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Bringing stillbirth out of the shadows for all women having a baby in Australia

Vicki J Flenady and David A Ellwood
Med J Aust 2012; 197 (5): . || doi: 10.5694/mja12.11139
Published online: 3 September 2012

Can Australia rise to the challenge of reducing the rate of avoidable stillbirths?

The large, well conducted study by Drysdale and colleagues published in this issue of the Journal shows a 2.4-fold increase in the odds of late-gestation stillbirth for women giving birth in Australia who were born in South Asia, compared with women born in Australia.1 The relative risk was most pronounced at 41 weeks’ gestation, when there was a concerning fivefold increase. These findings concur with international studies and require careful consideration.


  • 1 Centre for Translating Research into Practice, Mater Medical Research Institute, Brisbane, QLD.
  • 2 Australian and New Zealand Stillbirth Alliance, Brisbane, QLD.
  • 3 Medical School, Australian National University, Canberra, ACT.


Correspondence: vflenady@mmri.mater.org.au

Competing interests:

Vicki Flenady is a member of the Board of the Australian and New Zealand Stillbirth Alliance (ANZSA) and President of the Perinatal Society of Australia and New Zealand. David Ellwood is a member of the Board of the ANZSA and the current President (Chair) of the International Stillbirth Alliance.

  • 1. Drysdale H, Ranasinha S, Kendall A, et al. Ethnicity and the risk of late-pregnancy stillbirth. Med J Aust 2012; 197: 278-281.
  • 2. Flenady V, Middleton P, Smith GC, et al. Stillbirths: the way forward in high-income countries. Lancet 2011; 377: 1703-1717.
  • 3. Goldenberg RL, McClure EM, Bhutta ZA, et al. Stillbirths: the vision for 2020. Lancet 2011; 377: 1798-1805.
  • 4. Li Z, McNally L, Hilder L, Sullivan EA. Australia’s mothers and babies 2009. Canberra: Australian Institute of Health and Welfare, 2011. (AIHW Cat. No. PER 52; Perinatal Statistics Series No. 25.) http://aihw.gov.au/publication-detail/?id=10737420870&tab=2 (accessed Aug 2012).
  • 5. Flenady V, Koopmans L, Middleton P, et al. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. Lancet 2011; 377: 1331-1340.
  • 6. Lawn JE, Blencowe H, Pattinson R, et al. Stillbirths: Where? When? Why? How to make the data count? Lancet 2011; 377: 1448-1463.
  • 7. Carberry AE, Gordon A, Bond DM, et al. Customised versus population-based growth charts as a screening tool for detecting small for gestational age infants in low-risk pregnant women. Cochrane Database Syst Rev 2011; (12): CD008549. doi: 10.1002/14651858.CD008549.pub2.
  • 8. Gibbons K, Beckmann M, Flenady V, et al. A survey of policies for the monitoring of fetal growth in Australian and New Zealand hospitals. Aust N Z J Obstet Gynaecol 2011; 51: 493-498.
  • 9. Hutcheon JA, Zhang X, Platt RW, et al. The case against customised birthweight standards. Paediatr Perinat Epidemiol 2011; 25: 11-16.
  • 10. Bryant RM; Australian Government Department of Health and Ageing. Improving maternity services in Australia: the report of the Maternity Services Review. Canberra: Commonwealth of Australia, 2009.
  • 11. Australian Government Department of Health and Ageing. The National Maternity Services Plan. http://www.health.gov.au/internet/main/ publishing.nsf/Content/maternityservicesplan (accessed Aug 2012).
  • 12. Australian Bureau of Statistics. Causes of death, Australia, 2010. Canberra: ABS, 2012. (ABS Cat. No. 3303.0.)
  • 13. Flenady V, King J, Charles A, et al; Perinatal Society of Australia and New Zealand (PSANZ) Perinatal Mortality Group. PSANZ clinical practice guideline for perinatal mortality. Version 2.2. Canberra: PSANZ, 2009. http://www.stillbirthalliance.org.au/guideline1.htm (accessed Aug 2012).
  • 14. Measey MA, Charles A, d’Espaignet ET, et al. Aetiology of stillbirth: unexplored is not unexplained. Aust N Z J Public Health 2007; 31: 444-449.
  • 15. Australian and New Zealand Stillbirth Alliance Research Consortium. Investigating the causes of stillbirth; a prospective cohort study examining use and effectiveness of a comprehensive investigation protocol. Brisbane: ANZSA, 2012. http://www.stillbirthalliance.org.au/doc/ANZSA_Investigating _Causes_of_Stillbirth_Protocol_V1_08.pdf (accessed Aug 2012).

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