| Aboriginal and non-aboriginal perinatal deaths in Darwin: a comparative view. | |
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MedLine Citation:
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PMID: 1565045 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare perinatal deaths in Aborigines and non-Aborigines, and to identify the differences between the two groups in order to plan better prevention and bring about a reduction in perinatal deaths. DESIGN: A retrospective review of the records of 198 consecutive perinatal deaths (96 Aboriginal and 102 non-Aboriginal) in infants delivered in the maternity unit between 1984 and 1989. SETTING: Royal Darwin Hospital Maternity Unit. MAIN OUTCOME MEASURES: Stillbirth rate, neonatal death rate, perinatal mortality rate; classifying perinatal deaths by cause and birthweight. MAIN RESULTS: The Aboriginal perinatal mortality rate was 40.9 per 1000, three times that of the non-Aboriginal rate (13.4 per 1000). The stillbirth rate in Aborigines was 18.7 per 1000, 2.5 times that in non-Aborigines (7.2 per 1000). The Aboriginal neonatal mortality rate was 22.5 per 1000, 3.5 times the non-Aboriginal rate (6.2 per 1000). There was no significant difference in the distribution of Aboriginal and non-Aboriginal perinatal deaths when classified by cause, with the exception of pre-eclampsia. Aboriginal women appeared to be 2.5 times more likely than non-Aboriginal women (P = 0.002) to have pre-eclampsia causing perinatal death. Prematurity and the unexplained categories were the major causes of perinatal death in both Aboriginal and non-Aboriginal infants. MAIN CONCLUSION: The suboptimal perinatal outcome in Aborigines highlights the importance of antenatal care for Aboriginal mothers, and indirectly reflects the need for improving their standard of living. |
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Authors:
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G S Matthias; G Morgan |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 156 ISSN: 0025-729X ISO Abbreviation: Med. J. Aust. Publication Date: 1992 Apr |
Date Detail:
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Created Date: 1992-05-18 Completed Date: 1992-05-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 533-7 Citation Subset: IM |
Affiliation:
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Royal Darwin Hospital, NT. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Birth Weight Cause of Death Female Fetal Death* Humans Infant Mortality* Infant, Newborn Northern Territory / epidemiology Oceanic Ancestry Group* / statistics & numerical data Pre-Eclampsia / complications Pregnancy Retrospective Studies Socioeconomic Factors |
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