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Updated: Jul 17, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Improved compliance of midwives with stillbirth prevention and control practices after creating and implementing an
Xueheng Wen1,2, Jinguo Zhai3,4, Hamza Saidi Lilenga1
1School of Nursing, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, 510515, China.
Background:
This study evaluated midwives' compliance with evidence-based stillbirth prevention practices and the impact of a targeted educational intervention. Five audit criteria were established based on the Safer Baby Bundle and expert consensus: (1) smoking cessation support, (2) fetal growth restriction (FGR) screening, (3) fetal movement education for decreased fetal movement, (4) promotion of safe late-pregnancy sleep positions, and (5) risk-based birth timing decisions.
Methods:
Using the Joanna Briggs Institute's Practical Application of Clinical Evidence System (PACES) framework, data from 61 midwives in a Chinese obstetric clinic were collected via baseline and follow-up audits. Five audit criteria were established to determine midwives' compliance to best practices for stillbirth prevention.
Results:
Baseline compliance showed 100% adherence to FGR screening (criterion 2), while criteria 1, 3, 4, and 5 had 0% compliance. Following the intervention,, all criteria achieved 100% compliance, with significant improvements in previously non-compliant areas.
Conclusions:
The educational program effectively improved midwives' compliance with key stillbirth prevention practices. Integrating such interventions into midwifery education and clinical workflows is essential to reduce preventable stillbirths.
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