Keeping baby SAFE in pregnancy project

S20 94%) from Queensland. Pretest results (n = 1088) identified deficits in knowledge and application to risk factor assessment and evidence-based parent advice [mean pretest score 70% (±SD 11.09], while nurses and midwives had a higher mean pretest score [71% (±SD 10.5)] compared to other health professionals [63% (±SD 16.4), p < 0.0001]. Participant scores significantly increased posttest [pretest 70% vs post-test average 87%, p < 0.0001). Public sector staff were significantly higher pretest than private sector (70.8% vs 63.9%, p = 0.002), however post-test scores were similar (88.6% vs 86.9%, p = 0.7). Post-test mean scores for nurses and midwives compared with other health professionals were also similar (87% vs 88%, p = 0.05). Implications for midwifery education: This innovative e-learning program was effective in significantly improving relevant knowledge and knowledge application relating to safe sleeping public health recommendations for midwives who care for families with young infants. Conclusions: Consistent delivery of evidence-based information relating to safe sleeping will support midwives in their key role as parent educators about public health initiatives that promote infant health and reduce mortality. doi:10.1016/j.wombi.2011.07.073 D1.2 Keeping baby SAFE in pregnancy project Jane Warland University of South Australia, South Australia, Australia SIDS and Kids South Australia in collaboration with the University of South Australia are currently (2010) conducting a health promotion project titled ‘‘Keeping baby SAFE in pregnancy’’ Using the acronym SAFE. (Sleep left, Attend all appointments, Feeling baby move, Early expert advise) This project seeks to inform women about stillbirth and four things they can proactively do to minimise their risk of suffering this tragedy. This paper will report the findings of a pilot project, undertaken in 2010 which sought to establish what women know about risk factors for stillbirth both before and after reading an information brochure on the subject. The study aimed to gain insight into the current knowledge base that women have about risk of stillbirth before introducing an information brochure. Evaluation of the brochure concentrated on the differences in knowledge that women have before and after reading it. Fourteen pregnant women were recruited for the study. They were their own controls. They were issued with a questionnaire that concentrated on ascertaining their current knowledge. Then they were given an information brochure about stillbirth to take home. At the next antenatal visit the questionnaire was repeated, to determine any improvement in knowledge. Participants were also asked their opinion of the brochure in terms of readability, understandability and visual appeal. There was a significant improvement in awareness of the incidence of stillbirth as well as improved understanding of things women can do to prevent this tragedy from occurring to them. All results from this pilot project will be presented and discussed. The process used to produce the brochure including, peer review will be discussed. The value of giving written information to pregnant woman and her partner

Abstracts will also be raised. It is anticipated that improving women’s knowledge about preventable risk factors for stillbirth would also reduce their risk of suffering this tragedy. However, further quantitative research is required to determine the extent that improving women’s knowledge also improves perinatal outcome in the long term. doi:10.1016/j.wombi.2011.07.074 D1.3 Does the way maternity care is provided affect maternal and neonatal outcomes for young women and their babies? Jyai Allen Mater Mothers’ Hospital, Brisbane, Queensland, Australia Background: Teenage pregnancy is associated with poorer maternal and neonatal outcomes including preterm birth, low birth weight babies, admission to neonatal nursery and perinatal mortality. Non-standard models of maternity care are associated with improved outcomes for young women and neonates including: an increased rate of antenatal visit attendance decreased risk of preterm birth and increased likelihood of breastfeeding initiation. There are no published prospective studies exploring the impact of caseload midwifery care for young women. Models of maternity care which are relevant and engaging to young women may encourage earlier access and improved attendance which increases opportunities for health promotion, harm minimisation strategies and improving maternal and neonatal clinical outcomes. In 2008 a community-based model of care was established to provide care through either a caseload midwifery model or a specialist young women’s antenatal service to women in Brisbane. Aim: To answer the research question ‘‘Does the way maternity care is provided affect maternal and neonatal outcomes for young women and their babies?’’ Research Design: Mixed methods study including: • a retrospective analysis of the outcomes for young women (under 22 years) receiving caseload midwifery care (n = 263) compared to standard care (n = 879) during 2008—2010 • focus groups with young women (n = 6) accessing caseload midwifery • focus groups with midwives and obstetricians providing a specialist young women’s maternity service (n = 6) • a pilot randomised controlled trial of caseload midwifery compared to standard care for young women (n = 30) Results: The retrospective data analysis will report on both primary and secondary outcomes including: the proportion of women having a ‘normal birth’, a preterm birth, a small-for-gestational age infant and other maternity maternal and neonatal indicators. Results from thematic analysis of the focus groups will also be presented .The primary outcomes reported from the RCT will be the: proportion of young women who are ineligible, missed, decline, cross-over or are lost to follow up. Implications: National maternity reform in Australia is recommending an increased emphasis on the provision