{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:06:41Z","timestamp":1765609601938,"version":"3.35.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T00:00:00Z","timestamp":1394064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,8]]},"abstract":"Background<\/jats:title>Hypoxic ischaemic encephalopathy (HIE<\/jats:styled-content>) is secondary to intrapartum asphyxia and the fifth largest cause of death of children under five. Incorrect use and interpretation of intrapartum cardiotocographs has been identified as a contributing factor to the development of HIE<\/jats:styled-content>. Therefore, RANZCOG<\/jats:styled-content> introduced the F<\/jats:styled-content>etal S<\/jats:styled-content>urveillance E<\/jats:styled-content>ducation P<\/jats:styled-content>rogram (FSEP<\/jats:styled-content>) to improve education and practice of intrapartum care.<\/jats:p><\/jats:sec>Aim<\/jats:title>To investigate the incidence of HIE<\/jats:styled-content> throughout Q<\/jats:styled-content>ueensland between 2003 and 2011 during the introduction and implementation of RANZCOG FSEP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>The incidence of HIE<\/jats:styled-content> admissions at each hospital in Q<\/jats:styled-content>ueensland (2003\u20132011) was collated from Q<\/jats:styled-content>ueensland H<\/jats:styled-content>ealth S<\/jats:styled-content>tatistics C<\/jats:styled-content>entre. RANZCOG FSEP<\/jats:styled-content> provided data regarding course attendees throughout Q<\/jats:styled-content>ueensland (2006\u20132011). Hospitals were grouped into four regions. Statistical analysis was conducted using StataTM<\/jats:sup><\/jats:styled-content> (version 12.0) \u2014 data appeared to follow a damped harmonic model.<\/jats:p><\/jats:sec>Results<\/jats:title>The posteducation (2006\u20132011) HIE<\/jats:styled-content> rate was significantly lower (P<\/jats:italic>\u00a0=\u00a00.02) than the pre\u2010education (2003\u20132005) rate. The final model predicted a stabilisation of HIE<\/jats:styled-content> occurrence rate at approximately 160 events\/100\u00a0000 live births by 2012. This rate was stable if the level of education was maintained but rose back to the initial rate of 250 events\/100\u00a0000 live births if the education participation was discontinued.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>This study identified a significant reduction in the incidence of HIE<\/jats:styled-content> \u2013 a potentially life\u2010threatening newborn condition \u2013 between 2003 and 2011, during and following FSEP<\/jats:styled-content> implementation. Notwithstanding the inevitable limitations of state\u2010based data collection, these results are encouraging. For such improvements to be sustained, education must reach all staff engaged in intrapartum care and be regularly repeated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12200","type":"journal-article","created":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T05:33:59Z","timestamp":1394084039000},"page":"348-353","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Has the incidence of hypoxic ischaemic encephalopathy in Q<\/scp>ueensland been reduced with improved education in fetal surveillance monitoring?"],"prefix":"10.1111","volume":"54","author":[{"given":"Sally","family":"Byford","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynaecology Nambour General Hospital Nambour Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Weaver","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology Nambour General Hospital Nambour Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Anstey","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit Nambour General Hospital Nambour Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71877-8"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71048-5"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.06.094"},{"key":"e_1_2_7_5_1","unstructured":"ACOG Executive Summary.Neonatal encephalopathy and cerebral palsy: Defining the pathogenesis and physiology. 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