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.
BIRTHPLACE IN AUSTRALIA: A PROSPECTIVE COHORT STUDY
Funder
National Health and Medical Research Council
Funding Amount
$834,782.00
Summary
There is considerable debate about the safety of maternity services in Australia. This has been increased by the National Maternity Services Review and the National Maternity Plan with particular concerns about homebirth and birth centres. This study aims to examine the safety of place of birth for healthy women. This national study will include women across the country. It is the first time such a study has been undertaken in Australia and will provide much needed evidence as to the safety of p ....There is considerable debate about the safety of maternity services in Australia. This has been increased by the National Maternity Services Review and the National Maternity Plan with particular concerns about homebirth and birth centres. This study aims to examine the safety of place of birth for healthy women. This national study will include women across the country. It is the first time such a study has been undertaken in Australia and will provide much needed evidence as to the safety of place of birth.Read moreRead less
Costing The Place Of Birth In NSW: New Knowledge To Support Maternity Service Reform
Funder
National Health and Medical Research Council
Funding Amount
$269,478.00
Summary
The comparative costs of giving birth at home, in a birth centre or in a hospital labour ward is unknown. This study will build on the current Birthplace in Australia Study to provide much needed evidence to inform policy and health service allocation decisions in Australian maternity care.
DOES CONTINUITY OF MIDWIFERY CARE INCREASE VAGINAL BIRTH AFTER CAESAREAN (VBAC): A RANDOMISED CONTROLLED TRIAL
Funder
National Health and Medical Research Council
Funding Amount
$271,960.00
Summary
Pregnancy and birth directly affect almost 300,000 families in Australia each year. A key concern is that the caesarean section rate in Australia is higher than similar countries with a lack of support for women to have a vaginal birth after caesarean section. We plan to undertake a trial to determine whether midwifery continuity of care increases the rate of vaginal birth in women who have had a previous caesarean section. This trial could significantly alter the way maternity care is provided.
Impact On Caesarean Rates Following Injections Of Sterile Water (ICARIS) – A Randomised Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$472,692.00
Summary
The rising number of caesarean section births is causing concern across the country. Injections of small amounts of sterile water into the lower back provide relief to women who have back pain in labour. A review of the research found that administration of these injections may be associated with a reduction in caesarean section rates. Four Queensland hospitals, will conduct the largest study to date to determine if sterile water injections can decrease caesarean section rates without increasing ....The rising number of caesarean section births is causing concern across the country. Injections of small amounts of sterile water into the lower back provide relief to women who have back pain in labour. A review of the research found that administration of these injections may be associated with a reduction in caesarean section rates. Four Queensland hospitals, will conduct the largest study to date to determine if sterile water injections can decrease caesarean section rates without increasing morbidity for the woman or her baby.Read moreRead less
Improving Maternal And Infant Outcomes: A Multicentre Randomised Controlled Trial Of Midwifery And Dental Intervention
Funder
National Health and Medical Research Council
Funding Amount
$457,724.00
Summary
Poor oral health during pregnancy can impact the health of the mother and baby. Yet, many expectant mothers are unaware of the implications of poor oral health. In Australia there is a lack of importance being placed on maternal oral health. The aim of this study is to determine the effectiveness of a new service which will promote maternal oral health through collaboration between midwives and dentists. We expect the new service will improve women's oral health, uptake of dental services and po ....Poor oral health during pregnancy can impact the health of the mother and baby. Yet, many expectant mothers are unaware of the implications of poor oral health. In Australia there is a lack of importance being placed on maternal oral health. The aim of this study is to determine the effectiveness of a new service which will promote maternal oral health through collaboration between midwives and dentists. We expect the new service will improve women's oral health, uptake of dental services and potentially improve pregnancy outcomes.Read moreRead less
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
Is Lactic Acid Concentration In Amniotic Fluid A New Predictor Of Labour Dystocia?
Funder
National Health and Medical Research Council
Funding Amount
$682,538.00
Summary
This study will establish whether higher concentrations of lactate in the amniotic fluid of labouring women can be used as a surrogate marker to improve diagnoses of presence or absence of dystocia. Labour dystocia is a serious problem experienced during childbirth, and is one of the main indications for emergency caesarean section or forceps or vacuum delivery. Although dystocia is a common clinical problem, the current lack of a precise definition leads to considerable variation in practice.