study was to evaluate the association between placental abnormalities, placental biomarkers, and fetoplacental Dopplers in a cohort of pregnancies complicated by fetal growth restriction (FGR). We also ascertained the risk of perinatal mortality, severe neurological morbidity, and severe non-neurological morbidity by type of placental abnormality.

Methods: This was a prospective cohort study.

View Article and Find Full Text PDF

: The utility of shear wave elastography (SWE) as an adjunct to ultrasound biometry and Doppler velocimetry for the examination of placental dysfunction and suboptimal fetal growth is unclear. To date, limited data exist correlating the mechanical properties of placentae with fetal growth. This study aimed to investigate the relationship between placental shear wave velocity (SWV) and ultrasound estimated fetal weight (EFW), and to ascertain if placental SWV is a suitable proxy measure of placental function in the surveillance of small-for-gestational-age (SGA) pregnancies.

View Article and Find Full Text PDF

Background: Yearling laryngeal function (YLF) is frequently assessed at the time of sale and the outcomes of these assessments can have significant economic implications. The YLF of horses that subsequently underwent a prosthetic laryngoplasty (PL) is unknown.

Objectives: We hypothesised horses with YLF ≥grade II.

View Article and Find Full Text PDF

Background: The aim of this study was to detail incidence rates and relative risks for severe adverse perinatal outcomes by birthweight centile categories in a large Australian cohort of late preterm and term infants.

Methods: This was a retrospective cohort study of singleton infants (≥34 weeks gestation) between 2000 and 2018 in Queensland, Australia. Study outcomes were perinatal mortality, severe neurological morbidity, and other severe morbidity.

View Article and Find Full Text PDF

Introduction: To assess the rate of change in soluble fms-like tyrosine kinase-1/placental growth factor (sFlt-1/PlGF) ratio and PlGF levels per week compared to a single sFlt-1/PlGF ratio or PlGF level to predict preterm birth for pregnancies complicated by fetal growth restriction.

Material And Methods: A prospective cohort study of pregnancies complicated by isolated fetal growth restriction. Maternal serum PlGF levels and the sFlt-1/PlGF ratio were measured at 4-weekly intervals from recruitment to delivery.

View Article and Find Full Text PDF

Background: The aim of this study was to ascertain risks of neonatal mortality, severe neurological morbidity and severe non-neurological morbidity related to the 5-min Apgar score in early term (37-38 weeks), full term (39-40 weeks), late term (41-41 weeks), and post term (≥42 weeks) infants.

Methods: This was a retrospective cohort study of 941,221 term singleton births between 2000 and 2018 in Queensland, Australia. Apgar scores at 5-min were categorized into five groups: Apgar 0 or 1, 2 or 3, 4-6, 7 or 8 and 9 or 10.

View Article and Find Full Text PDF

Objective: To assess the utility of placental growth factor (PlGF) levels and the soluble fms-like tyrosine kinase-1/placental growth factor (sFlt-1/PlGF) ratio to predict preterm birth (PTB) for infants with fetal growth restriction (FGR) and those appropriate for gestational age (AGA).

Design: Prospective, observational cohort study.

Setting: Tertiary maternity hospital in Australia.

View Article and Find Full Text PDF

Background: Globally, almost 30% of women report experiencing intimate partner violence. In Australia, intimate partner violence is estimated to affect 2.0% to 4.

View Article and Find Full Text PDF
Article Synopsis
  • Risk factors for stillbirth are often tied to issues with the placenta, which can result in smaller-than-expected infants and increase their risk for stillbirth.
  • The study sought to analyze how various risk factors contribute to stillbirth, particularly looking at how many of these risks are linked to the infants being small for their gestational age (SGA).
  • Data from over 925,000 births in Queensland, Australia, revealed that while stillbirth is rare, the occurrence is significantly higher among SGA infants, indicating that the risk of stillbirth is notably mediated through being small for gestational age, especially for younger mothers.
View Article and Find Full Text PDF
Article Synopsis
  • The study assesses the risks of stillbirth, neonatal mortality, and severe neonatal morbidity associated with expectant management versus delivery at term (37 weeks gestation) in singleton pregnancies.
  • Rates of stillbirth increased with gestational age, particularly in infants with low birth weight, highlighting that the risk of stillbirth is significantly higher as gestation progresses beyond 39 weeks.
  • The research concludes that the optimal timing for delivery should consider the increased risks of expectant management as gestation advances, especially for infants below the third birthweight centile.
View Article and Find Full Text PDF
Article Synopsis
  • Male infants tend to be heavier at birth than female infants but face higher risks of perinatal issues, highlighting a longstanding survival advantage for females.
  • The study aimed to analyze obstetric and perinatal outcomes based on infant sex, focusing on data from a large Australian cohort over 14 years.
  • Results showed that male infants had higher rates of neonatal mortality and severe morbidity compared to females, particularly after 35 weeks of gestation, revealing a concerning sex disparity in perinatal health outcomes.
View Article and Find Full Text PDF

Aims: The aim of this study was to evaluate the association of a low cerebroplacental ratio (CPR) with hypoxic ischaemic encephalopathy (HIE), severe neonatal morbidity (SNM) and perinatal mortality (PNM).

Methods: This was a retrospective cohort study of late-preterm and term births at Mater Mothers' Hospital, Brisbane, between 2016 and 2020. Study outcomes were HIE, PNM and SNM (a composite of severe acidosis, Apgar score less than four at 5 min, severe respiratory distress or need for significant cardiopulmonary resuscitation at birth).

View Article and Find Full Text PDF

Musculoskeletal injuries remain a global problem for the Thoroughbred racing industry and there is conflicting evidence regarding the effect of age on the incidence of injuries. The ideal time to commence race training is strongly debated, with limited supporting literature. There is also conflicting evidence regarding the effect of high-speed exercise on musculoskeletal injuries.

View Article and Find Full Text PDF

Worldwide, musculoskeletal injuries remain a major problem for the Thoroughbred racing industry. There is a strong interest in developing training and management strategies to reduce the impact of musculoskeletal injuries, however, progress has been limited by studies reporting conflicting findings, and a limited understanding of the role of different training methods in preventing injury. There is little data on patterns of rest periods and exercise data and how these vary between trainers.

View Article and Find Full Text PDF

Musculoskeletal injuries (MSI) continue to affect Thoroughbred racehorses internationally. There is a strong interest in developing training and management strategies to reduce their impact, however, studies of risk factors report inconsistent findings. Furthermore, many injuries and fatalities occur during training rather than during racing, yet most studies report racing data only.

View Article and Find Full Text PDF

There is international public concern regarding retirement of racehorses, including the reason for retirement and the outcome for horses after racing. However, there are currently no prospective studies investigating these factors. A recent independent inquiry in Queensland, Australia, highlighted that the true outcomes for horses after retirement from racing are largely unknown.

View Article and Find Full Text PDF

Despite over three decades of active research, musculoskeletal injuries (MSI) remain a global problem for the Thoroughbred (TB) racing industry. High-speed exercise history (HSEH) has been identified as an important risk factor for MSI. However, the nature of this relationship remains unclear, with an apparent protective effect of HSE against injury, before it becomes potentially harmful.

View Article and Find Full Text PDF

Musculoskeletal injuries (MSI) remain a concerning cause of racehorse morbidity and mortality with important ethical and welfare consequences. Previous research examining risk factors for MSI report inconsistent findings. Age is thought to affect MSI risk, but, to date, there have been no prospective studies comparing MSI in two-year-old versus older horses.

View Article and Find Full Text PDF