{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:25:23Z","timestamp":1788258323537,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","award":["2018\/GNT1169829"],"award-info":[{"award-number":["2018\/GNT1169829"]}],"id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2021\/GNT2006523"],"award-info":[{"award-number":["2021\/GNT2006523"]}],"id":[{"id":"10.13039\/501100000925","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":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Safer Baby Bundle (SBB) was introduced in Victoria, Australia, to reduce stillbirth and perinatal mortality. Evaluating its impact is critical to informing its national rollout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study assessed the early effect of SBB implementation on stillbirth and perinatal mortality rates in Victoria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective population\u2010based cohort study of singleton births \u2265\u200928\u2009weeks was conducted, comparing outcomes before (January 2014\u2013June 2019) and after (July 2019\u2013December 2020) SBB implementation. Congenital anomalies and terminations were excluded. Interrupted time series analyses and relative risks compared outcomes at SBB and non\u2010SBB sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 398,273 pre\u2010SBB and 108,024 post\u2010SBB births. In SBB sites, a trend towards reduced stillbirth from 2.08 to 1.64\/1000 was observed (RR: 0.79, 95% CI: 0.62\u20131.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05) along with a significant reduction in perinatal mortality from 2.52 to 2.02\/1000 (RR: 0.80, 95% CI: 0.65\u20130.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). While in non\u2010SBB sites, rates of stillbirth (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.58) and perinatal mortality (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.53) remained unchanged. Pre\u2010implementation, early term iatrogenic births rose monthly by 0.20% in SBB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and 0.15% in non\u2010SBB sites (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Post\u2010implementation, monthly trends in SBB sites reduced by 0.14% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) with no further significant increases, while non\u2010SBB sites continued to rise by 0.18% per month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant changes were seen in caesarean section, induction of labour, late preterm birth, neonatal death, or neonatal intensive care unit admission trends in SBB sites.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SBB implementation was associated with reduced perinatal mortality without increasing iatrogenic or neonatal harm. These findings support its national implementation to improve perinatal outcomes in Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70082","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T01:13:12Z","timestamp":1765588392000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Reducing Perinatal Mortality in Victoria, Australia: Early Insights From the Safer Baby Bundle Implementation"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3525-1059","authenticated-orcid":false,"given":"Keeth L. B.","family":"Mayakaduwage","sequence":"first","affiliation":[{"name":"The Ritchie Centre, Hudson Institute of Medical Research  Clayton Victoria Australia"},{"name":"Safer Care Victoria  Melbourne Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Farrell","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4240-5594","authenticated-orcid":false,"given":"Roshan J.","family":"Selvaratnam","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Hudson Institute of Medical Research  Clayton Victoria Australia"},{"name":"Safer Care Victoria  Melbourne Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland Mater Research Institute  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4513-1349","authenticated-orcid":false,"given":"Christine","family":"Andrews","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland Mater Research Institute  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland Mater Research Institute  South Brisbane Queensland Australia"},{"name":"Griffith University  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn","family":"Hudson","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicity","family":"Czarnecki","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria 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