Publications by authors named "R Stoke"
Maternal perception of decreased fetal movements is independent of infant size.
Ultrasound Obstet Gynecol
July 2024
Objective: Fetal movements are often used as a surrogate for fetal wellbeing. Previous research suggests a link between maternal perception of decreased fetal movements (DFM) and small-for-gestational-age (SGA) infants. The aim of this study was to investigate the association between maternal presentation with DFM and birth-weight centile categories at a large Australian perinatal center.
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- Neonatal hypoxic ischaemic encephalopathy (HIE) is a serious condition affecting newborns, leading to high mortality and long-term health issues, prompting this study to explore its key causes.
- Conducted at Mater Mothers' Hospital in Brisbane from 2016 to 2020, the study used statistical methods to analyze data on births to identify maternal and intrapartum factors linked to moderate and severe cases of HIE.
- Results showed that factors like being a first-time mother, having type 1 diabetes, and experiencing emergency cesarean deliveries were associated with higher chances of HIE, while certain neonatal factors also contributed, revealing areas for potential intervention in care.
Objectives: Fetal growth restriction (FGR) is often secondary to placental dysfunction and is suspected prenatally based on biometric or circulatory abnormalities detected on ultrasound. The aims of this study were to compare the screening performance of the Society for Maternal-Fetal Medicine (SMFM) biometric criteria (estimated fetal weight (EFW) or abdominal circumference (AC) < 10 centile) with that of the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)-endorsed Delphi consensus criteria for late FGR for delivery of a small-for-gestational-age (SGA) infant at term, emergency Cesarean section (CS) for non-reassuring fetal status (NRFS), perinatal mortality and composite severe neonatal morbidity.
Methods: We classified retrospectively non-anomalous singleton infants as having late FGR (diagnosed ≥ 32 weeks) according to SMFM and ISUOG/Delphi criteria in a cohort of women who had been referred to the Mater Mother's Hospital, Brisbane, Australia and who delivered at term between January 2014 and December 2020.