Are preterm birth and intra-uterine growth restriction more common in Western Australian children of immigrant backgrounds? A population based data linkage study
| العنوان: | Are preterm birth and intra-uterine growth restriction more common in Western Australian children of immigrant backgrounds? A population based data linkage study |
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| المؤلفون: | Ifrah Abdullahi, Emma J. Glasson, Nicholas de Klerk, Jenny Downs, Helen Leonard, Kingsley Wong, Raewyn Mutch, Sarah Cherian |
| المصدر: | BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-16 (2019) BMC Pregnancy and Childbirth |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Native Hawaiian or Other Pacific Islander, Birth weight, Population, Reproductive medicine, Emigrants and Immigrants, Developing country, lcsh:Gynecology and obstetrics, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Immigrant mothers, Humans, Medicine, Pregnancy, Prolonged, Apgar score, 030212 general & internal medicine, education, Developing Countries, lcsh:RG1-991, Retrospective Studies, Post Term Birth, education.field_of_study, Fetal Growth Retardation, 030219 obstetrics & reproductive medicine, business.industry, Developed Countries, Infant, Newborn, 1. No poverty, Obstetrics and Gynecology, Preterm birth, Growth restriction, Western Australia, Data linkage, 3. Good health, Logistic Models, Premature Birth, Term Birth, Female, business, Developed country, Research Article, Demography |
| الوصف: | Background To compare the prevalence of preterm birth, post term birth, intra-uterine growth restriction and distribution of Apgar scores in offspring of foreign-born women in Western Australia with that of their Australian-born non-Indigenous and Indigenous counterparts. Methods A population-based linked data study, involving 767,623 singleton births in Western Australia between 1980 and 2010 was undertaken. Neonatal outcomes included preterm birth, post term births, intra-uterine growth restriction (assessed using the proportion of optimal birth weight) and low Apgar scores. These were compared amongst foreign-born women from low, lower-middle, upper middle and high income countries and Australian-born non-Indigenous and Indigenous women over two different time periods using multinomial logistic regression adjusted for covariates. Results Compared with Australian born non-Indigenous women, foreign-born women from low income countries were at some increased risk of extreme preterm (aRRR 1.59, 95% CI 0.87, 2.89) and very early preterm (aRRR 1.63, 95% CI 0.92, 2.89) births during the period from 1980 to 1996. During the period from 1997 to 2010 they were also at some risk of extreme preterm (aRRR 1.42, 95% CI 0.98, 2.04) very early preterm (aRRR 1.34, 95% CI 1.11, 1.62) and post term birth (aRRR 1.93, 95% CI 0.99, 3.78). During this second time period, other adverse outcomes for children of foreign-born women from low income and middle income countries included increases in severe (aRRR 1.69, 95% CI 1.30, 2.20; aRRR 1.72, 95% CI 1.53, 1.93), moderate (aRRR 1.54, 95% CI 1.32, 1.81; aRRR 1.59, 95% CI 1.48, 1.70) and mild (aRRR 1.28, 95% CI 1.14, 1.43; aRRR 1.31, 95% CI 1.25, 1.38) IUGR compared to children of Australian-born non-Indigenous mothers. Uniformly higher risks of adverse outcomes were also demonstrated for infants of Indigenous mothers. Conclusions Our findings illustrate the vulnerabilities of children born to foreign women from low and middle-income countries. The need for exploratory research examining mechanisms contributing to poorer birth outcomes following resettlement in a developed nation is highlighted. There is also a need to develop targeted interventions to improve outcomes for these women and their families. Electronic supplementary material The online version of this article (10.1186/s12884-019-2437-x) contains supplementary material, which is available to authorized users. |
| تدمد: | 1471-2393 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0145ea1f0f92842a1351b0ad5fc79850Test https://doi.org/10.1186/s12884-019-2437-xTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0145ea1f0f92842a1351b0ad5fc79850 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712393 |
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