Caroline A Crowther
University of Auckland
ObstetricsRandomized controlled trialPediatricsPlaceboPsychological interventionPrenatal careCaesarean sectionPremature birthGestational agePregnancyGestational diabetesChildbirthPopulationGestationFamily medicineClinical trialDiabetes mellitusMedicineRelative riskMeta-analysis
395Publications
84H-index
16.1kCitations
Publications 389
Newest
#1Vicki Flenady (UQ: University of Queensland)H-Index: 56
#2Glenn Gardener (UQ: University of Queensland)H-Index: 20
Last. Frances M. Boyle (UQ: University of Queensland)H-Index: 58
view all 20 authors...
The My Baby's Movements (MBM) trial aimed to evaluate the impact on stillbirth rates of a multifaceted awareness package (MBM intervention). null Stepped-wedge cluster-randomised controlled trial. null Twenty-seven maternity hospitals in Australia and New Zealand. null Women with a singleton pregnancy without major fetal anomaly at ≥28 weeks' gestation from August 2016-May 2019. null The MBM intervention was implemented at randomly assigned time points with sequential introduction into 8 groups ...
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#1Stefan C. Kane (University of Melbourne)H-Index: 11
#2Katie M. Groom (University of Auckland)H-Index: 21
Last. Caroline A Crowther (University of Auckland)H-Index: 84
view all 3 authors...
Prematurity remains a leading cause of perinatal morbidity and mortality, and also has significant implications for long-term health. Obstetricians have a key role to play in improving outcomes for infants born at extremely preterm gestations. This review explores the evidence for interventions available to obstetricians caring for women at risk of birthing at extremely preterm gestations, including antenatal corticosteroids, magnesium sulfate, tocolysis and antibiotics. It also addresses the im...
1 CitationsSource
#1Oratile Kgosidialwa (National University of Ireland, Galway)H-Index: 3
#2Delia Bogdanet (National University of Ireland, Galway)H-Index: 6
Last. Shamil D. Cooray (Monash University, Clayton campus)H-Index: 8
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OBJECTIVE To develop a core outcome set (COS) for randomised controlled trials (RCTs) evaluating the effectiveness of interventions for the treatment of pregnant women with pregestational diabetes mellitus (PGDM). DESIGN A consensus developmental study. SETTING International. POPULATION Two hundred and five stakeholders completed the first round. METHODS The study consisted of three components. (1) A systematic review of the literature to produce a list of outcomes reported in RCTs assessing the...
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#1Amy KeirH-Index: 10
#2Emily ShepherdH-Index: 14
Last. Emily J. Callander (Monash University)H-Index: 19
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Magnesium sulfate given to women before birth at <30 weeks' gestation reduces the risk of cerebral palsy in their children. Our study aimed to assess the impact of a local quality improvement programme, primarily using plan-do-study-act cycles, to increase the use of antenatal magnesium sulfate. After implementing our quality improvement programme, an average of 86% of babies delivered at <30 weeks' gestation were exposed to antenatal magnesium sulfate compared with a historical baseline rate of...
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#1Olivia J. Hofer (University of Auckland)
#2Christopher J. D. McKinlay (University of Auckland)H-Index: 15
Last. Caroline A Crowther (University of Auckland)H-Index: 84
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BACKGROUND Antenatal corticosteroids (ACSs) administered to women before preterm birth improve neonatal health. Proportionately more women are obese or overweight in current obstetric populations than those who were included in the original trials of ACSs, and it remains uncertain if higher doses are required for such women. AIM Our aim was to assess the association between maternal body mass index (BMI) and infant morbidity after the administration of ACSs. METHODS In the secondary analysis of ...
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#1Sara T Mustafa (University of Auckland)
#2Jane E. Harding (University of Auckland)H-Index: 70
Last. Caroline A Crowther (University of Auckland)H-Index: 84
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Dietary advice is the cornerstone of care for women with gestational diabetes mellitus (GDM). However, adherence to this advice is variable. We aimed to identify the proportion of women with GDM who adhere to the New Zealand nutrition guideline recommendations and assess the sociodemographic factors linked to dietary adherence. We assessed dietary intake at 36 weeks' gestation in a cohort of 313 women with GDM and compared this with the dietary recommendations for the management of GDM. Associat...
1 CitationsSource
#1Joanne E Hegarty (University of Auckland)H-Index: 5
#2Jane M Alsweiler (University of Auckland)H-Index: 17
Last. Jane E. Harding (University of Auckland)H-Index: 70
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OBJECTIVE To determine the effects of different doses of prophylactic dextrose gel on glycemic stability assessed using continuous interstitial glucose monitoring (CGM) in the first 48 hours when given to babies at risk of neonatal hypoglycemia. STUDY DESIGN CGM was undertaken for the first 48 hours in 133 infants at risk of hypoglycemia who participated in the pre-hPOD randomized dosage trial of dextrose gel prophylaxis. RESULTS Low glucose concentrations were detected in 41% of infants by bloo...
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#1Lesley A. StewartH-Index: 61
#2Mark SimmondsH-Index: 25
Last. Tom WalleyH-Index: 55
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Summary Background Preterm birth is a global health priority. Using a progestogen during high-risk pregnancy could reduce preterm birth and adverse neonatal outcomes. Methods We did a systematic review of randomised trials comparing vaginal progesterone, intramuscular 17-hydroxyprogesterone caproate (17-OHPC), or oral progesterone with control, or with each other, in asymptomatic women at risk of preterm birth. We identified published and unpublished trials that completed primary data collection...
14 CitationsSource
#1Vicki Flenady (UQ: University of Queensland)H-Index: 56
#2Glenn Gardener (UQ: University of Queensland)H-Index: 20
Last. Caroline A Crowther (University of Auckland)H-Index: 84
view all 19 authors...
Background: Maternal perception of decreased fetal movements (DFM) is associated with stillbirth. The My Baby’s Movements (MBM) trial aimed to evaluate the impact on stillbirth rates of a multifaceted awareness package for women and clinicians. Methods: A stepped wedge cluster randomised controlled trial was undertaken with 8 groups of 3-5 hospitals in Australia and New Zealand at four-monthly intervals, targeting women with a singleton pregnancy without major fetal anomaly at ≥28 weeks’ gestati...
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#1Sara T Mustafa (University of Auckland)
#2Olivia J. Hofer (University of Auckland)
Last. Caroline A Crowther (University of Auckland)H-Index: 84
view all 5 authors...
CONTEXT Dietary advice is the cornerstone of care for women with gestational diabetes mellitus (GDM) to improve maternal and infant health. OBJECTIVES This study aimed to compare dietary recommendations made in clinical practice guidelines (CPGs) for the management of GDM, evaluate their evidence base, identify research gaps, and assess CPG quality. The PRISMA guidelines were used. DATA SOURCES Six databases were searched for CPGs, published between 2000 and 2019, that included dietary advice fo...
1 CitationsSource