| Is being Aboriginal or Torres Strait Islander a risk factor for poor neonatal outcome in a tertiary referral unit in north Queensland? | |
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MedLine Citation:
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PMID: 11869395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare perinatal outcomes for all births, and the morbidity and mortality patterns of babies admitted to neonatal intensive care, for non-Indigenous, Aboriginal and Torres Strait Islander (TSI) people in a major remote urban centre. METHODS: A prospective cohort study of all births and consecutive admissions to the Neonatal Intensive Care Unit/Special Baby Care Unit (NICU/SCBU) at Kirwan Hospital for Women (KWH), Townsville (a tertiary referral hospital) was conducted from January 1998 to June 1999. RESULTS: There were 2575 births, with 2392 (93%) booked into KWH for delivery. The Aboriginal group differed from the non-Indigenous group only in the prevalence of low-birthweight births. The TSI group had significantly higher perinatal mortality rates, preterm and low-birthweight births than the non-Indigenous group. Seven hundred and fifty-eight babies were admitted to NICU/SCBU: 586 (77%) non-Indigenous, 129 (17%) Aboriginal, 43 (6%) TSI. There were significantly more preterm, lower birthweight and longer stay length Aboriginal and TSI babies. Being Indigenous was not associated with neonatal death. Gestation of less than 28 weeks, congenital anomalies, and high-grade cerebral haemorrhage, but not ethnicity, were independent risk factors for neonatal death. Maternal risk factors, including poor antenatal care attendance, were more prevalent amongst Indigenous women. CONCLUSION: Neonatal outcomes for Aboriginal infants were better than expected from national and State reports. Outcomes for Torres Strait Islander infants were worse than expected. Ethnicity was not a risk factor for neonatal death. These findings suggest that outcomes may be further improved by programmes to increase access for Indigenous women to antenatal care services. |
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Authors:
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K S Panaretto; R Muller; S Patole; D Watson; J S Whitehall |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 38 ISSN: 1034-4810 ISO Abbreviation: J Paediatr Child Health Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-02-28 Completed Date: 2002-04-05 Revised Date: 2007-09-24 |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 16-22 Citation Subset: IM |
Affiliation:
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Townsville Aboriginal and Islander Health Service, Kirwan Hospital for Women, Townsville, Queensland, Australia. kpanaretto@taihs.net.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cohort Studies Female Health Services Research Hospitals, Maternity Humans Infant Mortality* Infant, Low Birth Weight* Infant, Newborn Intensive Care Units, Neonatal / utilization* Oceanic Ancestry Group* / statistics & numerical data* Pregnancy Pregnancy Outcome / ethnology* Prenatal Care / utilization Prospective Studies Queensland / epidemiology Risk Factors Urban Health Services / utilization |
| Comments/Corrections | |
Comment In:
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J Paediatr Child Health. 2002 Feb;38(1):4-5
[PMID:
11869392
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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