The Stillbirth CRE is leading the development of a bundle of care to address the priority evidence practice gaps in stillbirth prevention for implementation across maternity services. This work is being done in partnership with health departments of New South Wales, Victoria, and Queensland and key stillbirth advocacy organisations, Stillbirth Foundation Australia and Still Aware.
The proposed bundle of care for Australian hospitals is being modeled on the Saving Babies Lives bundle in the United Kingdom, which addresses commonly identified areas of substandard care.
A 20% reduction in stillbirth rates has been seen in the UK and Scotland, where a care bundle has been implemented. We believe that implementation of a similar care bundle in Australia will result in at least the same reduction in stillbirth. We think the bundle will also reduce serious adverse outcomes in liveborn babies, improve health outcomes among mothers, increase mothers' satisfaction with car, and be cost-effective.
Bundle of care elements:
- Improving detection and management of fetal growth restriction (FGR)
- Improving awareness and management of decreased fetal movements (DFM)
- Reducing smoking in pregnancy
- Improving awareness of maternal safe sleeping position
- Improving decision-making around timing of birth for women at risk of stillbirth
Each element of the bundle will include resources for women and their care providers to promote best practice care including educational packages, audit tools, written materials and a mobile phone app. The Bundle will be implemented and evaluated across maternity services in Australia and supplemented by a public awareness program.
We have surveyed Australian maternity services for their feedback on what should be included in the proposed bundle