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

Kildea, Sue V., Gao, Yu, Rolfe, Margaret, Boyle, Jaqueline, Tracy, Sally and Barclay, Lesley M. (2017) Risk factors for preterm, low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia. Women and Birth, 30 5: 398-405. doi:10.1016/j.wombi.2017.03.003

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Kildea, Sue V.
Gao, Yu
Rolfe, Margaret
Boyle, Jaqueline
Tracy, Sally
Barclay, Lesley M.
Title Risk factors for preterm, low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia
Journal name Women and Birth   Check publisher's open access policy
ISSN 1878-1799
ISBN 2167-8359
Publication date 2017-04-01
Year available 2017
Sub-type Article (original research)
DOI 10.1016/j.wombi.2017.03.003
Open Access Status File (Author Post-print)
Volume 30
Issue 5
Start page 398
End page 405
Total pages 8
Place of publication London, United Kingdom
Publisher PeerJ
Language eng
Abstract To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women.

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.

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.

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.
Formatted abstract
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.
Keyword Remote
Preterm birth
Low birthweight
Small for gestational age
Indigenous Australian
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 422503
LP0669519
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
HERDC Pre-Audit
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 11 Apr 2017, 00:25:16 EST by Web Cron on behalf of School of Nursing, Midwifery and Social Work