Risk factors for preterm, low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia

Kildea, SV; Gao, Y; Rolfe, M; Boyle, J; Tracy, S; Barclay, LM

Risk factors for preterm, low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia

Kildea, SV Gao, Y Rolfe, M Boyle, J Tracy, S Barclay, LM

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Publication Type:: Journal Article
Citation:: Women and Birth, 2017, 30 (5), pp. 398 - 405
Issue Date:: 2017-10-01

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Field	Value	Language
dc.contributor.author	Kildea, SV	en_US
dc.contributor.author	Gao, Y	en_US
dc.contributor.author	Rolfe, M	en_US
dc.contributor.author	Boyle, J	en_US
dc.contributor.author	Tracy, S	en_US
dc.contributor.author	Barclay, LM https://orcid.org/0000-0002-9345-3468	en_US
dc.date.available	2017-03-09	en_US
dc.date.issued	2017-10-01	en_US
dc.identifier.citation	Women and Birth, 2017, 30 (5), pp. 398 - 405	en_US
dc.identifier.issn	1871-5192	en_US
dc.identifier.uri	http://hdl.handle.net/10453/127020
dc.description.abstract	© 2017 Australian College of Midwives Objective To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women. Methods The study included 713 singleton births from two large remote Aboriginal communities in Northern Territory, Australia in 2004–2006 (retrospective cohort) and 2009–2011 (prospective cohort). Demographic, pregnancy characteristics, labour and birth outcomes were described. Multivariate logistic regression analysis was conducted and adjusted odds ratios were reported. Results The preterm birth rate was 19.4%, low birthweight rate was 17.4% and small for gestational age rate was 16.3%. Risk factors for preterm birth were teenage motherhood, previous preterm birth, smoker status not recorded, inadequate antenatal visits, having pregnancy-induced hypertension, antepartum haemorrhage or placental complications. After adjusting for gender and birth gestation, the only significant risk factor for low birthweight was first time mother. The only significant risk factor for small for gestational age baby was women having their first baby. Conclusions Rates of these events are high and have changed little over time. Some risk factors are modifiable and treatable but need early, high quality, culturally responsive women centred care delivered in the remote communities themselves. A different approach is recommended.	en_US
dc.relation.ispartof	Women and Birth	en_US
dc.relation.isbasedon	10.1016/j.wombi.2017.03.003	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pregnancy Complications	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Causality	en_US
dc.subject.mesh	Age Distribution	en_US
dc.subject.mesh	Health Status	en_US
dc.subject.mesh	Gestational Age	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Infant, Low Birth Weight	en_US
dc.subject.mesh	Infant, Small for Gestational Age	en_US
dc.subject.mesh	Rural Population	en_US
dc.subject.mesh	Northern Territory	en_US
dc.subject.mesh	Female	en_US
dc.title	Risk factors for preterm, low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	30	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	30	en_US

Abstract:

© 2017 Australian College of Midwives Objective To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women. Methods The study included 713 singleton births from two large remote Aboriginal communities in Northern Territory, Australia in 2004–2006 (retrospective cohort) and 2009–2011 (prospective cohort). Demographic, pregnancy characteristics, labour and birth outcomes were described. Multivariate logistic regression analysis was conducted and adjusted odds ratios were reported. Results The preterm birth rate was 19.4%, low birthweight rate was 17.4% and small for gestational age rate was 16.3%. Risk factors for preterm birth were teenage motherhood, previous preterm birth, smoker status not recorded, inadequate antenatal visits, having pregnancy-induced hypertension, antepartum haemorrhage or placental complications. After adjusting for gender and birth gestation, the only significant risk factor for low birthweight was first time mother. The only significant risk factor for small for gestational age baby was women having their first baby. Conclusions Rates of these events are high and have changed little over time. Some risk factors are modifiable and treatable but need early, high quality, culturally responsive women centred care delivered in the remote communities themselves. A different approach is recommended.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/127020