Jennifer Haxton

INTRODUCTION Little progress has been made to improve key Australian obstetric outcomes with fairly static rates of stillbirth, preterm birth and pre-eclampsia in New South Wales over the past 20 years.1 Traditional maternity care has focused care on the second half of the pregnancy, but there is growing evidence that the first trimester provides a unique window of opportunity to predict pregnancy complications and intervene to reduce adverse outcomes.2-4 Although the efficacy of...