It is known that 98% of stillbirths occur in low- and middle-income countries (LMIC). Australia’s nearest neighbour, PNG and our other close Pacific Island nations (Solomon Islands and Vanuatu) bear the burden of high stillbirth rates. Unfortunately, due to poor data collection processes the full impact of stillbirth in these nations is not realised. In LMICs, stillbirths are largely attributable to preventable or treatable conditions that occur either in conjunction with, or as a result of pregnancy, including malaria, syphilis, anaemia, diabetes, hypertension, pre-eclampsia and post-term pregnancy. Other risk factors for stillbirth, such as young maternal age, short inter-pregnancy interval, indoor air pollution and interpersonal violence against women during pregnancy also play a role. Many of these risk factors could be addressed through universal access to good-quality antenatal and intrapartum care. Modelling has suggested that up to 45% of all stillbirths could be prevented if a package of 10 proven antenatal and intrapartum interventions (including basic and emergency obstetric care) was made widely available. However, it is unknown whether these interventions would address the key issues in a country like PNG or whether they would even be feasible.
This project undertook two studies to examine the causes of stillbirth and neonatal death. We used data from an ongoing cluster-randomized crossover trial in 10 sites among 4600 women in Papua New Guinea.
Three papers were produced from this work.
The findings have been used to inform other studies including one on women’s understanding of danger signs in pregnancy (led by Dr Delly Babona) and one to improve the quality of intrapartum care (Led by Professor Joshua Vogel and Dr Delly Babona).
Publications
Level 3, Aubigny Place
Mater Research Institute
Raymond Terrace,
South Brisbane QLD 4101
The University of Queensland Faculty of Medicine