My Baby's Movements: An assessment of the effectiveness of the My Baby's Movements phone program in reducing late-gestation stillbirth rates

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dc.contributor.authorSkalecki, S.
dc.contributor.authorLawford, H.
dc.contributor.authorGardener, G.
dc.contributor.authorCoory, M.
dc.contributor.authorBradford, B.
dc.contributor.authorWarrilow, K.
dc.contributor.authorWojcieszek, A.M.
dc.contributor.authorNewth, T.
dc.contributor.authorWeller, M.
dc.contributor.authorSaid, J.M.
dc.contributor.authorBoyle, F.M.
dc.contributor.authorEast, C.
dc.contributor.authorGordon, A.
dc.contributor.authorMiddleton, P.
dc.contributor.authorEllwood, D.
dc.contributor.authorFlenady, V.
dc.date.issued2023
dc.description.abstractBackground: Delayed reporting of decreased fetal movements (DFM) could repre- sent a missed opportunity to prevent stillbirth. Mobile phone applications (apps) have the potential to improve maternal awareness and reporting of DFM and con- tribute to stillbirth prevention. Aims: To evaluate the effectiveness of the My Baby's Movements (MBM) app on late-gestation stillbirth rates. Materials and Methods: The MBM trial evaluated a multifaceted fetal movements awareness package across 26 maternity services in Australia and New Zealand be- tween 2016 and 2019. In this secondary analysis, generalised linear mixed models were used to compare rates of late-gestation stillbirth, obstetric interventions, and neonatal outcomes between app users and non-app users including calendar time, cluster, primiparity and other potential confounders as fixed effects, and hospital as a random effect. Results: Of 140 052 women included, app users comprised 9.8% (n = 13 780). The stillbirth rate was not significantly lower among app users (1.67/1000 vs 2.29/1000) (adjusted odds ratio (aOR) 0.79; 95% CI 0.51–1.23). App users were less likely to have a preterm birth (aOR 0.81; 0.75–0.88) or a composite adverse neonatal out- come (aOR 0.87; 0.81–0.93); however, they had higher rates of induction of labour (IOL) (aOR 1.27; 1.22–1.32) and early term birth (aOR 1.08; 1.04–1.12). Conclusions: The MBM app had low uptake and its use was not associated with stillbirth rates but was associated with some neonatal benefit, and higher rates of IOL and early term birth. Use and acceptability of tools designed to promote fetal movement awareness is an important knowledge gap. The implications of increased IOL and early term births warrant consideration in future studies.
dc.description.statementofresponsibilitySarah Skalecki, Harriet Lawford, Glenn Gardener, Michael Coory, Billie Bradford, Kara Warrilow, Aleena M. Wojcieszek, Tionie Newth, Megan Weller, Joanne M. Said, Fran M. Boyle, Christine East, Adrienne Gordon, Philippa Middleton, David Ellwood and Vicki Flenady
dc.identifier.citationAustralian and New Zealand Journal of Obstetrics and Gynaecology, 2023; 63(3):378-383
dc.identifier.doi10.1111/ajo.13647
dc.identifier.issn0004-8666
dc.identifier.issn1479-828X
dc.identifier.orcidMiddleton, P. [0000-0002-8573-338X]
dc.identifier.urihttps://hdl.handle.net/2440/139118
dc.language.isoen
dc.publisherWiley
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1067363
dc.rights© 2023 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
dc.source.urihttps://doi.org/10.1111/ajo.13647
dc.subjectfetal movement; mobile applications; perinatal outcomes; pregnancy; stillbirth
dc.subject.meshHumans
dc.subject.meshPremature Birth
dc.subject.meshPregnancy Rate
dc.subject.meshParity
dc.subject.meshFetal Movement
dc.subject.meshPregnancy
dc.subject.meshInfant
dc.subject.meshInfant, Newborn
dc.subject.meshFemale
dc.subject.meshStillbirth
dc.titleMy Baby's Movements: An assessment of the effectiveness of the My Baby's Movements phone program in reducing late-gestation stillbirth rates
dc.typeJournal article
pubs.publication-statusPublished

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