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4. Does fetal size affect maternal perception of fetal movements? Evidence from an individual participant data meta‐analysis

Author

Thompson, John M. D., primary, Heazell, Alexander E. P., additional, Cronin, Robin S., additional, Wilson, Jessica, additional, Li, Minglan, additional, Gordon, Adrienne, additional, Askie, Lisa M., additional, O'Brien, Louise M., additional, Raynes‐Greenow, Camille, additional, Stacey, Tomasina, additional, Mitchell, Edwin A., additional, McCowan, Lesley M. E., additional, and Bradford, Billie F., additional

Published
2023
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5. Fetal movements: A framework for antenatal conversations

Author

Bradford, Billie F., primary, Cronin, Robin S., additional, Warland, Jane, additional, Akselsson, Anna, additional, Rådestad, Ingela, additional, Heazell, Alexander EP, additional, McKinlay, Christopher J.D., additional, Stacey, Tomasina, additional, Thompson, John M.D., additional, and McCowan, Lesley M.E., additional

Published
2023
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7. Risk Factors for Late Preterm and Term Stillbirth: A Secondary Analysis of an Individual Participant Data Meta‐analysis

Author

Thompson, Raille A., primary, Thompson, John M. D., additional, Wilson, Jessica, additional, Cronin, Robin S., additional, Mitchell, Edwin A., additional, Raynes‐Greenow, Camille H., additional, Li, Minglan, additional, Stacey, Tomasina, additional, Heazell, Alexander E. P., additional, O’Brien, Louise M., additional, McCowan, Lesley M. E., additional, and Anderson, Ngaire H., additional

Published
2023
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9. A better understanding of the association between maternal perception of foetal movements and late stillbirth—findings from an individual participant data meta-analysis

Author

Thompson, John M. D., primary, Wilson, Jessica, additional, Bradford, Billie F., additional, Li, Minglan, additional, Cronin, Robin S., additional, Gordon, Adrienne, additional, Raynes-Greenow, Camille H., additional, Stacey, Tomasina, additional, Cullling, Vicki M., additional, Askie, Lisa M., additional, O’Brien, Louise M., additional, Mitchell, Edwin A., additional, McCowan, Lesley M. E., additional, and Heazell, Alexander E. P., additional

Published
2021
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10. Additional file 1 of A better understanding of the association between maternal perception of foetal movements and late stillbirth���findings from an individual participant data meta-analysis

Author

Thompson, John M. D., Wilson, Jessica, Bradford, Billie F., Li, Minglan, Cronin, Robin S., Gordon, Adrienne, Raynes-Greenow, Camille H., Stacey, Tomasina, Cullling, Vicki M., Askie, Lisa M., O���Brien, Louise M., Mitchell, Edwin A., McCowan, Lesley M. E., and Heazell, Alexander E. P.

Abstract

Additional file 1: Table S1. Description of studies included in the CRIBBS Individual Pooled Meta-Analysis. Table S2. Breakdown of numbers in the IPD analysis by individual study for fetal movement variables. Table S3. Sensitivity analysis excluding STARS study from the multivariable model.

Published
2021
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11. Additional file 3 of A better understanding of the association between maternal perception of foetal movements and late stillbirth���findings from an individual participant data meta-analysis

Author

Thompson, John M. D., Wilson, Jessica, Bradford, Billie F., Li, Minglan, Cronin, Robin S., Gordon, Adrienne, Raynes-Greenow, Camille H., Stacey, Tomasina, Cullling, Vicki M., Askie, Lisa M., O���Brien, Louise M., Mitchell, Edwin A., McCowan, Lesley M. E., and Heazell, Alexander E. P.

Subjects
embryonic structures, food and beverages
Abstract

Additional file 3: Figure S1. Prevalence of change perception of fetal movements, hiccups and vigorous movements by gestational age in women who experienced a stillbirth. A) Percentage of cases according to the prioritised strength and frequency of fetal movements, B) Percentage of cases with hiccups and vigorous fetal movements in the last 2 weeks.

Published
2021
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12. Additional file 2 of A better understanding of the association between maternal perception of foetal movements and late stillbirth���findings from an individual participant data meta-analysis

Author

Thompson, John M. D., Wilson, Jessica, Bradford, Billie F., Li, Minglan, Cronin, Robin S., Gordon, Adrienne, Raynes-Greenow, Camille H., Stacey, Tomasina, Cullling, Vicki M., Askie, Lisa M., O���Brien, Louise M., Mitchell, Edwin A., McCowan, Lesley M. E., and Heazell, Alexander E. P.

Subjects
genetic structures
Abstract

Additional file 2. SAS code for multivariable model to assess the independent effects of perception of fetal movements, with explanation of purpose of lines of code.

Published
2021
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14. Associations between symptoms of sleep-disordered breathing and maternal sleep patterns with late stillbirth: Findings from an individual participant data meta-analysis

Author

Cronin, Robin S., primary, Wilson, Jessica, additional, Gordon, Adrienne, additional, Li, Minglan, additional, Culling, Vicki M., additional, Raynes-Greenow, Camille H., additional, Heazell, Alexander E. P., additional, Stacey, Tomasina, additional, Askie, Lisa M., additional, Mitchell, Edwin A., additional, Thompson, John M. D., additional, McCowan, Lesley M. E., additional, and O’Brien, Louise M., additional

Published
2020
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16. Association of Supine Going-to-Sleep Position in Late Pregnancy With Reduced Birth Weight

Author

Anderson, Ngaire H., primary, Gordon, Adrienne, additional, Li, Minglan, additional, Cronin, Robin S., additional, Thompson, John M. D., additional, Raynes-Greenow, Camille H., additional, Heazell, Alexander E. P., additional, Stacey, Tomasina, additional, Culling, Vicki M., additional, Wilson, Jessica, additional, Askie, Lisa M., additional, Mitchell, Edwin A., additional, and McCowan, Lesley M. E., additional

Published
2019
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17. The Collaborative IPD of Sleep and Stillbirth (Cribss) - an Individual Participant Data Meta-Analysis study protocol

Author

Li, Minglan, Thompson, John M D, Cronin, Robin S, Gordon, Adrienne, Raynes-Greenow, Camille, Heazell, Alexander, Stacey, Tomasina, Culling, Vicki, Bowring, Victoria, Mitchell, Edwin A, McCowan, Lesley M E, and Askie, Lisa

Subjects
education
Abstract

Introduction Accumulating evidence has shown an association between maternal supine going-to-sleep position and stillbirth in late pregnancy. Advising women not to go-to-sleep on their back can potentially reduce late stillbirth rate by 9%. However, the association between maternal right-sided going-to-sleep position and stillbirth is inconsistent across studies. Furthermore, individual studies are underpowered to investigate interactions between maternal going-to-sleep position and fetal vulnerability, which is potentially important for producing clear and tailored public health messages on safe going-to-sleep position. We will use individual participant data (IPD) from existing studies to assess whether right-side and supine going-to-sleep positions are independent risk factors for late stillbirth and to test the interaction between going-to-sleep position and fetal vulnerability.Methods and analysis An IPD meta-analysis approach will be used using the Cochrane Collaboration-endorsed methodology. We will identify case–control and prospective cohort studies and randomised trials which collected maternal going-to-sleep position data and pregnancy outcome data that included stillbirth. The primary outcome is stillbirth. A one stage procedure meta-analysis, stratified by study with adjustment of a priori confounders will be carried out.Ethics and dissemination The IPD meta-analysis has obtained central ethics approval from the New Zealand Health and Disability Ethics Committee, ref: NTX/06/05/054/AM06. Individual studies should also have ethical approval from relevant local ethics committees. Interpretation of the results will be discussed with consumer representatives. Results of the study will be published in peer-reviewed journals and presented at international conferences.

Published
2018

20. The Collaborative IPD of Sleep and Stillbirth (Cribss): is maternal going-to-sleep position a risk factor for late stillbirth and does maternal sleep position interact with fetal vulnerability? An individual participant data meta-analysis study protocol

Author

Li, Minglan, primary, Thompson, John M D, additional, Cronin, Robin S, additional, Gordon, Adrienne, additional, Raynes-Greenow, Camille, additional, Heazell, Alexander E P, additional, Stacey, Tomasina, additional, Culling, Vicki, additional, Bowring, Victoria, additional, Mitchell, Edwin A, additional, McCowan, Lesley M E, additional, and Askie, Lisa, additional

Published
2018
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24. Going to sleep in the supine position is a modifiable risk factor for late pregnancy stillbirth; Findings from the New Zealand multicentre stillbirth case-control study

Author

McCowan, Lesley M. E., primary, Thompson, John M. D., additional, Cronin, Robin S., additional, Li, Minglan, additional, Stacey, Tomasina, additional, Stone, Peter R., additional, Lawton, Beverley A., additional, Ekeroma, Alec J., additional, and Mitchell, Edwin A., additional

Published
2017
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25. The Collaborative IPD of Sleep and Stillbirth (Cribss): is maternal going-tosleep position a risk factor for late stillbirth and does maternal sleep position interact with fetal vulnerability? An individual participant data meta-analysis study protocol.

Author

Minglan Li, Thompson, John M. D., Cronin, Robin S., Gordon, Adrienne, Raynes-Greenow, Camille, Heazell, Alexander E. P., Stacey, Tomasina, Culling, Vicki, Bowring, Victoria, Mitchell, Edwin A., McCowan, Lesley M. E., and Askie, Lisa

Abstract

Introduction Accumulating evidence has shown an association between maternal supine going-to-sleep position and stillbirth in late pregnancy. Advising women not to go-to-sleep on their back can potentially reduce late stillbirth rate by 9%. However, the association between maternal right-sided going-to-sleep position and stillbirth is inconsistent across studies. Furthermore, individual studies are underpowered to investigate interactions between maternal going-to-sleep position and fetal vulnerability, which is potentially important for producing clear and tailored public health messages on safe goingto- sleep position. We will use individual participant data (IPD) from existing studies to assess whether right-side and supine going-to-sleep positions are independent risk factors for late stillbirth and to test the interaction between going-to-sleep position and fetal vulnerability. Methods and analysis An IPD meta-analysis approach will be used using the Cochrane Collaboration-endorsed methodology. We will identify case-control and prospective cohort studies and randomised trials which collected maternal going-to-sleep position data and pregnancy outcome data that included stillbirth. The primary outcome is stillbirth. A one stage procedure meta-analysis, stratified by study with adjustment of a priori confounders will be carried out. Ethics and dissemination The IPD meta-analysis has obtained central ethics approval from the New Zealand Health and Disability Ethics Committee, ref: NTX/06/05/054/AM06. Individual studies should also have ethical approval from relevant local ethics committees. Interpretation of the results will be discussed with consumer representatives. Results of the study will be published in peer-reviewed journals and presented at international conferences. [ABSTRACT FROM AUTHOR]

Published
2018
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26. Fetal movements: A framework for antenatal conversations

Author

Billie F. Bradford, Robin S. Cronin, Jane Warland, Anna Akselsson, Ingela Rådestad, Alexander EP Heazell, Christopher J.D. McKinlay, Tomasina Stacey, John M.D. Thompson, Lesley M.E. McCowan, Bradford, Billie F, Cronin, Robin S, Warland, Jane, Akselsson, Anna, Rådestad, Ingela, Heazell, Alexander E P, McKinlay, Christopher J D, Stacey, Tomasina, Thompson, John M D, and McCowan, Lesley M E

Subjects
prenatal, pregnancy outcome, Maternity and Midwifery, Obstetrics and Gynecology, fetal movements, pregnancy, foetal, antenatal
Abstract

usc Background: Presentations for decreased fetal movements comprise a significant proportion of acute antenatal assessments. Decreased fetal movements are associated with increased likelihood of adverse pregnancy outcomes including stillbirth. Consensus-based guidelines recommend pregnant women routinely receive information about fetal movements, but practice is inconsistent, and the information shared is frequently not evidence-based. There are also knowledge gaps about the assessment and management of fetal movement concerns. Women have indicated that they would like more accurate information about what to expect regarding fetal movements. Discussion: Historically, fetal movement information has focussed on movement counts. This is problematic, as the number of fetal movements perceived varies widely between pregnant women, and no set number of movements has been established as a reliable indicator of fetal wellbeing. Of late, maternity care providers have also advised women to observe their baby’s movement pattern, and promptly present if they notice a change. However, normal fetal movement patterns are rarely defined. Recently, a body of research has emerged relating to maternal perception of fetal movement features such as strength, presence of hiccups, and diurnal pattern as indicators of fetal wellbeing in addition to frequency. Conclusion: Sharing comprehensive and gestation-appropriate information about fetal movements may be more satisfying for women, empowering women to identify for themselves when their baby is doing well, and importantly when additional assessment is needed. We propose a conversational approach to fetal movement information sharing, focusing on fetal movement strength, frequency, circadian pattern, and changes with normal fetal development, tailored to the individual. Refereed/Peer-reviewed

Published
2022

27. Risk factors for late preterm and term stillbirth: A secondary analysis of an individual participant data meta-analysis.

Author

Thompson RA, Thompson JMD, Wilson J, Cronin RS, Mitchell EA, Raynes-Greenow CH, Li M, Stacey T, Heazell AEP, O'Brien LM, McCowan LME, and Anderson NH

Subjects
Infant, Newborn, Pregnancy, Female, Humans, Risk Factors, Maternal Age, Parity, Stillbirth epidemiology, Stillbirth psychology, Prenatal Care psychology
Abstract

Objective: Identify independent and novel risk factors for late-preterm (28-36 weeks) and term (≥37 weeks) stillbirth and explore development of a risk-prediction model., Design: Secondary analysis of an Individual Participant Data (IPD) meta-analysis investigating modifiable stillbirth risk factors., Setting: An IPD database from five case-control studies in New Zealand, Australia, the UK and an international online study., Population: Women with late-stillbirth (cases, n = 851), and ongoing singleton pregnancies from 28 weeks' gestation (controls, n = 2257)., Methods: Established and novel risk factors for late-preterm and term stillbirth underwent univariable and multivariable logistic regression modelling with multiple sensitivity analyses. Variables included maternal age, body mass index (BMI), parity, mental health, cigarette smoking, second-hand smoking, antenatal-care utilisation, and detailed fetal movement and sleep variables., Main Outcome Measures: Independent risk factors with adjusted odds ratios (aOR) for late-preterm and term stillbirth., Results: After model building, 575 late-stillbirth cases and 1541 controls from three contributing case-control studies were included. Risk factor estimates from separate multivariable models of late-preterm and term stillbirth were compared. As these were similar, the final model combined all late-stillbirths. The single multivariable model confirmed established demographic risk factors, but additionally showed that fetal movement changes had both increased (decreased frequency) and reduced (hiccoughs, increasing strength, frequency or vigorous fetal movements) aOR of stillbirth. Poor antenatal-care utilisation increased risk while more-than-adequate care was protective. The area-under-the-curve was 0.84 (95% CI 0.82-0.86)., Conclusions: Similarities in risk factors for late-preterm and term stillbirth suggest the same approach for risk-assessment can be applied. Detailed fetal movement assessment and inclusion of antenatal-care utilisation could be valuable in late-stillbirth risk assessment., (© 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)

Published
2023
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