Honorary Professor Vicki Flenady

Honorary Professor

Mater Research Institute-UQ
Faculty of Medicine

Honorary Associate Professor

Mater Clinical Unit
Faculty of Medicine

Overview

Professor Vicki Flenady is the Director of the Stillbirth Centre for Research Excellence (Stillbirth CRE), Mater Research –University of Queensland and is a nationally and internationally recognised perinatal epidemiologist.

Vicki is well known for her expertise in Cochrane systematic reviews, clinical trials and the development and implementation of high quality clinical practice guidelines. Vicki has a background in midwifery, neonatal intensive care nursing, clinical epidemiology and biostatistics. Vicki's research focusses on addressing the global health issue of stillbirth. Vicki has been a member of steering committees for two series on stillbirth published in The Lancet which has set the global agenda for stillbirth.

The four priority areas of the Stillbirth CRE are: 1) Implementing best practice to address known risk factors for stillbirth; 2) Developing novel methods of identifying the at-risk fetus; 3) Reducing the impact of stillbirth on mothers and families; 4) Implementing national perinatal mortality audit to prevent stillbirths. Global relevance of the Stillbirth CRE outputs is ensured through strong links with international experts of the International Stillbirth Alliance.

Vicki is also currently leading two NHMRC funded studies; a large scale cluster randomised controlled trial testing the role of a mobile phone app for women on decreased fetal movements in reducing stillbirth and a multisite study to identify causes of stillbirth and the value of recommended investigations for stillbirth. Through the Perinatal Society of Australia and New Zealand (PSANZ), Vicki leads a collaboration promoting best practice in perinatal mortality through bi-national guidelines and clinician education with a major focus on investigation into the causes of stillbirth and bereavement care.

Publications

  • Heazell, Alexander E. P., Siassakos, Dimitrios, Blencowe, Hannah, Burden, Christy, Bhutta, Zulfiqar A., Cacciatore, Joanne, Dang, Nghia, Das, Jai, Flenady, Vicki, Gold, Katherine J., Mensah, Oliva K., Millum, Joseph, Nuzum, Daniel, O'Donoghue, Keelin, Redshaw, Maggie, Rizvi, Arjumand, Roberts, Tracy, Saraki, H. E. Toyin, Storey, Claire, Wojcieszek, Aleena M. and Downe, Soo (2016) Stillbirths: economic and psychosocial consequences. The Lancet, 387 10018: 604-616. doi:10.1016/S0140-6736(15)00836-3

  • McArdle, Annie, Flenady, Vicki, Toohill, Jocelyn, Gamble, Jenny and Creedy, Debra (2015) How pregnant women learn about foetal movements: sources and preferences for information. Women and Birth, 28 1: 54-59. doi:10.1016/j.wombi.2014.10.002

  • Ibiebele, I., Coory, M., Boyle, F. M., Humphrey, M., Vlack, S. and Flenady, V. (2014) Stillbirth rates among indigenous and non-indigenous women in Queensland, Australia: is the gap closing?. BJOG: An International Journal of Obstetrics and Gynaecology, 122 11: 1476-1483. doi:10.1111/1471-0528.13047

  • Flenady, Vicki, Reinebrant, Hanna E., Liley, Helen G., Tambimuttu, Eashan G. and Papatsonis, Dimitri N. M. (2014) Oxytocin receptor antagonists for inhibiting preterm labour (Review). Cochrane Database of Systematic Reviews, 2014 6 Article CD004452.: . doi:10.1002/14651858.CD004452.pub3

  • Heazell, A. E. P., McLaughlin, M-J, Schmidt, E. B., Cox, P., Flenady, V., Khong, T. Y. and Downe, S. (2012) A difficult conversation? The views and experiences of parents and professionals on the consent process for perinatal postmortem after stillbirth. Bjog-An International Journal of Obstetrics and Gynaecology, 119 8: 987-997. doi:10.1111/j.1471-0528.2012.03357.x

  • Flenady, Vicky, Smith, Gordon, Ellwood, David, Erwich, Jan Jaap, Froen, J. Frederik and Khong, T. Yee (2011) Stillbirth in high-income countries – Authors' reply. Lancet, 378 9794: 875-875. doi:10.1016/S0140-6736(11)61410-4

  • Flenady, Vicki, Koopmans, Laura, Middleton, Philippa, Froen, J. Frederik, Smith, Gordon C., Gibbons, Kristen, Coory, Michael, Gordon, Adrienne, Ellwood, David, McIntyre,Harold David, Fretts, Ruth and Ezzati, Majid (2011) Major risk factors for stillbirth in high-income countries: A systematic review and meta-analysis. Obstetrical and Gynecological Survey, 66 8: 483-485. doi:10.1097/OGX.0b013e318235215c

  • Pattinson, Robert, Kerber, Kate, Buchmann, Eckhart, Friberg, Ingrid K., Belizan, Maria, Lansky, Sonia, Weissman, Eva, Mathai, Matthews, Rudan, Igor, Walker, Neff, Lawn, Joy E., The Lancet's Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: how can health systems deliver for mothers and babies?. The Lancet, 377 9777: 1610-1623. doi:10.1016/S0140-6736(10)62306-9

  • Goldenberg, Robert L., McClure, Elizabeth M., Bhutta, Zulfiqar A., Belizan, Jose M., Reddy, Uma M., Rubens, Craig E., Mabeya, Hillary, Flenady, Vicki and Darmstadt, Gary L. (2011) Stillbirths: The vision for 2020. Lancet, 377 9779: 1798-1805. doi:10.1016/S0140-6736(10)62235-0

  • Flenady, Vicki, Middleton, Philippa, Smith, Gordon C., Duke, Wes, Erwich, Jan Jaap, Khong, T. Yee, Neilson, Jim, Ezzati, Majid, Koopmans, Laura, Ellwood, David, Fretts, Ruth and Froen, J. Frederik (2011) Stillbirths: The way forward in high-income countries. Lancet, 377 9778: 1703-1717. doi:10.1016/S0140-6736(11)60064-0

  • Bhutto, Zulfiqar A., Yakoob, Mohammad Yawar, Lawn, Joy E., Rizvi, Arjumand, Friberg, Ingrid K., Weissman, Eva, Buchmann, Eckhart, Goldenberg, Robert L., The Lancet’s Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: what difference can we make and at what cost?. The Lancet, 377 9776: 1523-1538. doi:10.1016/S0140-6736(10)62269-6

  • Lawn, Joy E., Blencowe, Hannah, Pattinson, Robert, Cousens, Simon, Kumar, Rajesh, Ibiebele, Ibinabo, Gardosi, Jason, Day, Louise T., Stanton, Cynthia, The Lancet's Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: Where? When? Why? How to make the data count?. The Lancet, 377 9775: 1448-1463. doi:10.1016/S0140-6736(10)62187-3

  • Flenady, Vicki, Koopmans, Laura, Middleton, Philippa, Frøen, J. Frederik, Smith, Gordon C., Gibbons, Kristen, Coory, Michael, Gordon, Adrienne, Ellwood, David, McIntyre, Harold David, Fretts, Ruth and Ezzati, Majid (2011) Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. The Lancet, 377 9774: 1331-1340. doi:10.1016/S0140-6736(10)62233-7

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Grants

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Supervision

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Available Projects

  • A stillborn child is devastating for the mother, father and family often resulting in profound and long-lasting adverse psychosocial effects. There are over 2.6 million stillbirths each year globally and progress in reducing these deaths has been extremely slow. Maternal reporting of decreased fetal movements (DFM) is strongly associated with stillbirth and has been proposed as a simple, inexpensive screening tool for stillbirth. However maternal awareness of DFM and clinical management of women who report DFM is often suboptimal. Preliminary data suggests that interventions to increase awareness of DFM may reduce stillbirth rates. Mobile phone applications are increasingly used as an information source by pregnant women.

    The aim of the MBM trial is evaluate the effectiveness of a mobile phone program for women combined with an educational program for clinicians (MBM package) in reducing late gestation stillbirth rates

    MBM is a stepped wedge cluster randomised controlled trial with sequential introduction of the intervention into 8 groups of 3-4 hospitals at four month intervals over a total of three years.

    Women with a singleton pregnancy without a major fetal abnormality attending for antenatal care and midwives and doctors providing maternity care at 26 maternity hospitals in Australia and New Zealand.

    The primary outcome is stillbirth at 28 weeks or more gestation. Secondary outcomes include: a) composite measure of adverse neonatal outcomes; b) health service utilisation measures; c) woman’s psychosocial outcomes and health seeking behaviour and acceptability; and d) clinical intervention for women with DFM aligned with best practice recommendations.

    Sample size: 256,700 births over three years

    There are numerous opportunities for PhD and masters projects within this large scale trial.

View all Available Projects

Publications

Featured Publications

  • Heazell, Alexander E. P., Siassakos, Dimitrios, Blencowe, Hannah, Burden, Christy, Bhutta, Zulfiqar A., Cacciatore, Joanne, Dang, Nghia, Das, Jai, Flenady, Vicki, Gold, Katherine J., Mensah, Oliva K., Millum, Joseph, Nuzum, Daniel, O'Donoghue, Keelin, Redshaw, Maggie, Rizvi, Arjumand, Roberts, Tracy, Saraki, H. E. Toyin, Storey, Claire, Wojcieszek, Aleena M. and Downe, Soo (2016) Stillbirths: economic and psychosocial consequences. The Lancet, 387 10018: 604-616. doi:10.1016/S0140-6736(15)00836-3

  • McArdle, Annie, Flenady, Vicki, Toohill, Jocelyn, Gamble, Jenny and Creedy, Debra (2015) How pregnant women learn about foetal movements: sources and preferences for information. Women and Birth, 28 1: 54-59. doi:10.1016/j.wombi.2014.10.002

  • Ibiebele, I., Coory, M., Boyle, F. M., Humphrey, M., Vlack, S. and Flenady, V. (2014) Stillbirth rates among indigenous and non-indigenous women in Queensland, Australia: is the gap closing?. BJOG: An International Journal of Obstetrics and Gynaecology, 122 11: 1476-1483. doi:10.1111/1471-0528.13047

  • Flenady, Vicki, Reinebrant, Hanna E., Liley, Helen G., Tambimuttu, Eashan G. and Papatsonis, Dimitri N. M. (2014) Oxytocin receptor antagonists for inhibiting preterm labour (Review). Cochrane Database of Systematic Reviews, 2014 6 Article CD004452.: . doi:10.1002/14651858.CD004452.pub3

  • Heazell, A. E. P., McLaughlin, M-J, Schmidt, E. B., Cox, P., Flenady, V., Khong, T. Y. and Downe, S. (2012) A difficult conversation? The views and experiences of parents and professionals on the consent process for perinatal postmortem after stillbirth. Bjog-An International Journal of Obstetrics and Gynaecology, 119 8: 987-997. doi:10.1111/j.1471-0528.2012.03357.x

  • Flenady, Vicky, Smith, Gordon, Ellwood, David, Erwich, Jan Jaap, Froen, J. Frederik and Khong, T. Yee (2011) Stillbirth in high-income countries – Authors' reply. Lancet, 378 9794: 875-875. doi:10.1016/S0140-6736(11)61410-4

  • Flenady, Vicki, Koopmans, Laura, Middleton, Philippa, Froen, J. Frederik, Smith, Gordon C., Gibbons, Kristen, Coory, Michael, Gordon, Adrienne, Ellwood, David, McIntyre,Harold David, Fretts, Ruth and Ezzati, Majid (2011) Major risk factors for stillbirth in high-income countries: A systematic review and meta-analysis. Obstetrical and Gynecological Survey, 66 8: 483-485. doi:10.1097/OGX.0b013e318235215c

  • Pattinson, Robert, Kerber, Kate, Buchmann, Eckhart, Friberg, Ingrid K., Belizan, Maria, Lansky, Sonia, Weissman, Eva, Mathai, Matthews, Rudan, Igor, Walker, Neff, Lawn, Joy E., The Lancet's Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: how can health systems deliver for mothers and babies?. The Lancet, 377 9777: 1610-1623. doi:10.1016/S0140-6736(10)62306-9

  • Goldenberg, Robert L., McClure, Elizabeth M., Bhutta, Zulfiqar A., Belizan, Jose M., Reddy, Uma M., Rubens, Craig E., Mabeya, Hillary, Flenady, Vicki and Darmstadt, Gary L. (2011) Stillbirths: The vision for 2020. Lancet, 377 9779: 1798-1805. doi:10.1016/S0140-6736(10)62235-0

  • Flenady, Vicki, Middleton, Philippa, Smith, Gordon C., Duke, Wes, Erwich, Jan Jaap, Khong, T. Yee, Neilson, Jim, Ezzati, Majid, Koopmans, Laura, Ellwood, David, Fretts, Ruth and Froen, J. Frederik (2011) Stillbirths: The way forward in high-income countries. Lancet, 377 9778: 1703-1717. doi:10.1016/S0140-6736(11)60064-0

  • Bhutto, Zulfiqar A., Yakoob, Mohammad Yawar, Lawn, Joy E., Rizvi, Arjumand, Friberg, Ingrid K., Weissman, Eva, Buchmann, Eckhart, Goldenberg, Robert L., The Lancet’s Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: what difference can we make and at what cost?. The Lancet, 377 9776: 1523-1538. doi:10.1016/S0140-6736(10)62269-6

  • Lawn, Joy E., Blencowe, Hannah, Pattinson, Robert, Cousens, Simon, Kumar, Rajesh, Ibiebele, Ibinabo, Gardosi, Jason, Day, Louise T., Stanton, Cynthia, The Lancet's Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: Where? When? Why? How to make the data count?. The Lancet, 377 9775: 1448-1463. doi:10.1016/S0140-6736(10)62187-3

  • Flenady, Vicki, Koopmans, Laura, Middleton, Philippa, Frøen, J. Frederik, Smith, Gordon C., Gibbons, Kristen, Coory, Michael, Gordon, Adrienne, Ellwood, David, McIntyre, Harold David, Fretts, Ruth and Ezzati, Majid (2011) Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. The Lancet, 377 9774: 1331-1340. doi:10.1016/S0140-6736(10)62233-7

Journal Article

Conference Publication

PhD and MPhil Supervision

Current Supervision

  • Doctor Philosophy — Principal Advisor

  • Doctor Philosophy — Principal Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

  • Master Philosophy — Associate Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

Completed Supervision

Possible Research Projects

Note for students: The possible research projects listed on this page may not be comprehensive or up to date. Always feel free to contact the staff for more information, and also with your own research ideas.

  • A stillborn child is devastating for the mother, father and family often resulting in profound and long-lasting adverse psychosocial effects. There are over 2.6 million stillbirths each year globally and progress in reducing these deaths has been extremely slow. Maternal reporting of decreased fetal movements (DFM) is strongly associated with stillbirth and has been proposed as a simple, inexpensive screening tool for stillbirth. However maternal awareness of DFM and clinical management of women who report DFM is often suboptimal. Preliminary data suggests that interventions to increase awareness of DFM may reduce stillbirth rates. Mobile phone applications are increasingly used as an information source by pregnant women.

    The aim of the MBM trial is evaluate the effectiveness of a mobile phone program for women combined with an educational program for clinicians (MBM package) in reducing late gestation stillbirth rates

    MBM is a stepped wedge cluster randomised controlled trial with sequential introduction of the intervention into 8 groups of 3-4 hospitals at four month intervals over a total of three years.

    Women with a singleton pregnancy without a major fetal abnormality attending for antenatal care and midwives and doctors providing maternity care at 26 maternity hospitals in Australia and New Zealand.

    The primary outcome is stillbirth at 28 weeks or more gestation. Secondary outcomes include: a) composite measure of adverse neonatal outcomes; b) health service utilisation measures; c) woman’s psychosocial outcomes and health seeking behaviour and acceptability; and d) clinical intervention for women with DFM aligned with best practice recommendations.

    Sample size: 256,700 births over three years

    There are numerous opportunities for PhD and masters projects within this large scale trial.