||To investigate new and potentially modifiable risk factors for stillbirth
||Internet Survey. Historical Cohort (stillbirth greater than 3 weeks ago) with a nested case-control are where cases were women who experienced a recent stillbirth. The stillbirth should have occurred after 28 weeks gestation and the survey should have be completed not more than 3 weeks after the baby’s demise. Controls would have had a recent livebirth (less than 3 weeks ago) or still be pregnant
|Countries of Recruitment
|Target number of participants
||A total of 1,714 women who had experienced a stillbirth >3 weeks prior to enrolment completed the survey. Common experiences identified were: perception of changes in fetal movement (63% of respondents), reports of a “gut instinct” that something was wrong (68%), and perceived time of death occurring overnight (56%). A quarter of participants believed that their baby’s death was due to a cord issue and another 18% indicated that they did not know the reason why their baby died. In many cases (55%) the mother believed the cause of death was different to that told by clinicians.
Case control data were reported in three papers (see citations)
In summary: the findings were that stillborn cases were more likely to report a "gut instinct that something was wrong" , that any alteration in fetal activity including changes in reduced strength , altered pattern and reduced frequency as well as sudden activity described as "crazy" were all associated with increased risk. The sleep related findings indicated that long sleep duration was associated with stillbirth.
||Study supported by Star Legacy foundation USA
|Ethics Board Approval
||University of Michigan IRB HUM 63655
|Study contact name
||Mrs Shauna Libsack
||The Star Legacy Foundation http://starlegacyfoundation.org
||STARS consortium listed in alphabetical order: Collins JH, Heazell AEP, Huberty JL, Kliman HJ, McGregor JA, Mitchell EA, O’Brien LM, Parast M, Peesay M, Stacey T, Warland J, Wimmer LJ.
|(expected) Year of completion
|Citation details of journal articles
||Warland J, O’Brien LM, Heazell AEP, Mitchell EA, and the STARS consortium, (2015) An International Internet Survey of the Experiences of 1,714 Mothers with a Late Stillbirth: The STARS Cohort Study. BMC Pregnancy and Childbirth 15 (172) DOI 10.1186/s12884-015-0602-4
Heazell AEP, Warland J, Stacey T, Coomarasary C, Budd J, Mitchell EA, O’Brien LM, (2017) Stillbirth is Associated with Perceived Alterations in Fetal Activity - Findings from an International Case Control Study. BMC- Pregnancy and childbirth 17:369 DOI 10.1186/s12884-017-1555-6
Warland J, Heazell AEP, Stacey T, Coomarasary C, Budd J, Mitchell EA, O’Brien LM, (2018) “They told me all mothers have worries”, stillborn mother’s experiences of having a ‘gut instinct’ that something is wrong in pregnancy: Findings from an international case control study. Midwifery 62:171-176
O’Brien LM, Warland J, Stacey T, Heazell AEP, Mitchell EA; on behalf of the STARS Consortium (2019) Maternal sleep practices and stillbirth: Findings from an international case‐control study. Birth ;00:1–11. https://doi.org/10.1111/birt.12416