Welcome to the April 2010 issue.
In this issue:
RECENT PSANZ CONGRESS
650 participants enjoyed the recent 14th Annual, PSANZ Congress. Attendees came from multidisciplinary fields of perinatal care, including: scientists, obstetricians, midwives, neonatologists, neonatal nurses and epidemiologists.
The theme for the Congress this year was Specialties working together to ensure optimal long term outcomes. There was a focus on the manner in which early perinatal influences can have implications for these outcomes.
For a full list of oral and poster abstracts, see: http://www3.interscience.wiley.com/journal/123314661/issue
RCTs (IN PLANNING) PRESENTED AT IMPACT (PSANZ) MEETING
Bach KP, Alix SM, Bloomfield FH. Clinical pilot study: does bias gas flow rate in ventilated preterm babies affect lung injury or the risk of BPD?
Birch P, Armstrong R. Budesonide in poractant for the prevention of preterm chronic lung disease.
Crowther C, Haslam R, Middleton P. Prenatal magnesium sulphate for women at risk of preterm birth between 30 to 34 weeks gestation – to use or not? A randomised controlled trial.
East C, Forster D, Said J, Sherbum, Davey MA, Nagle C. PeriCOOL: Randomised controlled trial comparing two cooling regimens for the relief of perineal pain following childbirth.
Grivell RM, Dodd JM, Dickinson J, Andersen C, Ryan G, Windrim RC. Fetal cerebral artery Doppler velocimetry to determine the timing of second and subsequent fetal blood transfusions in the treatment of fetal anaemia secondary to red cell alloimmunisation: A randomised trial.
Phipps H, De Vries B, Graham K, Hyett J. Persistent Occipito-Posterior Position: outcomes following manual rotation (The POP-OUT Study)
Tarnow-Mordi W, Manzoni P, Isaacs D, Dutta S. Can we LIFT global survival in VLBW infants? The Lactoferrin Infant Feeding Trial.
RECENT PUBLICATIONS
Halford WK, Petch J, Creedy. Promoting a positive transition to parenthood: a randomised clinical trial of couple relationship education. Prev Sci (2010) 11:89-100
McDonald SJ, Henderson JJ, Faulkner S, Evans SF, Hagan R. Effect of an extended midwifery postnatal support programme on the duration of breast feeding: A randomised controlled trial. Midwifery (2010) 26:1;88-100.
Raynes-Greenow CH, Nassar N, Torvaldsen S, Trevena L, Roberts CL. Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet. ICTRN52287533.
BMC Pregnancy and Childbirth 2010, 10:15 (8 April 2010)
Smithers LG, Collins CT, Simmonds LA, Gibson RA, McPhee A, Makrides M. Feeding preterm infants milk with a higher dose of docosahexaenoic acid than that used in current practice does not influence language or behavior in early childhood: a follow-up study of a randomized controlled trial. Am J Clin Nutr 2010 Mar; 91(3):628-34
ITEM OF INTEREST
How an idea became an RCT: Participation in a WOMBAT Protocol Development Workshop
From an idea to a PhD – The Journey:
Persistent occipito-posterior position: Outcomes following manual rotation
(the POP-OUT study)
My PhD journey started when attending a WOMBAT protocol development workshop in September 2007. We needed to come up with an idea for a study to explore the association between occipito-posterior positioning (OP) of a baby during the second stage of labour on delivery outcomes and methods for improving delivery outcomes was a topic that interested us strongly
The WOMBAT workshop facilitators invited us to present our Protocol as a work in progress at the IMPACT workshop the following day. This presentation generated much discussion and inspired myself and colleagues, to seriously consider undertaking a randomised controlled trial. As the design of the study was evolving, the idea of taking on the study for my doctoral studies had been niggling at me until I finally realized that the time was right for me to proceed with a PhD.
The aim of my PhD is to explore methods for increasing the normal vaginal delivery rate in pregnancies affected by OP positioning during the second stage of labour. Caesarean section and instrumental delivery (operative delivery) are associated with significant maternal morbidity. Rotational procedures have long been used, but are not routinely practised by many health professionals.
The methods will include a:
1. Survey obstetricians in Australia and New Zealand to determine current obstetric practice
2. Cochrane Systematic Review on rotational procedures used in labour for reducing operative delivery
3. RCT to investigate the effect of manual rotation in second stage of labour versus routine practice on the incidence in operative delivery (caesar
ean section or instrumental delivery) for babies lying in an occipito-posterior position during the second stage of labour
To date, the thesis topic has been accepted by the University of Sydney Faculty of Medicine and supervisors for my thesis have also been organised.
Recently I was awarded the Dr. Albert McKern Scholarship through the Faculty of Medicine, Department of Obstetrics and Gynaecology which will help me enormously in undertaking the study.
The excitement I feel with my journey so far has been amazing. For me it’s been a dream come true! My advice to anyone contemplating undertaking a PhD is that “nothing is impossible and where there is a will there is a way!”
Hala Phipps
Research Midwife
Royal Prince Alfred Mothers and Babies
02 95156979 Pager:81157
Email: hala.phipps@email.cs.nsw.gov.au
ALL TRIALS REQUIRING COLLABORATING CENTRES
A*STEROID: Australasian Antenatal Study to Evaluate the Role Of Intramuscular Dexamethasone versus betamethasone prior to preterm birth to increase survival free of neurosensory disability: a randomised controlled trial
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email pat.ashwood@adelaide.edu.au
APTS: Australian Placental Transfusion Study
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email lsebastian@ctc.usyd.edu.au
A study of Aminophylline for infants less than 12 months of age with bronchiolitis, requiring admission to intensive care
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email carmel.delzoppo@rch.org.au
BOOST II: Benefits of Oxygen Saturation Targeting Study
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email boost2@ctc.usyd.edu.au
Cervical occlusion in women with cervical insufficiency
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email deemccormack@hotmail.com or visit the trial homepage: www.cervicalocclusion.com
DETECT: Ductal Echocardiographic Targeting and Early Closure Trial
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email mkluckow@med.usyd.edu.au
Fetal Middle Cerebral Artery (MCA) Doppler to time second and subsequent transfusions for women with red cell alloimmunisation: a randomised trial
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email Jodie.dodd@adelaide.edu.au
GAS Study: A multi-site randomised controlled trial comparing bupivacaine (regional) anaesthesia versus sevoflurane (general) anaesthesia for effects on neurodevelopmental outcome and apnoea in infants scheduled for unilateral or bilateral inguinal hernia repair
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email suzette.sheppard@mcri.edu.au
IDEAL: Investigation of dietary advice and lifestyle for women with borderline gestational diabetes
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email ideal@adelaide.edu.au
PPROMT Trial: Preterm Pre-Labour Rupture of Membranes Close to Term Trial
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email ppromt@med.usyd.edu.au
PROGRESS Trial: Progesterone after previous preterm birth for the prevention of neonatal respiratory distress syndrome
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or email progress@adelaide.edu.au
TWINS: Timing of Birth at Term – a randomised controlled trial
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or http://www.health.adelaide.edu.au/og/research/mpctu.html or email twins@adelaide.edu.au
TRIALS WITH THE COORDINATING BASE OVERSEAS
CHIPS Trial: Control of Hypertension in Pregnancy Study
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or http://www.utoronto.ca/cmicr/chips/ or contact Jennifer Menzies at chips@cw.bc.ca
PLUTO: Percutaneous Shunting for lower-urinary tract obstruction
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or visit http//www.pluto.bham.ac.uk or email Prof Mark Kilby at m.d.kilby@bham.ac.uk
TBS: Twin Birth Study
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or www.utoronto.ca/miru/tbs
or email tbs@sw.ca
TIPPS: Thrombophilia In Pregnancy Prophylaxis Study: a muticentre, multinational randomised controlled trial of prophylactic low molecular weight heparin in high-risk pregnant thrombophilic women
If you would like more information on becoming involved in this trial visit the WOMBAT maternal and perinatal trials page or http://www.healthypregnancy.ca or email amclement@ohri.ca
The WOMAN (World Maternal Antifibrinolytic Trial) Tranexamic Acid for the Treatment of Postpartum Haemorrhage: An International Randomised, Double Blind, Placebo Controlled Trial. ISRCTRN76912190
thewomantrial@Lshtm.ac.uk or http://www.trialscoordinatingcentre.lshtm.ac.uk/
COCHRANE NEWS
The Cochrane Database of Systematic Reviews (CDSR) has moved from a quarterly publication, to a new monthly publication. If you have any questions or are interested in doing a review, please contact:
For Neonatal Australasian Satellite of the Cochrane Review Group - Jann Foster, Research Officer (0414.502724, jann.foster@sydney.edu.au )
For Pregnancy and Childbirth Australasian Satellite of the Cochrane Review Group - Dr Ning Pan (ning.pan@adelaide.edu.au )
Here are the details of the new submissions for publication in The Cochrane Library, Issue 4, 2010
Pregnancy and Childbirth Group
New review
Misoprostol for induction of labour to terminate pregnancy in the second or third trimester for women with a fetal anomaly or after intrauterine fetal death (Dodd JM, Crowther CA)
Neonatal
Review updates in progress
Tracheal gas insufflations for the prevention of morbidity and mortality in mechanically ventilated newborn infants (Davies MW, Woodgate PG)
Ward reduction without general anaesthesia verus reduction and repair under general anaesthesia for gastroschisis in newborn infants (Davies MW, Kimble RM, Woodgate PG)
CONFERENCES RELEVANT TO MATERNAL AND PERINATAL HEALTH
2010 CONFERENCES IN AUSTRALIA
5th Annual Conference of the Australian College of Neonatal Nurses Inc. -Nurses. Neonates. Families. Potential for Growth.
20 May, 2010: Pre-conference workshop: Revisiting Research (1–5pm)
Canberra, ACT
21 May, 2010 Conference
Canberra, ACT
For more information: www.acnn.org.au
3rd Biennial Breathing New Life into Maternity Care: multidisciplinary conference
(Australian College of Midwives in conjunction with Royal Australian College of Obstetricians and Gynaecologists and the Australian College of Rural and Remote Medicine)
1-3 July, 2010
Alice Springs, NT
For more information: www.breathingnewlife.remark.com.au
Australasian Diabetes in Pregnancy Society (ADIPS) Annual Scientific Meeting
3-4 September
Sydney, NSW
For more information: http://www.adips.org/index.php?option=com_content&view=frontpage
International Society of Obstetric Medicine (ISOM)
1-3 October, 2010
Melbourne, Vic
For more information: http://www.isom2010.org
XVII International Society for the Study of Hypertension in Pregnancy (ISSHP) World Congress of the International Society for the Study of Hypertension in Pregnancy
3-6 October, 2010
Melbourne, Vic
For more information: http://isshp2010-melbourne.org/index.php
ISA (International Stillbirth Alliance) and ISPID (International Society for the Study and Prevention of Infant Death) Joint Conference - Precious lives: global collaboration in stillbirth and infant death
8-10 October, 2010
Sydney, NSW
For more information: www.isaispid2010.com
2010 INTERNATIONAL CONFERENCES
Women Deliver 2010 "at a glance"
7-9 June, 2010
Washington DC, USA
For more information: http://www.womendeliver.org/conference2010/index.htm
5th Normal Birth Conference 2010
The biannual normal birth research conference will now be held annually. Every other year it will be held at Grange over Sands in the UK, as usual, and in the alternate years it will be held in other countries.
20-23 July, 2010
Vancouver British Columbia, Canada
For more information: http://www.acnm.org/documents/2010NormalLabourBirthConferenceCallforAbstracts.pdf
Women’s Hospitals Australasia (WHA) 2010 Clinical Forum and Clinical Meeting
22 - 23 July
Auckland, New Zealand
For more information: www.wcha.asn.au
New Zealand College of Midwives – 11th Biennial National Conference: Strengthening Midwifery…Strengthening Families
3-5 September, 2010
Rotorua, New Zealand
For more information:
http://www.midwife.org.nz/index.cfm/1,250,html
Canadian Association of Midwives’ Annual Conference: The Place of Birth
6-8 October, 2010
Edmonton, Alberta, Canada
For more information: http://www.canadianmidwives.org/
IFPA (International Federation of Placenta Associations) 2010- Placenta Fetus and Placenta: A perfect harmony
19-22 October, 2010
Santiago, Chile.
For more information: www.ifpaconference.org
*CALL FOR ABSRACTS* CLOSING DATE FOR SUBMISSION: 14th May 2010
7th International Conference of Neonatal Nursing 2010
24-27 October, 2010
Durban, South Africa
For more information: http://www.coinnurses.org/coinn_conf/2010_int_neonatal.htm
16th International Congress of the International Society of Psychosomatic Obstetrics and Gynaecology
28-31 October, 2010
Venice, Italy
For more information: http://www.ispog2010.com
2011 CONFERENCES
Perinatal Society of Australia and New Zealand (PSANZ) 2011
15th Annual Congress
10-13 April, 2010
Hobart, Tasmania
For more information: http://psanz2011.eventplanners.com.au/
International Confederation of Midwives 29th Triennial Congress
19-23 June, 2011
Durban, South Africa
For more information: http://www.midwives2011.org
*CALLING FOR ABSTRACTS*
FURTHER INFORMATION
For more information on WOMBAT initiatives, please contact:
Philippa Middleton: philippa.middleton@adelaide.edu.au
The WOMBAT Collaboration is funded through a NHMRC enabling grant.
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