{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:56:21Z","timestamp":1773014181817,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"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>Stillbirth disproportionately affects certain maternal demographic groups. The Safer Baby Bundle (SBB) was implemented to reduce stillbirth rates, but its impact across different populations remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study evaluated the effect of the SBB on stillbirth and related perinatal outcomes among maternal demographic groups disproportionately affected by stillbirth in Victoria, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective population\u2010based cohort study compared outcomes before (Jan 2014\u2013Jun 2019) and after (Jul 2019\u2013Dec 2020) SBB implementation. Singleton births \u2265\u200928\u2009weeks were included, excluding congenital anomalies and terminations. Relative risks and interrupted time series analyses were used to assess changes in SBB sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 233\u2009462 births (Pre\u2010SBB: 182\u2009892; Post\u2010SBB: 50\u2009570), stillbirth rates decreased among Australian\u2010born (1.96\u20131.46 per 1000;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08), European\u2010born (2.70\u20130;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028), and non\u2010Indigenous women (2.10\u20131.60;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027) but increased among Indigenous women (0\u20133.75;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and remained unchanged for African\u2010born (4.71\u20135.16;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.83), South Asian\u2010born (2.10\u20132.18;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.90), and Middle Eastern\u2010born (1.62\u20131.50;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.92) women. Similar trends were observed for perinatal mortality. Smoking cessation improved for Australian\u2010born (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and non\u2010Indigenous women (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) but was unchanged in other groups. Undelivered severe FGR decreased in Australian\u2010born (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), African\u2010born (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), and South Asian\u2010born (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) mothers. DFM reporting improved across all groups. Early\u2010term iatrogenic birth trends declined for Australian\u2010born (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010) and non\u2010Indigenous women (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022) but remained unchanged for other groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The SBB was associated with stillbirth reductions in Australian\u2010born and non\u2010Indigenous women but had limited impact on migrant and Indigenous populations. Culturally tailored strategies are needed to ensure equitable outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70085","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T11:25:46Z","timestamp":1766143546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reach and Impact of the Safer Baby Bundle Among Groups Disproportionately Affected by Stillbirth in Victoria, Australia"],"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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Farrell","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"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  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland  South 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  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland  South Brisbane Queensland Australia"},{"name":"Griffith University  Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deanna","family":"Stuart\u2010Butler","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Ah Chee","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth  South Brisbane Queensland Australia"},{"name":"Mater Research, University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Hudson","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicity","family":"Czarnecki","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miranda","family":"Davies\u2010Tuck","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":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00818-1"},{"key":"e_1_2_9_3_1","volume-title":"Australia's Mothers and Babies","author":"Australian Institute of Health and Welfare","year":"2024"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178727"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186287"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03401-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","unstructured":"K. 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