Issue 07 December 2012
The WISH Project is assisting Australian and New Zealand tertiary
obstetric units to adopt recommendations from the NHMRC endorsed
Bi-National Clinical Practice Guidelines on Antenatal magnesium
sulphate prior to preterm birth for neuroprotection of the fetus, infant
and child.
The WISH Project aims to:
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Provide implementation strategies to hospitals.
Monitor and improve uptake of the use of antenatal magnesium sulphate
as a neuroprotective therapy immediately prior to imminent (within 24
hours), early preterm birth (less than 30 weeks gestation).
Reduce the risk of very preterm babies dying or having cerebral palsy.
WISHing you a Merry Christmas
WISH NEWS
WISH RECRUITMENT
Thank you to all staff involved in WISH recruitment at the
Women’s and Children’s Hospital, SA and at
the Mater Mothers’ Hospital, QLD for your efforts this year!
A special thanks to Louise Goodchild (SA), Ros Lontis (SA)
and Judith Macey (QLD)!!!
Recruitment in 2012
Congratulations to staff at the Mater Mothers’ Hospital who have
now consented over 20 women and their babies.
Well done also to staff at the Women’s and Children’s Hospital who
have consented over 80 women and their babies.
If you would like your hospital to participate in the WISH audit
and follow-up too, please contact: wish@adelaide.edu.au
ONE YEAR FOLLOW-UP HAS COMMENCED!
The Women’s and Children’s Hospital, SA has now commenced one
year follow-up, posting questionnaires to WISH recruits as their
infants turn one year corrected age.
The WISH Newsletter is designed for those involved in this project.
We hope this publication will keep you up-to-date on current and upcoming
activities, project changes, and progress.
We welcome submissions from all involved in the project for inclusion in the
newsletter.
Please submit to: wish@adelaide.edu.au
Australian and New Zealand
Tertiary Maternity Hospitals
Sent
Guideline Action Packs
Women’s and Children’s Hospital, SA
Flinders Medical Centre, SA
The Canberra Hospital, ACT
John Hunter Hospital, NSW
Liverpool Health Service, NSW
Nepean Hospital, NSW
Royal Hospital for Women, NSW
Royal North Shore Hospital, NSW
RPA Women and Babies, NSW
Westmead Hospital, NSW
Royal Darwin Hospital, NT
Mater Mothers’ Hospital, QLD
Royal Brisbane and Women’s, QLD
The Townsville Hospital, QLD
Launceston General Hospital, TAS
Royal Hobart Hospital, TAS
Mercy Hospital for Women, VIC
Monash Medical Centre, VIC
The Royal Women’s Hospital, VIC
King Edward Memorial Hospital, WA
Auckland City Hospital, NZ
Christchurch Hospital, NZ
Dunedin Hospital, NZ
Middlemore Hospital, NZ
Waikato Hospital, NZ
Wellington Women’s Hospital, NZ
The WISH Project is funded by
WISH Newsletter Issue 7, Dec 2012, Pg 1
Recent Presentation
On behalf of The WISH Project Group and Steering Group this paper was presented at Australia’s 1st Biennial
Implementation Conference in Melbourne, October 2012.
Variation in speed and nature of antenatal magnesium guideline implementation for protecting
babies’ brains
Middleton P, Bain E, Crowther CA, Ashwood P, Reid S, Bubner T, Heatley E, McIntyre S, Morris J, Flenady V
Key implementation questions/issues that were addressed in this presentation:
Which factors at the individual level and system level influence implementation?
Can behaviour change theory help to explain differences in uptake within and between centres?
Which implementation strategies are effective in overcoming barriers?
To view this presentation online, visit: http://www.ausimplementationconference.net.au/presentations/2Cmiddleton.pdf
Recent Publication
Implementation of a clinical practice guideline for antenatal magnesium sulphate for
neuroprotection in Australia and New Zealand
Bain E, Bubner T, Ashwood P, Crowther CA, Middleton P, for The WISH Project Team
The Australian and New Zealand Journal of Obstetrics and Gynaecology
This article describes current local implementation of a clinical practice guideline for antenatal magnesium sulphate
for fetal neuroprotection at the tertiary maternity hospitals across Australia and New Zealand. It highlights
implementation progress and the need for ongoing support for implementation.
To view this publication online, visit: http://www.ncbi.nlm.nih.gov/pubmed/23106226
WISHing you a Merry Christmas
Magnesium Sulphate Clinical Practice Guideline PowerPoint Video Presentation
The WISH Project Team has produced a PowerPoint Video Presentation to be used in educational sessions with staff
at your hospital, discussing background and scope of the guidelines, key recommendations for practice, and
implementation outcomes and significance.
To access/download this video for your use, follow this link:http://archserver.adelaide.edu.au/WISHPowerPoint.avi
You can also access this video on YouTube, by following this link: http://youtu.be/bzhdtZ7H8Ko
Need more Guideline Action Pack (GAP) materials?
Every tertiary maternity hospital in Australia and New Zealand was sent a number of active implementation tools in
Guideline Action Packs (GAPs) in December 2011 or January 2012.
What tools were in the GAPs?
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PowerPoint presentation
Information pamphlets for women
Information pamphlets for health professionals
Case note reminder inserts
Implementation posters
Need more copies? Please contact us: wish@adelaide.edu.au
If you would like any further information about how the ‘Antenatal magnesium sulphate prior to preterm birth for
neuroprotection of the fetus, infant and child: National clinical practice guidelines’ can be implemented at your hospital, or
The WISH Project, please contact us: wish@adelaide.edu.au
WISH Steering Group: Caroline Crowther, Philippa Middleton, Vicki Flenady, Jonathan Morris, Sarah McIntyre
WISH Project Group: Emily Bain, Pat Ashwood, Tanya Bubner, Sally Reid
ARCH: Australian Research Centre for Health of Women and Babies, The University of Adelaide
Tel. +61 8 8161 7620 Fax. +61 8 8161 7652 Email: wish@adelaide.edu.au
Website: http://www.adelaide.edu.au/arch/research/translational_health/wish/
WISH Newsletter Issue 7, Dec 2012, Pg 2