Document Detail


Timing of transfer for pregnant women from Queensland Cape York communities to Cairns for birthing.
MedLine Citation:
PMID:  19450213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether the current planned transfer of pregnant women from Cape York communities to Cairns at 36 weeks' gestation for birthing is medically appropriate. DESIGN AND SETTING: Retrospective audit of travel details and demographic and obstetric outcome data on all women from Cape York communities who travelled to Cairns for late pregnancy care and birth at Cairns Base Hospital in 2006. MAIN OUTCOME MEASURES: Length of stay in Cairns; gestational age at birth. RESULTS: In 2006, 172 women from 14 Cape communities travelled to Cairns to give birth. Of these, 76% identified as Aboriginal or Torres Strait Islander, 20% as Caucasian and 4% were from other ethnic groups. The mean time of stay in Cairns before birth (range) was 24 (0-86) days. Eleven women (6%) gave birth between 36 and 37 weeks of pregnancy; this point marked the beginning of a significant rise in births for increasing gestational ages. CONCLUSION: Aiming for 36 weeks' gestation for transfer is medically appropriate, but results in long periods of separation of women from Cape communities from family and friends, with detrimental social, cultural and financial consequences. Reopening maternity units in towns serving the Cape communities could reduce the number of women from the region having to travel to Cairns for pregnancy care and birth.
Authors:
Joanna L Arnold; Caroline M de Costa; Paul W Howat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  190     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-19     Completed Date:  2009-08-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  594-6     Citation Subset:  IM    
Affiliation:
Cairns Base Hospital, Cairns, QLD, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cohort Studies
Delivery, Obstetric
European Continental Ancestry Group
Female
Gestational Age
Health Services Accessibility*
Humans
Maternal Health Services*
Medical Audit
Middle Aged
Oceanic Ancestry Group
Pregnancy
Queensland
Rural Population*
Travel*
Young Adult

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


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