Day 3 | Session 7: Preterm birth
Free communications: There is ethnic disparity in pre-pregnancy folic acid supplementation: a secondary analysis from the central and south Auckland postnatal contraception surveys
Objective: To describe self-reported pre-pregnancy folic acid supplementation rates in different ethnic groups in two large urban Auckland maternity services.
Dr Esther Tutty
Fellow, Middlemore Hospital
Dr Esther Tutty was born in Hastings, and studied Medicine at the University of Auckland. Her base for her training has been at Middlemore and she is currently working there as a fellow. When not at work she enjoys tramping and going on adventures with her family.
Outpatient balloon vs inpatient prostaglandin for induction of labour (OBLIGE): a randomized controlled trial
The objectives of the OBLIGE trial were to determine whether women having outpatient induction of labour with balloon catheter would have a lower caesarean birth rate compared to women having inpatient induction of labour with vaginal prostaglandin E2, without an increase in adverse maternal or neonatal events. The trial recruited over 1,000 women from 2018 to 2021 at 10 hospitals around Aotearoa New Zealand, and this will be the first presentation of results in New Zealand.
Dr Michelle Wise
Deputy Head of the
Department of Obstetrics and Gynaecology, University of Auckland, and a
Consultant Obstetrician and Gynaecologist at Te Whatu Ora Te Toka Tumai
Dr Michelle Wise is the Deputy Head of the Department of Obstetrics and Gynaecology, University of Auckland, and a Consultant Obstetrician and Gynaecologist at Te Whatu Ora Te Toka Tumai. Dr Wise chaired the development of the first national guideline on induction of labour (https://www.health.govt.nz/publication/induction-labour-aotearoa-new-zealand-clinical-practice-guideline-2019). She currently has several funded research projects on the go, supervises undergraduate and postgraduate students, and teaches all aspects of women’s health. @wiseobNZ
The other side, my lived experience of preterm birth
Casey Pauling
My name is Casey Pauling, I am from Rotorua, I am a mum, a Registered Nurse, and a lover of the outdoors and my whānau. My journey to have my own family hasn’t been smooth sailing. I will share my experiences with preterm birth, loss then pre pregnancy intervention and pregnancy care until the safe arrival of our third boy Maika.
Preterm birth in Aotearoa: why equity is an issue
The differential rates of preterm birth across our diverse population groups indicate that our health and wider social policy settings systematically advantage some groups. They also demonstrate that significant work is needed to meet Te Tiriti o Waitangi commitments for whānau Māori. This presentation explores what the currently available data can and can’t tell us about preterm birth, and considers some of the implications for maternity care providers.
Claire MacDonald
Midwifery AdvisorTe Kāreti o ngā Kaiwhakawhānau ki Aotearoa | New Zealand College of Midwives
Claire MacDonald is a Midwifery Advisor at Te Kāreti o ngā Kaiwhakawhānau ki Aotearoa | New Zealand College of Midwives, a member of the Perinatal and Maternal Mortality Review Committee and the Carosika Collaborative. Her Master of Public Health research included an epidemiological analysis of birth outcomes during the Covid pandemic response. Her research interests include how data can support our efforts to achieve health equity for whānau during the childbirth journey.
The Carosika Collaborative and Taonga Tuku Iho, a national best practice guide for preterm birth
The Carosika Collaborative is a national transdisciplinary stakeholder-initiated and led group. It aims to work across the maternity sector to enhance maternity care and use available best-evidence, as well as support new research that improves the care and outcomes for preterm birth across Aotearoa with a focus on equity for all whānau. Investigators supported by the Carosika Collaborative are funded through the Health Research Council/Ministry of Health Maternity Services Research Programme to develop Taonga Tuku Iho, a national best practice guide for the care of wāhine and pēpi at risk of preterm birth.
Tina Allen-Mokaraka
Independent Researcher, Carosika Collaborative
My name is Tina Allen-Mokaraka, I am of Ngā Puhi descent, I have lived in South Auckland the last 12 years but originally come from the Far North. Myself and my partner Tasi share 4 beautiful tamariki together, Tasi is of Samoan descent. We have 2 Angel babies and 2 living daughters Blessing & Clare who are both school aged. I have been involved with Carosika Collaborative, Taonga Tuku Iho since first inception and we also came up with the name overall, after our Angel Daughter, Carosika Kinaya Wilson - born 9th August 2014 @ 23wks 6days gestation, living for 1hr and 15minutes, Her final resting place is inside our whānau urupa upon her Papa and beside her Aunty.
Professor Katie Groom
Professor of Maternal and Perinatal Health at
the Liggins Institute, University of Auckland
Katie Groom is Professor of Maternal and Perinatal Health at the Liggins Institute, University of Auckland. She is a Subspecialist in Maternal and Fetal Medicine at National Women’s Health, Te Toka Tumai, Auckland City Hospital. She has been clinical lead for preterm birth services at Te Toka Tumai since 2013, when she established the first-ever Preterm Birth Clinic in Aotearoa.
She has extensive clinical and research experience in the management of both spontaneous and provider-initiated preterm birth. She is the Chair of the Carosika Collaborative Steering Group and Co-leader for Taonga Tuku Iho Knowledge Translation for Equity in Preterm Birth Care and Outcomes in Aotearoa.
The latest preterm birth evidence informing our practice
An update on new evidence that has informed Taonga Tuku Iho will be provided including consideration of cervical cerclage, progesterone, screening for spontaneous preterm birth, magnesium sulphate and corticosteroids.
Professor Katie Groom
Professor of Maternal and Perinatal Health at
the Liggins Institute, University of Auckland
Katie Groom is Professor of Maternal and Perinatal Health at the Liggins Institute, University of Auckland. She is a Subspecialist in Maternal and Fetal Medicine at National Women’s Health, Te Toka Tumai, Auckland City Hospital. She has been clinical lead for preterm birth services at Te Toka Tumai since 2013, when she established the first-ever Preterm Birth Clinic in Aotearoa.
She has extensive clinical and research experience in the management of both spontaneous and provider-initiated preterm birth. She is the Chair of the Carosika Collaborative Steering Group and Co-leader for Taonga Tuku Iho Knowledge Translation for Equity in Preterm Birth Care and Outcomes in Aotearoa.