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Perinatal outcomes ...
Perinatal outcomes of socially disadvantaged women in Australia : a population-based retrospective cohort study
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- Faulks, Fiona (författare)
- Judith Lumley Centre, La Trobe University, VIC, Bundoora, Australia
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- Shafiei, Touran (författare)
- Judith Lumley Centre, La Trobe University, VIC, Bundoora, Australia
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- McLachlan, Helen (författare)
- Judith Lumley Centre, La Trobe University, VIC, Bundoora, Australia
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- Forster, Della (författare)
- School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia
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- Mogren, Ingrid (författare)
- Umeå universitet,Obstetrik och gynekologi
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- Copnell, Beverley (författare)
- School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia
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- Edvardsson, Kristina (författare)
- School of Nursing and Midwifery/Judith Lumley Centre, La Trobe University, VIC, Bundoora, Australia
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(creator_code:org_t)
- John Wiley & Sons, 2023
- 2023
- Engelska.
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Ingår i: British Journal of Obstetrics and Gynecology. - : John Wiley & Sons. - 1470-0328 .- 1471-0528. ; 130:11, s. 1380-1393
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Objective: To examine the perinatal outcomes of women who experience social disadvantage using population-based perinatal data collected between 1999 and 2016.Design: Population-based, retrospective cohort study.Setting: Victoria, Australia.Population or Sample: A total of 1 188 872 singleton births were included.Methods: Cohort study using routinely collected perinatal data. Multiple logistic regression was performed to determine associations between social disadvantage and adverse maternal and neonatal outcomes with confidence limits set at 99%. Time-trend analysis for perinatal outcomes was performed in relation to area-level disadvantage measures.Main Outcome Measures: Incidence of maternal admission to intensive care unit (ICU), postpartum haemorrhage (PPH) and caesarean section, perinatal mortality, preterm birth, low birthweight (LBW), and admission to special care nursery/neonatal intensive care unit (SCN/NICU).Results: Social disadvantage was associated with higher odds of adverse perinatal outcomes. Disadvantaged women were more likely to be admitted to ICU, have a PPH or experience perinatal mortality (stillbirth or neonatal death) and their neonates were more likely to be admitted to SCN/NICU, be born preterm and be LBW. A persistent social gradient existed across time for the most disadvantaged women for all outcomes except caesarean section.Conclusions: Social disadvantage has a marked negative impact on perinatal outcomes. This aligns with national and international evidence regarding the impact of disadvantage. Strategies that improve access to, and reduce fragmentation in, maternity care in addition to initiatives that address the social determinants of health may contribute to improving perinatal outcomes for socially disadvantaged women.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- deprivation
- disadvantage
- low birthweight
- maternal intensive care unit admission
- perinatal outcomes
- preterm birth
- stillbirth
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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