Abstract
Objective - To investigate implementation of the Count the Kicks campaign in Iowa to increase maternal awareness of fetal movements and its association with stillbirth rates.
Design - Time series analysis
Setting - Iowa, Illinois, Minnesota and Missouri, USA.
Sample - Women giving birth between 2005-2018.
Methods - Data regarding campaign activity, including App uptake and distribution of information materials, and population-level data on stillbirth rates and potential confounding risk factors were obtained from publicly-available data for 2005-2018. Data were plotted over time and examined in relation to key implementation phases.
Main outcome measure - Stillbirth
Results – App users were largely centred on Iowa, and increased over time, although numbers were modest relative to the number of births. Only Iowa demonstrated a reduction in stillbirth (OR 0.96, 95% CI 0.96-1.00 per year, interaction between state and time p
Conclusion – There was a reduction in stillbirths in Iowa, where an information campaign about fetal movements was active, which was not present in neighbouring states. Large-scale intervention studies are needed to determine whether the temporal associations between App use and stillbirth are causally related.
Design - Time series analysis
Setting - Iowa, Illinois, Minnesota and Missouri, USA.
Sample - Women giving birth between 2005-2018.
Methods - Data regarding campaign activity, including App uptake and distribution of information materials, and population-level data on stillbirth rates and potential confounding risk factors were obtained from publicly-available data for 2005-2018. Data were plotted over time and examined in relation to key implementation phases.
Main outcome measure - Stillbirth
Results – App users were largely centred on Iowa, and increased over time, although numbers were modest relative to the number of births. Only Iowa demonstrated a reduction in stillbirth (OR 0.96, 95% CI 0.96-1.00 per year, interaction between state and time p
Conclusion – There was a reduction in stillbirths in Iowa, where an information campaign about fetal movements was active, which was not present in neighbouring states. Large-scale intervention studies are needed to determine whether the temporal associations between App use and stillbirth are causally related.
Original language | English |
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Pages (from-to) | 913-922 |
Journal | British Journal of Obstetrics and Gynaecology |
Volume | 130 |
Issue number | 8 |
Early online date | 17 Feb 2023 |
DOIs | |
Publication status | Published - 1 Jul 2023 |