{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T12:16:11Z","timestamp":1778328971379,"version":"3.51.4"},"reference-count":17,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"unspecified","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015988","name":"Norman Beischer Medical Research Foundation","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100015988","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001782","name":"University of Melbourne","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,11,9]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic has resulted in a range of unprecedented disruptions to maternity care with documented impacts on perinatal outcomes such as stillbirth and preterm birth. Metropolitan Melbourne has endured one of the longest and most stringent lockdowns in globally. This paper presents the protocol for a multicentre study to monitor perinatal outcomes in Melbourne, Australia, during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Multicentre observational study analysing monthly deidentified maternal and newborn outcomes from births\n                      <jats:underline>&gt;<\/jats:underline>\n                      20 weeks at all 12 public maternity services in Melbourne. Data will be merged centrally to analyse outcomes and create run charts according to established methods for detecting non-random \u2018signals\u2019 in healthcare. Perinatal outcomes will include weekly rates of total births, stillbirths, preterm births, neonatal intensive care admissions, low Apgar scores and fetal growth restriction. Maternal outcomes will include weekly rates of: induced labour, caesarean section, births before arrival to hospital, postpartum haemorrhage, length of stay, general anaesthesia for caesarean birth, influenza and COVID-19 vaccination status, and gestation at first antenatal visit. A prepandemic median for all outcomes will be calculated for the period of January 2018 to March 2020. A significant shift is defined as \u22656 consecutive weeks, all above or below the prepandemic median. Additional statistical analyses such as regression, time series and survival analyses will be performed for an in-depth examination of maternal and perinatal outcomes of interests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethics approval for the collaborative maternity and newborn dashboard project has been obtained from the Austin Health (HREC\/64722\/Austin-2020) and Mercy Health (ref. 2020-031).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ACTRN12620000878976; Pre-results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-055902","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T13:02:13Z","timestamp":1637672533000},"page":"e055902","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Collaborative maternity and newborn dashboard (CoMaND) for the COVID-19 pandemic: a protocol for timely, adaptive monitoring of perinatal outcomes in Melbourne, Australia"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-3562","authenticated-orcid":false,"given":"Lisa","family":"Hui","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Perinatal Medicine, Mercy Hospital for Women, Heidelberg, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, The Northern Hospital, Northern Health, Epping, Victoria, Australia"},{"name":"Reproductive Epidemiology Group, Murdoch Children\u2019s Research Institute, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melvin B","family":"Marzan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Potenza","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Mercy Hospital for Women, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2263-3592","authenticated-orcid":false,"given":"Daniel L","family":"Rolnik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6263-0030","authenticated-orcid":false,"given":"Joanne M","family":"Said","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Maternal-Fetal Medicine, Joan Kirner Women\"s and Children\"s Hospital, Western Health, St Albans, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7421-6291","authenticated-orcid":false,"given":"Kirsten R","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare L","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, The Royal Women\"s Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penelope M","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, Box Hill Hospital, Eastern Health, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jolyon","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Pritchard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Perinatal Medicine, Mercy Hospital for Women, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8337-550X","authenticated-orcid":false,"given":"Ben W","family":"Mol","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia"},{"name":"Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9075-4655","authenticated-orcid":false,"given":"Susan P","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Perinatal Medicine, Mercy Hospital for Women, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"2025121513532996000_11.11.e055902.1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319990"},{"key":"2025121513532996000_11.11.e055902.2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004236"},{"key":"2025121513532996000_11.11.e055902.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003075"},{"key":"2025121513532996000_11.11.e055902.4","doi-asserted-by":"crossref","first-page":"e901","DOI":"10.1016\/S2214-109X(20)30229-1","article-title":"Early estimates of the indirect effects of the COVID-19 pandemic on 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COVID 19 public health emergency of international concern (PHEIC). global research and innovation Forum: towards a research roadmap, 2020."},{"key":"2025121513532996000_11.11.e055902.10","unstructured":"Department of Health and Human Services . Capability frameworks for Victorian maternity and newborn services. Melbourne, Victoria, Australia: Department of Health and Human Services, DHHS, 2019."},{"key":"2025121513532996000_11.11.e055902.11","unstructured":"Australian Institute of Health and Welfare . Women who gave birth, by maternal age group and state and territory of birth, 2018, 2018. Available: https:\/\/www.aihw.gov.au\/reports\/mothers-babies\/australias-mothers-babies-data-visualisations\/contents\/demographics-of-mothers-and-babies\/maternal-age [Accessed 5 Mar 2021]."},{"key":"2025121513532996000_11.11.e055902.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"2025121513532996000_11.11.e055902.13","unstructured":"StataCorp . Stata 16 SE. 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