Reducing Childbirth Related Fear And Preference For Caesarean Section: A RCT Of A Midwife-led Psycho-education Intervention (APRIME)
Funder
National Health and Medical Research Council
Funding Amount
$487,116.00
Summary
In 2008 34% of mothers had a caesarean section in Queensland. Women who are fearful are more likely to want and have a surgical delivery. We will recruit and train midwives to provide counselling and education about birth choices to fearful women during pregnancy. Our program (APRIME) enables women to work through fearful elements of childbirth, review their expectations/ experiences and develop a realistic plan. We predict that women receiving APRIME will report less fear and prefer a normal bi ....In 2008 34% of mothers had a caesarean section in Queensland. Women who are fearful are more likely to want and have a surgical delivery. We will recruit and train midwives to provide counselling and education about birth choices to fearful women during pregnancy. Our program (APRIME) enables women to work through fearful elements of childbirth, review their expectations/ experiences and develop a realistic plan. We predict that women receiving APRIME will report less fear and prefer a normal birth.Read moreRead less
Investigating The Relationship Between Depression, Anxiety And Nausea And Vomiting During Pregnancy: Causation Or Shared Liability?
Funder
National Health and Medical Research Council
Funding Amount
$600,874.00
Summary
Recent studies showing women who experience severe Nausea and vomiting during pregnancy (NVP) have higher rates of Anxiety and Depression prior to pregnancy have revived earlier hypotheses that NVP may have a psychogenic component. We hypothesize that Anxiety and Depression do not play a causal role in NVP but rather, the relationship is due to shared risk from genetic effects that influence both traits. We will test this hypothesis using genetic and epidemiological approaches.
Improving Primary Care For Aboriginal Mothers And Babies In The Kimberley Region Of Western Australia: A Population And Region Based Cluster Randomised Trial Driven By Local Health Service Providers
Funder
National Health and Medical Research Council
Funding Amount
$2,043,581.00
Summary
Over 50% of remote area Aboriginal mothers and 60% of breastfed infants have micronutrient malnutrition and other severe morbidities. A population based trial of a new locally driven model to improve the quality of maternal primary care will be undertaken. The primary outcome measure is improved iron deficiency anaemia in infants aged 6 months. The results will be used to develop improved primary care models and to improve health outcomes for all Aboriginal mothers and infants.
Midwives And Obstetricians Helping Mothers To Quit - The MOHMQuit Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,035,071.00
Summary
Smoking is the most important preventable cause of negative pregnancy outcomes. These outcomes are reduced if pregnant women stop smoking. Unfortunately, delivery of quitting support by health care professionals is currently poor. In this project we will trial an innovative program, MOHMQuit, which uses a whole-of-system approach to improve support provided to pregnant smokers and thus increase quitting among this critical group.
Vaginal Microbial Biomarkers For The Prevention Of Preterm Birth
Funder
National Health and Medical Research Council
Funding Amount
$579,763.00
Summary
Preterm birth is the leading cause of death and disability in children under 5 years of age. Bacterial infection triggers most preterm births but conventional antibiotic therapies are unsuccessful as a preventative treatment. We have a powerful new treatment, solithromycin, that should eradicate these infections, but to date, we are unable to identify women who would qualify for treatment. This study aims to use vaginal microbiological characteristics to identify early in pregnancy those women
My Baby's Movements: A Stepped Wedged Cluster Randomised Trial Of Maternal Awareness And Reporting Of Decreased Fetal Movements To Reduce Stillbirth
Funder
National Health and Medical Research Council
Funding Amount
$1,431,444.00
Summary
Stillbirth is devastating for parents and families. Many stillbirths occur late in pregnancy due to deteriorating health of the baby that can be detected by the mother through a decrease in the baby’s movements. 'My Baby's Movements’ is a personalised, user-controlled and interactive mobile phone tool provided as part of routine care to pregnant women to promote general awareness of their baby’s movements. This trial aims to reduce stillbirth rates by early reporting of decreased movements.
A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.