{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T11:41:36Z","timestamp":1776080496593,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T00:00:00Z","timestamp":1623024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["AP1116640"],"award-info":[{"award-number":["AP1116640"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1169829"],"award-info":[{"award-number":["APP1169829"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015471","name":"Mater Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015471","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The Safer Baby Bundle (SBB) eLearning is an online education module that addresses practice gaps in stillbirth prevention in Australia. It provides healthcare professionals with evidence\u2010based resources for: smoking cessation; fetal growth restriction; decreased fetal movements; maternal safe going\u2010to\u2010sleep position; and timing of birth for women with risk factors for stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine whether participants\u2019 reported knowledge and confidence in providing care designed to reduce stillbirth changed following completion of the module. To assess the module\u2019s suitability and acceptability, and participants\u2019 reported likelihood to change practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>In\u2010built surveys undertaken pre\u2010 and post\u2010eLearning module assessed participant knowledge and confidence, module suitability and acceptability, and likelihood of practice change using Likert items. Responses were dichotomised. Differences pre\u2010 and post\u2010module were tested using McNemar\u2019s test and differences by profession were examined using descriptive statistics and Pearson\u2019s \u03c7<jats:sup>2<\/jats:sup> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 15 October 2019 and 2 November 2020, 5223 participants across Australia were included. Most were midwives (82.0%), followed by student midwives (4.6%) and obstetricians (3.3%). Reported knowledge and confidence improved in all areas (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Post\u2010module 96.7\u201398.9% \u2018agreed\u2019 they had a sound level of knowledge and confidence across all elements of the SBB. Over 95% of participants agreed that the module was helpful and relevant, well organised, and easy to access and use. Eighty\u2010eight percent reported they were likely to change some aspect of their clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The SBB eLearning module is a valuable education program that is well\u2010received and likely to result in improvements in practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13380","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T19:40:13Z","timestamp":1623181213000},"page":"675-683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of an online education module designed to reduce stillbirth"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4513-1349","authenticated-orcid":false,"given":"Christine","family":"Andrews","sequence":"first","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Meredith","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3828-8671","authenticated-orcid":false,"given":"Sean","family":"Seeho","sequence":"additional","affiliation":[{"name":"Women and Babies Research Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Weller","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Griffin","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4512-6443","authenticated-orcid":false,"given":"David","family":"Ellwood","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"},{"name":"Gold Coast University Hospital, and School of Medicine Griffith University Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"Middleton","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"},{"name":"SAHMRI Women and Kids South Australian Health and Medical Research Institute Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Jennings","sequence":"additional","affiliation":[{"name":"Department of Health Northern Territory Government Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8114-7677","authenticated-orcid":false,"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,7]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Clinical practice guidelines: pregnancy care","author":"Department of Health","year":"2018"},{"key":"e_1_2_8_3_1","volume-title":"Australia\u2019s mothers and babies 2018: in brief","author":"Australian Institute of Health and Welfare","year":"2020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.09.005"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60064-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.09.006"},{"key":"e_1_2_8_7_1","unstructured":"FlenadyV GardenerG HeazellA NormalJ.WORKSHOP\u2010Preventing stillbirth; best practice in identifying and managing women with risk factors as part of routine antenatal care International Conference on Stillbirth SIDS and Baby Survival. Glasgow Scotland UK;2018."},{"key":"e_1_2_8_8_1","unstructured":"NHMRC Centre for Research Excellence in Stillbirth.Decreased Fetal Movements ELearning Guide for health care providers.2017(accessed 31\/07\/18)."},{"key":"e_1_2_8_9_1","unstructured":"WellerM GardenerG FirthTet al.Improving the detection of fetal growth restriction; evaluation of user experience of an interactive educational program. Perinatal Society of Australia and New Zealand (PSANZ) Annual Congress. Gold Coast QLD Australia 2019."},{"key":"e_1_2_8_10_1","volume-title":"Position statement: Smoking \u2013 one of the most important things to prevent in pregnancy and beyond","author":"Perinatal Society of Australia and New Zealand and Centre of Research Excellence Stillbirth","year":"2019"},{"key":"e_1_2_8_11_1","volume-title":"Position statement: detection and management of fetal growth restriction in singleton pregnancies","author":"Perinatal Society of Australia and New Zealand and Centre of Research Excellence Stillbirth","year":"2019"},{"key":"e_1_2_8_12_1","volume-title":"Position statement: Mothers\u2019 going\u2010to\u2010sleep position in late pregnancy","author":"Perinatal Society of Australia and New Zealand and Centre of Research Excellence Stillbirth","year":"2019"},{"key":"e_1_2_8_13_1","volume-title":"Position statement: Improving decision\u2010making about the timing of birth for women with risk factors for stillbirth","author":"Perinatal Society of Australia and New Zealand and Centre of Research Excellence Stillbirth","year":"2019"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12762"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2019.06.001"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.104298"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03401-0"},{"key":"e_1_2_8_18_1","volume-title":"Australia\u2019s mothers and babies 2018\u2014in brief","author":"Australian Institute of Health Welfare","year":"2020"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-019-0243-5"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13380","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13380","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T07:12:27Z","timestamp":1693293147000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,7]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/ajo.13380"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13380","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,7]]},"assertion":[{"value":"2021-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}