Welcome to our Health Professionals & Researchers area. If you are a healthcare provider or a researcher in maternal, perinatal or neonatal health, here we provide the following:
- Ways to get involved: learn of the various ways you can become involved with the ON TRACK Network and clinical trials research
- Translation & implementation of research findings: access publications, guidelines and websites to help you develop your own knowledge base and clinical/research practice.
Ways to get involved
Speak with your Site Network Leader
We have Site Network Leaders (SNLs) in the majority of DHBs across New Zealand. SNLs champion clinical trials research and act as the main contact point between the ON TRACK Network and their respective hospital sites. If you are passionate about clinical trials research and facilitating best clinical practice at your site for mothers and babies, contact your SNL to find out more about the Network and how you can become involved. If you are not sure who your SNL is, or your site’s SNL role is currently vacant please contact us.
Join our Research Prioritisation Project
Identifying priority research questions for New Zealanders in maternal and perinatal health is one of our Network’s strategic pillars. We have a Research Prioritisation Project underway and we would encourage you to join in and have your say. The Network will bring together health professionals, consumers, researchers, policy makers, funders and other stakeholders to identify gaps in our knowledge and to prioritise which perinatal and maternal research is needed. Everyone and anyone with an interest in perinatal and maternal research will be welcome and encouraged to participate. You can find out more on our Research Prioritisation page.
Find a clinical trial for your site
If you would like to find a clinical trial in maternal or perinatal health for your hospital, you can find details of trials in set up and currently recruiting across New Zealand on our Clinical Trials Page or in our monthly newsletters. If there is a trial of interest to you and your teams, we can assist by putting you in touch with the lead investigator to discuss feasibility and set up for your site.
Have an idea for a clinical trial?
The ON TRACK Network hosts annual clinical trial development workshops. The aim of the workshops is to support the development of promising clinical trial concepts and ideas to a stage where they are ready for success in competitive funding applications. Concepts accepted for development during the workshops are for investigator-led collaborative clinical trials, which are likely to recruit across multiple New Zealand sites. You can find out more about these workshops by looking at our clinical trial development page or by contacting us.
Share your clinical trials experience
We like to share learning and experience from those delivering clinical trials research to encourage and facilitate more clinical trials across New Zealand. If you are already involved in the delivery of clinical trials research for better health of mothers and babies in New Zealand, why not share your story? Tell us about your experience and thoughts on delivering maternal and perinatal clinical trials. We will feature your insights here on our website and in our newsletters. You can use our contact form for this purpose.
Sign up to our monthly newsletter
We publish monthly ON TRACK newsletters aimed at healthcare professionals and researchers. These newsletters provide: information on Network and clinical trials activities; latest trials publications; update your practice pieces; and guideline developments. The newsletters are distributed across DHBs by Site Network Leaders and Site Network Coordinators, but if you want copies sent directly to your inbox you can subscribe here.
Translation & implementation of research findings
The third strategic pillar of the ON TRACK Network is to facilitate the dissemination and timely implementation of research into clinical practice to raise the profile of evidence-based practice, increase the knowledge-base of local practitioners and enhance the quality of care received by women and babies nationwide. Here we highlight recent clinical trials research that has been supported by the ON TRACK Network and multicentre trials that have been published within the last few years, together with other recent publications that may have implications for your practice. We also provide links to important clinical practice guidelines that should inform and influence your practice, and links to key websites.
2019 Cartwright RD, Crowther CA, Anderson PJ, Harding JE, Doyle LW, McKinlay CJD. Association of Fetal Growth Restriction with neurocognitive function after repeated antenatal betamethasone treatment vs placebo: Secondary analysis of the ACTORDS Randomized Clinical Trial. JAMA Netw Open. 2019 Feb 1;2(2):e187636. doi: 10.1001/jamanetworkopen.2018.7636. https://www.ncbi.nlm.nih.gov/pubmed/30707225
2019 Crowther CA, Ashwood P, Andersen CC, Middleton PF, Tran T, Doyle LW, et al. Maternal intramuscular dexamethasone versus betamethasone before preterm birth (ASTEROID): a multicentre, double-blind, randomised controlled trial. The Lancet Child & Adolescent Health. 2019. https://doi.org/10.1016/S2352-4642(19)30292-5
2019 Groom KM, McCowan LM, Mackay LK, Lee AC, Gardener G, Unterscheider J, Sekar R, Dickinson JE, Muller P, Reid RA, Watson D, Welsh A, Marlow J, Walker SP, Hyett J, Morris J, Stone PR, Baker PN. STRIDER NZAus: a multicentre randomised controlled trial of sildenafil therapy in early‐onset fetal growth restriction. BJOG. 2019;126(8):997-1006. https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.15658
2019 Okesene-Gafa KAM, Li M, McKinlay CJD, Taylor RS, Rush EC, Wall CR, et al. Effect of antenatal dietary interventions in maternal obesity on pregnancy weight-gain and birthweight: Healthy Mums and Babies (HUMBA) randomized trial. Am J Obstet Gynecol. 2019 Mar 13. pii: S0002-9378(19)30478-8. doi: 10.1016/j.ajog.2019.03.003. https://www.ncbi.nlm.nih.gov/pubmed/30878323
2018 Tottman AC, Alsweiler JM, Bloomfield FH, Gamble G, Jiang Y, Leung M, et al. Long-Term Outcomes of Hyperglycemic Preterm Infants Randomized to Tight Glycemic Control. J Pediatr. 2018 Feb;193:68-75.e1. doi: 10.1016/j.jpeds.2017.09.081. Epub 2017 Dec 1. https://www.ncbi.nlm.nih.gov/pubmed/29198539
2017 Crowther CA, Ashwood P, McPhee AJ, Flenady V, Tran T, Dodd JM, et al. Vaginal progesterone pessaries for pregnant women with a previous preterm birth to prevent neonatal respiratory distress syndrome (the PROGRESS Study): A multicentre, randomised, placebo-controlled trial. PLoS Med. 2017 Sep 26;14(9):e1002390. doi: 10.1371/journal.pmed.1002390. eCollection 2017 Sep http://www.ncbi.nlm.nih.gov/pubmed/28949973
2017 Groom KM, McCowan LM, Mackay LK, Lee AC, Said JM, Kane SC, et al. Enoxaparin for the prevention of preeclampsia and intrauterine growth restriction in women with a history: a randomized trial. Am J Obstet Gynecol. 2017 Mar;216(3):296.e1-296.e14. doi: 10.1016/j.ajog.2017.01.014. Epub 2017 Jan 30. http://www.ncbi.nlm.nih.gov/pubmed/28153659
2017 McKinlay CJD, Cutfield WS, Battin MR, Dalziel SR, Crowther CA, Harding JE, et al. Mid-childhood bone mass after exposure to repeat doses of antenatal glucocorticoids: A Randomized Trial. Pediatrics. 2017 May;139(5). pii: peds.2016-4250. doi: 10.1542/peds.2016-4250. Epub 2017 Apr 7. http://www.ncbi.nlm.nih.gov/pubmed/28557758
2017 Pels A, Kenny LC, Alfirevic Z, Baker PN, von Dadelszen P, Gluud C, et al. STRIDER (Sildenafil TheRapy in dismal prognosis early onset fetal growth restriction): an international consortium of randomised placebo-controlled trials. BMC Pregnancy Childbirth. 2017;17(1):440. BMC Pregnancy Childbirth. 2017 Dec 28;17(1):440. doi: 10.1186/s12884-017-1594-z. http://www.ncbi.nlm.nih.gov/pubmed/29282009
2016 Crowther CA, Anderson PJ, McKinlay CJ, Harding JE, Ashwood PJ, Haslam RR, et al. Mid-childhood outcomes of repeat antenatal corticosteroids: A Randomized Controlled Trial. Pediatrics. 2016 Oct;138(4). pii: peds.2016-0947. doi: 10.1542/peds.2016-0947. Epub 2016 Sep 20. http://www.ncbi.nlm.nih.gov/pubmed/27650051
2016 Harris DL, Alsweiler JM, Ansell JM, Gamble GD, Thompson B, Wouldes TA, et al. Outcome at 2 Years after Dextrose Gel Treatment for Neonatal Hypoglycemia: Follow-Up of a Randomized Trial. J Pediatr. 2016 Mar;170:54-9.e1-2. doi: 10.1016/j.jpeds.2015.10.066. Epub 2015 Nov 21. http://www.ncbi.nlm.nih.gov/pubmed/26613985
2020 Manerkar, K.,Harding, J.,Conlon, C., McKinlay, C. Maternal gestational diabetes and infant feeding, nutrition and growth: a systematic review and meta-analysis. Br J Nutr. 2020 Jan 22:1-37. doi: 10.1017/S0007114520000264. https://www.ncbi.nlm.nih.gov/pubmed/31964432
2020 Dawes, L., Groom, K., Jordan, V., Waugh, J. The use of specialised preterm birth clinics for women at high risk of spontaneous preterm birth: a systematic review. BMC Pregnancy Childbirth. 2020 Jan 29;20(1):58. doi: 10.1186/s12884-020-2731-7. https://www.ncbi.nlm.nih.gov/pubmed/31996173
2019 Amissah E, Lin L, Gamble G, Crowther C, Bloomfield F, Harding J. Macronutrient supplements in preterm and small-for-gestational-age animals: A systematic review and meta-analysis. Sci Rep. 2019 Oct 11;9(1):14715. doi: 10.1038/s41598-019-51295-6. https://www.ncbi.nlm.nih.gov/pubmed/31605011
2019 Lin L, Amissah E, Gamble G, Crowther C, Harding J. Impact of macronutrient supplements for children born preterm or small for gestational age on developmental and metabolic outcomes: A systematic review and meta-analysis. PLoS Med. 2019. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002952
2019 Lisa Jean Kremer, David M Reith, Natalie Medlicott, Roland Broadbent. Systematic review of mydriatics used for screening of retinopathy in premature infants. BMJ Paediatrics Open. 2019. https://bmjpaedsopen.bmj.com/content/3/1/e000448
2019 Mariana Muelbert, Luling Lin, Frank H Bloomfield, Jane E Harding. Exposure to the smell and taste of milk to accelerate feeding in preterm infants. Cochrane Database Systematic Reviews. 2019. https://www.ncbi.nlm.nih.gov/pubmed/31311064
2019 Shah R, Harding J, Brown J, McKinlay C. Neonatal Glycaemia and Neurodevelopmental Outcomes: A Systematic Review and Meta-Analysis. Neonatology. 2019;115(2):116-126. doi: 10.1159/000492859. Epub 2018 Nov 8. https://www.ncbi.nlm.nih.gov/pubmed/30408811
2019 Lassi ZS, Middleton PF, Bhutta ZA, Crowther C. Health care seeking for maternal and newborn illnesses in low- and middle-income countries: a systematic review of observational and qualitative studies. F1000Res. 2019. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480947/
2019 Shepherd, E. Salam, R. A. Manhas, D. Synnes, A. Middleton, P. Makrides, M. Crowther, C. A. Antenatal magnesium sulphate and adverse neonatal outcomes: A systematic review and meta-analysis. PLoS Med. 2019 Dec 6;16(12):e1002988. doi: 10.1371/journal.pmed.1002988. eCollection 2019 Dec. https://www.ncbi.nlm.nih.gov/pubmed/31809499
2018 Amissah E, Brown J, Harding J. Protein supplementation of human milk for promoting growth in preterm infants. Cochrane Database Syst Rev. 2018 Jun 22;6:CD000433. doi: 10.1002/14651858.CD000433.pub2. https://www.ncbi.nlm.nih.gov/pubmed/29931679
2018 Amissah E, Brown J, Harding J. Fat supplementation of human milk for promoting growth in preterm infants. Cochrane Database Systematic Reviews. 2018. https://www.cochrane.org/CD000341/NEONATAL_fat-supplementation-human-milk-promoting-growth-preterm-infants
2018 Amissah E, Brown J, Harding J. Carbohydrate supplementation of human milk to promote growth in preterm infants. Cochrane Database Systematic Reviews. 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513426/
2018 Bradford BF, Thompson JMD, Heazell AEP, McCowan LME, McKinlay CJD. Understanding the associations and significance of fetal movements in overweight or obese pregnant women: a systematic review. Acta Obstet Gynecol Scand. 2018;97(1):13-24. https://www.ncbi.nlm.nih.gov/pubmed/29068467
2019 Alexander T, Bloomfield FH. Nutritional management of moderate-late preterm infants: Survey of current practice. J Paediatr Child Health. 2019;55(3):338-42. https://www.ncbi.nlm.nih.gov/pubmed/30152042
2019 Cloete E, Gentles TL, Dixon LA, Webster DR, JD A, Davidkova S, et al. Feasibility study assessing equitable delivery of newborn pulse oximetry screening in New Zealand’s midwifery led maternity setting. BMJ Open. 2019. https://bmjopen.bmj.com/content/9/8/e030506
2019 Cloete E, Gentles TL, Webster DR, Davidkova S, Dixon LA, Alsweiler JM, et al. Pulse oximetry screening in a midwifery-led maternity setting with high antenatal detection of congenital heart disease. Acta Paediatr. 2019. Acta Paediatr. 2019 Jul 12. doi: 10.1111/apa.14934. https://www.ncbi.nlm.nih.gov/pubmed/31298757
2019 Gatman K, May R, Crowther C. Survey on use of antenatal magnesium sulphate for fetal neuroprotection prior to preterm birth in Australia and New Zealand – Ongoing barriers and enablers. Australian New Zealand Journal of Obstetrics and Gynaecology 2019. https://www.ncbi.nlm.nih.gov/pubmed/31119725
2019 Muelbert M, Harding JE, Bloomfield FH. Nutritional policies for late preterm and early term infants – can we do better? Semin Fetal Neonatal Med. 2019;24(1):43-7. Semin Fetal Neonatal Med. 2019 Feb;24(1):43-47. doi: 10.1016/j.siny.2018.10.005. Epub 2018 Oct 12. https://www.ncbi.nlm.nih.gov/pubmed/30341037
2019 Dawes, L; Buksh, M; Sadler, L; Waugh, J; Groom K. Perinatal care provided for babies born at 23 and 24 weeks of gestation. Aust NZ J Obstetrics Gynaecology. 2019 Nov 27. doi: 10.1111/ajo.13094. https://www.ncbi.nlm.nih.gov/pubmed/31774934
2018 Alsweiler J, Woodall S, Crowther C, Harding J. Oral dextrose gel to treat neonatal hypoglycaemia: Clinician survey. Journal of Paediatrics and chikd Health. 2018. https://onlinelibrary.wiley.com/doi/10.1111/jpc.14306
2018 Dawes LK, Subramoney M, Miller LM, Groom KM. Increasing compliance with a clinical practice guideline for fetal fibronectin testing and the management of threatened preterm labour: A quality improvement project. Eur J Obstet Gynecol Reprod Biol. 2018;221:89-96. https://www.ncbi.nlm.nih.gov/pubmed/29275278
2018 Oglivy-Stuart A, Harding J, Beardsall K. Thresholds for hypoglycaemic screening – a cause for concern? Arch Dis Child. 2018. https://ep.bmj.com/content/104/1/33.full
2018 Tuohy J, Harding J, Crowther C, Bloomfield F. Reported adherence to current antenatal corticosteroid guidelines in Australia and New Zealand. Australian New Zealand Journal of Obstetrics and Gynaecology. 2018. https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/ajo.12890
, et al. Parents of babies who participated in an invasive clinical study report a positive experience: the Glucose in Well Babies (GLOW) study.
National Research Strategy
Māori Health Research
- HRC Maori Health Advancement Guidelines
- Te Ara Tika Guidelines for Maori Research Ethics
- NEAC Maori Research Ethics an Overview
- Guidelines for Researchers on Health Research involving Maori
Regulatory & Ethics
Maternal sleep position. Cure Kids has been supporting research in New Zealand allowing researchers to collate evidence that continues to inform the ‘sleep on side when baby’s inside‘ public health campaign.
Antenatal Corticosteroids. Antenatal Corticosteroid Clinical Practice Guidelines Panel. Antenatal corticosteroids given to women prior to birth to improve fetal, infant, child and adult health: Clinical practice guidelines. Liggins Institute, the University of Auckland 2015.
Magnesium Sulphate for Neuroprotection. Antenatal Magnesium Sulphate for Neuroprotection Guideline Development Panel. Antenatal magnesium sulphate prior to preterm birth for neuroprotection of the fetus, infant and child: National clinical practice guidelines. The University of Adelaide 2010.
Oral Dextrose Gel to Treat Neonatal Hypoglycaemia. Oral Dextrose Gel to Treat Neonatal Hypoglycaemia Clinical Practice Guideline Panel. Oral Dextrose Gel to Treat Neonatal Hypoglycaemia: New Zealand Clinical Practice Guidelines 2015. Child and Youth Health, University of Auckland, Auckland, New Zealand.
Small for gestational age pregnancy after 34 weeks. Guideline for the Management of Suspected Small for Gestational Age Singleton Pregnancies and Infants after 34 weeks gestation. NZMFM Network 2014.
Diabetes in Pregnancy. Ministry of Health 2014. Diabetes in Pregnancy: Quick reference guide for health professionals on the screening, diagnosis and treatment of gestational diabetes in New Zealand. Ministry of Health.
The Perinatal Society of New Zealand (PSNZ) is a multidisciplinary group dedicated to advancing all aspects of perinatology in New Zealand.
The Perinatal Society of Australia and New Zealand (PSANZ) is a multidisciplinary society dedicated to improving the health and long term outcomes for mothers and their babies. PSANZ encompasses and strongly encourages research focused on mothers and babies during pregnancy and at birth as well as the health of the newborn as its development continues after birth.
The Paediatric Society of New Zealand (PSNZ) is a membership organisation of health professionals working to progress the health and wellbeing of children/tamariki and young people/rangatahi throughout Aotearoa/New Zealand.
The Australian Clinical Trials Alliance (ACTA) supports and represents networks of clinician researchers conducting investigator-initiated clinical trials, clinical quality registries and clinical trial coordinating centres in Australia. A wide range of clinical trials resources is available on their website.
International Society for Evidence-Based Neonatology (EBNEO) is a non-profit organisation with a vision that all neonatal care should be firmly built on best available evidence.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) provide consultative leadership and advocacy in women’s health.
The Midwifery Council of New Zealand provides information, education and resources to expectant parents and midwives for protecting the health and safety of women and babies during pregnancy, childbirth and during the first six weeks after a baby is born.
The New Zealand College of Midwives is New Zealand’s professional organisation for midwives. The College’s Joan Donley Midwifery Research Collaboration (JDMRC) is the evidence arm of the College and provides support for the College’s research programme.
The New Zealand Maternal and Fetal Medicine Network was established in 2009 with support from the Ministry of Health to promote excellent Maternal Fetal Medicine (MFM) Services around New Zealand and support maternity healthcare providers in District Health Boards.