Experiences of antenatal care practices to reduce stillbirth: surveys of women and healthcare professionals pre-post implementation of the Safer Baby Bundle

The Safer Baby Bundle (SBB) aimed to reduce stillbirth rates in Australia through improving pregnancy care across five elements; smoking cessation, fetal growth restriction (FGR), decreased fetal movements (DFM), side sleeping in late pregnancy and decision making around timing of birth. We assessed...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2024-08, Vol.24 (1), p.520-14, Article 520
Main Authors: Andrews, Christine, Boyle, Frances M, Pade, Ashley, Middleton, Philippa, Ellwood, David, Gordon, Adrienne, Davies-Tuck, Miranda, Homer, Caroline, Griffin, Alison, Nicholl, Michael, Sketcher-Baker, Kirstine, Flenady, Vicki
Format: Article
Language:English
Subjects:
Adult
Antenatal care
Australia
Best practice
Care bundle
Female
Fetal Growth Retardation - prevention & control
Fetal Movement
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Maternal child nursing
Medical personnel
Midwifery
Online instruction
Patient Care Bundles
Pregnancy
Prenatal care
Prenatal Care - methods
Professionals
Research ethics
Smoking Cessation - methods
Social networks
Stillbirth
Stillbirth - epidemiology
Stillbirth prevention
Survey
Surveys and Questionnaires
Teams
Variables
Womens health
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Summary:The Safer Baby Bundle (SBB) aimed to reduce stillbirth rates in Australia through improving pregnancy care across five elements; smoking cessation, fetal growth restriction (FGR), decreased fetal movements (DFM), side sleeping in late pregnancy and decision making around timing of birth. We assessed experiences of women and healthcare professionals (HCPs) with antenatal care practices around the five elements. A pre-post study design using online surveys was employed to assess change in HCPs awareness, knowledge, and frequency of performing recommended practices (22 in total) and women's experiences of care received related to reducing their chance of stillbirth. Women who had received antenatal care and HCPs (midwives and doctors) at services participating in the SBB implementation program in two Australian states were invited to participate. Surveys were distributed over January to July 2020 (pre) and August to December 2022 (post). Comparison of pre-post responses was undertaken using Fisher's exact, Pearson's chi-squared or Wilcoxon rank-sum tests. 1,225 women (pre-1096/post-129) and 1,415 HCPs (pre-1148/post-267, ≥ 83% midwives) completed the surveys. The frequency of HCPs performing best practice 'all the time' significantly improved post-SBB implementation across all elements including providing advice to women on side sleeping (20.4-79.4%, p 
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-024-06712-8