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The WISH Project - Working to Improve Survival and Health for babies born very preterm.

Not Applicable
Recruiting
Conditions
cerebral palsy
perinatal mortality
preterm birth
Reproductive Health and Childbirth - Antenatal care
Registration Number
ACTRN12611000636954
Lead Sponsor
Professor Caroline Crowther
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
2500
Inclusion Criteria

All women giving birth after 22 weeks' gestation (excluding known lethal congenital anomalies) and before 30 weeks' gestation at the participating hospitals.

Exclusion Criteria

Fetuses with known lethal congenital anomalies.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The proportion of women giving birth after 22 weeks' gestation (excluding known lethal congenital anomalies) and before 30 weeks' gestation receiving antenatal magnesium sulphate. This outcome will be obtained from medical records.[In 2011, 2012, and 2013.];Deaths prior to primary hospital discharge of babies born after 22 weeks gestation and before 30 weeks gestation in 2011, 2012, and 2013. This outcome will be obtained from medical records and the Australian and New Zealand Neonatal Network Data Collection.[In 2011, 2012, and 2013.];Cerebral palsy rate at up to three years' corrected age (in babies born alive after 22 weeks' gestation and before 30 weeks' gestation in 2011). This outcome data is obtained at standard paediatric assessment between the ages of 18 months and 3 years, and will be obtained by those centres involved in the WISH project from medical records.[Between 2013 and 2014.]
Secondary Outcome Measures
NameTimeMethod
Maternal adverse events related to administration of magnesium sulphate therapy (nausea, vomiting, respiratory depression, respiratory arrest, cardiac arrest, hypotension, tachycardia, admission to ICU, flushing, headache, diarrhoea, dizziness, drowsiness, need to be given calcium gluconate). These outcomes will be collected from medical records.[In 2011, 2012 and 2013.];Maternal adverse events sufficient to stop therapy. Possible adverse effects include: nausea, vomiting, respiratory depression, respiratory arrest, cardiac arrest, hypotension, tachycardia, admission to ICU, flushing, headache, diarrhoea, dizziness, drowsiness, need to be given calcium gluconate. These events will be assessed by the clinicians involved in the care of the women. The information will then be accessed from maternal case notes.[In 2011, 2012 and 2013.]
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