Pregnancy and Infancy Research Projects

Browse research projects relating to pregnancy and infancy, that use AEDC data.

Date: June 2024

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015), Cycle 4 (2018), Cycle 5 (2021)

States: VIC

Data Linkage Project: No

Organisation: University of Melbourne

The first 1000 days following conception are crucial to laying the foundations of a child’s lifelong health, wellbeing, and developmental potential. The perinatal period (just prior to conception and throughout pregnancy) is a particularly vulnerable time, when a mother’s health and her use of medications can have a significant impact on her child’s future life course.

Women of childbearing age rely on medications to manage a range of illnesses and conditions. Surprisingly little is known about the true impacts of many complications that can occur and medications that are commonly used during the prenatal period on an unborn baby’s future capacity for healthy development.

Soon-to-be and already pregnant women need access to reliable information regarding medication safety in pregnancy and the impact of their own health and pregnancy complications on the short and long-term health and development on their unborn children.

Date: June 2024

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015), Cycle 4 (2018), Cycle 5 (2021)

States: ACT, NSW, NT, QLD, SA, TAS, VIC, WA

Data Linkage Project: No

Organisation: ASDF Research

The Continence Foundation Australia is undertaking a project to collate data to better understand the toileting habits of infants and young children in Australia. The first stage of the project is to bring together existing data on the topic.

Date: January 2024

AEDC Cycle: Cycle 4 (2018)

States: VIC

Data Linkage Project: Yes

Organisation: Murdoch Children’s Research Institute

The Asking Questions in Alcohol Longitudinal Study, Australia (AQUA) study is an ongoing longitudinal study that began in 2011 with a cohort of 1,570 pregnant women. The primary objective of the AQUA study is to investigate possible effects of low to moderate levels of alcohol consumption during pregnancy on child development. 

Between July 2018 and March 2021, the AQUA Study children, aged between 6-8 years old attended a developmental assessment, which used sensitive measures to look at specific areas of neurodevelopment as well as measures reported by the mother, especially in the area of behaviour and social communication. Data collection of our Early School Years Follow-up, the AQUA at 6 was completed in March 2021. 

The aim of this linkage project is to explore how far our standardised testing correlates with the teacher-reported five domains of the AEDC. The project is looking to discover whether AQUA’s detailed assessments identify issues that are not evident in the school setting in the child’s first year, or if the research is missing emerging problems that are already evident at school. 

These results would not only be of interest to alcohol in pregnancy researchers and health and education professionals, they would also inform the nature of future data collection in this cohort of children. Findings are also likely to have important clinical implications as children need to have multi-disciplinary assessments for a diagnosis of Fetal Alcohol Spectrum Disorder, highlighting the potential need to consider teachers as information providers in a clinical setting to have a truly holistic assessment of the child at risk.

Date: January 2024

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015), Cycle 4 (2018)

States: NSW

Data Linkage Project: Yes

Organisation: University of Technology Sydney

This project will address the challenges and examine the long-term health and healthcare use of at-risk babies, and the costs associated with their care. Using well-established quasi-experimental methods to approximate the results of a randomised trial, this research will take advantage of population-based administrative data, including sociodemographic data, to compare the care, health and developmental outcomes and healthcare costs of different cohorts of newborn babies, and particularly at-risk babies – for the first five years of life. 

The research will address a significant evidence gap pertaining to the long-term outcomes following specialist neonatal care, and how this interacts with the social determinants of health. With international studies showing significant returns to early childhood investment, particularly for disadvantaged groups, the research will meet the urgent priority of generating an Australian evidence base in an area of both substantial resource use and technological advancement. The project brings together a team of methodological research experts and leading clinicians with proven links to policy and consumer circles. The outcomes of this project will be to inform decision-making faced by policymakers, administrators, clinicians and consumers, redress inequalities where they exist, and improve resource use.

Date: January 2024

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015), Cycle 4 (2018)

States: NSW

Data Linkage Project: Yes

Organisation: University of New South Wales, Sydney

This project will generate real-world evidence to drive improvements in the health and wellbeing of mothers and children in New South Wales (NSW). It will use cross-sectoral and cross-jurisdictional linkage of NSW and Commonwealth data to inform and evaluate policy and practice.  

The research project will generate evidence within three main themes: 
1. medicine use in pregnant women and children;
2. pregnancy and perinatal health; and
3. child health, development and wellbeing.

The first planned sub-project aims to use AEDC data to assess child development in association with maternal use of prescription opioids during pregnancy.   Furthermore, this linkage study will provide evidence of the effectiveness of policy and programs which are often rolled out in a non-random fashion, without prior quality evidence of their effectiveness. In such cases, the best opportunity to understand their effectiveness lies in the application of quasi-experimental methods to routinely collected data.

Date: January 2024

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015), Cycle 4 (2018)

States: VIC

Data Linkage Project: Yes

Organisation: Consultative Council on Obstetric and Paedriatric Mortality and Morbidity (CCOPMM)

Fetal in utero neurodevelopment is a critical process that is inextricably linked with early childhood development. The factors in pregnancy that influence early childhood development are complex and poorly understood. There is an increasing trend worldwide towards both earlier gestation at delivery and iatrogenic delivery. Decreasing birthweight and birthweight centile has also shown to be associated with poor outcomes. The long-term developmental outcomes of these babies need to be assessed. 

In Australia, there are 3 primary tools used to assess early childhood development on a population level - the Parents' Evaluation of Development Status (PEDS), the Australian Early Development Census (AEDC) and the National Assessment Program - Literacy and Numeracy (NAPLAN).

We seek to assess how gestation, birthweight, birthweight centile, and iatrogenic intervention are impacting the long-term neurodevelopmental outcomes of children and infant feeding in a longitudinal, retrospective, population-based study in Victoria.

Date: December 2019

AEDC Cycle: Cycle 2 (2012), Cycle 3 (2015)

States: VIC

Data Linkage Project: Yes

Organisation: Mercy Hospital for Women, University of Melbourne

This project investigates the childhood outcomes of children in whom the pregnancy was complicated by diabetes. The short term implications of diabetes in pregnancy are well known, but there is very little documented about outcomes outside the newborn period, apart from cardiovascular disease.

This project will link data sets including the Victorian Perinatal Data Collection (VPDC), Australian Early Developmental Census (AEDC), National Diabetes Services Scheme (NDSS) and National Assessment Program – Literacy and Numeracy (Naplan) to examine a broad range of outcomes. These very high quality data sets will enable us to compare children of women with type 1, type 2 and gestational diabetes with children of women without diabetes. We will examine areas of physical health and wellbeing, social competence, emotional maturity, language and cognitive skills, communication skills and general knowledge. We will be able to describe the proportion of children developmentally on track, developmentally at risk or developmentally vulnerable in each group.

Date: August 2017

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012), Cycle 3 (2015)

States: NT

Data Linkage Project: Yes

Organisation: Northern Territory Department of Health

This study investigates the influence of prenatal alcohol exposure on cognitive and behavioural markers suggestive of Foetal Alcohol Spectrum Disorders in Northern Territory. This is Part B of a two-part study conducted by the Northern Territory Department of Health. The research links AEDC data to data from Part A of the study, focusing on developmental vulnerability of children as they commence full-time school.

Date: May 2015

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012)

States: ACT, NSW, NT, QLD, SA, TAS, VIC, WA

Data Linkage Project: No

Organisation: Telethon Kids Institute

Perinatal and birth data are routinely collected in each Australian state and territory though there is some variation in the data collected between jurisdictions.  This project seeks to link perinatal and births data to the Australian Early Development Census (AEDC) and then on to early education records and, in doing so, track an individual’s trajectory through life.  The significant advantage of population wide linked data systems is that they present unbiased (relative to survey samples) large samples to investigate small population groups, such as Indigenous children.  To be able to do so across jurisdictional boundaries additionally creates opportunities that we haven’t had before.  This information on the early determinants of children’s health, development and wellbeing is of particular interest to governments to inform the services provided to support children and their families.

Date: May 2015

AEDC Cycle: Cycle 1 (2009), Cycle 2 (2012)

States: ACT, NSW

Data Linkage Project: Yes

Organisation: Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, University of Sydney

This study involves the comprehensive record linkage of routinely collected population perinatal, health, newborn screening and education data to establish an Australian reproductive cohort of women and children to investigate patterns and trends in maternal and child health, health care utilisation and development. This research provides a unique opportunity to investigate maternal and infant health and developmental issues on a population-level basis. It will investigate emerging issues in: assessment of early pregnancy serum biomarkers to identify pregnancies at-risk; increasing obstetric and neonatal interventions and quality of pregnancy care; infants undergoing newborn screening; and the impact of each of these on infant and child health and development outcomes.

Date: June 2014

AEDC Cycle: Cycle 1 (2009)

States: ACT, NSW, NT, QLD, SA, TAS, VIC, WA

Data Linkage Project: Yes

Organisation: Population Health Research Network

This research investigates patterns of child development within and across jurisdictions.  It explores the relationship between perinatal outcomes and developmental outcomes as measured by the AEDC through to educational outcomes. It also expands the research capacity in data linkage methods and provides the platform to develop international comparisons by the use of the Early Development Index.

The research informs public policy and provide evidence based information for services to the wider community.  The research brings together federal and state governments across health and education.

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