{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T18:08:06Z","timestamp":1785866886937,"version":"3.56.0"},"reference-count":38,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T00:00:00Z","timestamp":1620518400000},"content-version":"unspecified","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Cure Kids New Zealand","award":["Grant Number 3577"],"award-info":[{"award-number":["Grant Number 3577"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,4,20]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A \u2018Sleep-On-Side When Baby\u2019s Inside\u2019 public health campaign was initiated in New Zealand in 2018. This was in response to evidence that maternal supine going-to-sleep position was an independent risk factor for stillbirth from 28 weeks\u2019 gestation. We evaluated the success of the campaign on awareness and modification of late pregnancy going-to-sleep position through nationwide surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>Two web-based cross-sectional surveys were conducted over 12\u2009weeks in 2019\u20132020 in a sample of (1) pregnant women \u226528 weeks, primary outcome of going-to-sleep position; and (2) health professionals providing pregnancy care, primary outcome of knowledge of going-to-sleep position and late stillbirth risk. Univariable logistic regression was performed to identify factors associated with supine going-to-sleep position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The survey of pregnant women comprised 1633 eligible participants. Going-to-sleep position last night was supine (30, 1.8%), non-supine (1597, 97.2%) and no recall (16, 1.0%). Supine position had decreased from 3.9% in our previous New Zealand-wide study (2012\u20132015). Most women (1412, 86.5%) had received sleep-on-side advice with no major resultant worry (1276, 90.4%). Two-thirds (918, 65.0%) had changed their going-to-sleep position based on advice, with most (611 of 918, 66.5%) reporting little difficulty. Supine position was associated with M\u0101ori (OR 5.05, 95% CI 2.10 to 12.1) and Asian-non-Indian (OR 4.20, 95%\u2009CI 1.27 to 13.90) ethnicity; single (OR 10.98, 95%\u2009CI 4.25 to 28.42) and cohabitating relationship status (OR 2.69, 95%\u2009CI 1.09 to 6.61); hospital-based maternity provider (OR 2.55, 95%\u2009CI 1.07 to 6.10); education overseas (OR 3.92, 95%\u2009CI 1.09 to 14.09) and primary-secondary level (OR 2.80, 95%\u2009CI 1.32 to 6.08); and not receiving sleep-on-side advice (OR 6.70, 95%\u2009CI 3.23 to 13.92). The majority of health professionals (709 eligible participants) reported awareness of supine going-to-sleep position and late stillbirth risk (543, 76.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most pregnant women had received and implemented sleep-on-side advice without major difficulty or concern. Some groups of women may need a tailored approach to acquisition of going-to-sleep position information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-047681","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:32:47Z","timestamp":1620779567000},"page":"e047681","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Modification of maternal late pregnancy sleep position: a survey evaluation of a New Zealand public health campaign"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8304-8004","authenticated-orcid":false,"given":"Robin S","family":"Cronin","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"},{"name":"Division of Women's Health, Counties Manukau District Health Board, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-381X","authenticated-orcid":false,"given":"John M D","family":"Thompson","sequence":"additional","affiliation":[{"name":"Paediatrics: Child Health and Youth Health, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rennae S","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4611-4495","authenticated-orcid":false,"given":"Jessica","family":"Wilson","sequence":"additional","affiliation":[{"name":"Paediatrics: Child Health and Youth Health, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen F","family":"Falloon","sequence":"additional","affiliation":[{"name":"General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Skelton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsie","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki M","family":"Culling","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"},{"name":"Vicki Culling Associates, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin A","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Paediatrics: Child Health and Youth Health, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley M E","family":"McCowan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"2025121411543982000_11.5.e047681.1","unstructured":"PMMRC . 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