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Trial registered on ANZCTR
Registration number
ACTRN12609000990224
Ethics application status
Approved
Date submitted
16/11/2009
Date registered
17/11/2009
Date last updated
14/11/2018
Date data sharing statement initially provided
14/11/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Risk factors for Stillbirth: A multi-centre case control study
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Scientific title
Risk factors for Stillbirth: A multi-centre case control study
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Universal Trial Number (UTN)
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Trial acronym
SBS STUDY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Assess the risk factors for mothers who experience a stillbirth compared to mothers representative of the general population who have a livebirth
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Investigate the role of undiagnosed viral infections as a possible cause of stillbirth.
The ultimate aim of this study is to focus on finding answers for true unexplained stillbirths to hopefully help prevent them occuring in the future.
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Condition category
Condition code
Reproductive Health and Childbirth
252309
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0
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Fetal medicine and complications of pregnancy
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Reproductive Health and Childbirth
252310
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0
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Antenatal care
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Reproductive Health and Childbirth
252311
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0
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Complications of newborn
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
stillbirth cases will be recorded until 100 cases are recruited from January 2006.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
live birth controls will be recorded until approximately 200 controls are recruited from January 2006.
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Control group
Active
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Outcomes
Primary outcome [1]
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Infection is measured by taking samples of maternal and cord blood, small sample of placenta and umblical cord. Multiplex Polymerase Chain Reaction (PCR) viral testing is conducted.
Placental macro and mirco pathological findings are also conducted.
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Assessment method [1]
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Timepoint [1]
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Maternal blood is taking during/ around the time of birth.
Cord blood, piece of placenta and cord is sampled immediately after birth.
The placenta is sent to pathology after birth.
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Primary outcome [2]
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fetal movements meausred by a fetal movement questionaire. 8 qualitative questions asking a range of differenent questions relating to fetal movements
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Assessment method [2]
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Timepoint [2]
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recorded during the semi- structed interview (antenatally for controls and ranging from 1-6 weeks after birth for cases)
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Secondary outcome [1]
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Obstetric history and other lifestyle factors
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Assessment method [1]
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Timepoint [1]
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Recorded during the semi- structed interview (antenatally for controls and ranging from 1-6 weeks after birth for cases)
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Eligibility
Key inclusion criteria
cases:
stillbirth infants born >= 32 weeks gestational age
singleton pregnancy
controls:
matched to case by Estimated Date of Confinement (EDC) and hospital
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Minimum age
16
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
cases and controls:
known congential or chromosomal abnormality
aboriginal or torres straight island mother
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Case control
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2006
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Actual
1/01/2006
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Date of last participant enrolment
Anticipated
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Actual
31/12/2011
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Date of last data collection
Anticipated
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Actual
31/12/2011
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Sample size
Target
300
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Accrual to date
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Final
295
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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The Stillbirth Foundation
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Address [1]
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P O Box 9
Willoughby
NSW 2068
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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National Health and Medical Research Council
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Address [2]
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Level 1, 16 Marcus Clarke Street
Canberra ACT 2601
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Prince Alfred Hospital
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Address
RPA Newborn Care
Missenden Road
Camperdown
NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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The University of Sydney
NSW 2006
Australia
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Sydney Health (Hawkesbury) Human Research Ethics Committee
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Ethics committee address [1]
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The Research Business Unit Level 2, Building 51, Royal North Shore Hospital St Leonards NSW 2065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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07/08/2005
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Approval date [1]
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30/12/2005
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Ethics approval number [1]
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protocol no: 0605-081M
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Summary
Brief summary
The aim of the study is to document risk factors for stillbirths > = 32 weeks gestational age, compared with approximately matched controls (i.e. women expected to have a healthy live born outcome who match the same week of gestational age as the stillbirth mother). Women who are >= 32 weeks gestational age who have a stillbirth (cases) are matched with 2 women who also are in the same week of gestational age (controls). An identical interview (which is audio taped) is conducted on both cases and controls to assess for risk factors associated with stillbirth. The interviews are then analysed, along with any autopsy or placental histopathology results, to investigate all known or plausible risk factors that can potentially cause stillbirths. The ultimate aim of the study is to focus on finding answers for truly unexplained stillbirths to hopefully help prevent such stillbirths from occurring in the future. Following delivery and parental consent, both cases and controls will have placental pathology and virology investigations. Additionally, for case study participants who consent to a post-mortem of their stillborn, autopsy investigations will also apply. For viral investigations, this study is collaborating with a separate research team from Prince of Wales Hospital to investigate the role of undiagnosed viral infections as a possible cause of stillbirths. Samples taken from both cases and controls are examined using a multiplex PCR test to see if there is any evidence of viruses which were previously undiagnosed. The differences in results of any viral infections found in the case group will be compared to that of the control group. The research team from Prince of Wales Hospital has obtained prior ethics approval in 2005 (Sydney South West Area Health Service HREC - RPAH Zone: ethics protocol X04-0135 and South East Sydney & Illawarra Health Service HREC: ethics reference number 04210). Study type: Prospective case control study Other research sites: This same study is currently being conducted at Royal Prince Alfred Hospital, Royal North Shore Hospital and North Shore Private Hospital, Mater Hospital (North Sydney), Westmead, Liverpool and Nepean Hospitals.
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Trial website
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Trial related presentations / publications
Sleep Position, Fetal Growth Restriction, and Late-Pregnancy Stillbirth The Sydney Stillbirth Study (2015) Obstetrics and Gynecology 125(2) DOI: 10.1097/AOG.0000000000000627 see link:https://journals.lww.com/greenjournal/Fulltext/2015/02000/Sleep_Position,_Fetal_Growth_Restriction,_and.10.aspx
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Adrienne Gordon
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Address
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RPA Newborn Care
Royal Prince Alfred Hospital
Missenden Road
Camperdown
NSW 2050
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Country
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Australia
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Phone
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+61 2 95156778
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Adrienne Gordon
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Address
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RPA newborn care
Royal Prince Alfred Hospital
Missenden Road
Camperdown
NSW 2050
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Country
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Australia
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Phone
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+61 2 95156778
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Sleep position, fetal growth restriction, and late-pregnancy stillbirth: The sydney stillbirth study.
2015
https://dx.doi.org/10.1097/AOG.0000000000000627
N.B. These documents automatically identified may not have been verified by the study sponsor.
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