Document Detail


Aboriginal and non-aboriginal perinatal deaths in Darwin: a comparative view.
MedLine Citation:
PMID:  1565045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
G S Matthias; G Morgan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  156     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-18     Completed Date:  1992-05-18     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  533-7     Citation Subset:  IM    
Affiliation:
Royal Darwin Hospital, NT.
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MeSH Terms
Descriptor/Qualifier:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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