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Obstetric and psychosocial risk factors for Australian-born and non-Australian born women and associated pregnancy and birth outcomes: a population based cohort study.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Diabetes, Gestational/*ethnology ; Hypertension, Pregnancy-Induced/*ethnology ; Mental Disorders/*ethnology ; Native Hawaiian or Other Pacific Islander/*psychology ; Native Hawaiian or Other Pacific Islander/*statistics & numerical data; Adolescent ; Adult ; Age Factors ; Anemia/ethnology ; Australia/epidemiology ; Breast Feeding/psychology ; China/ethnology ; Female ; Fiji/ethnology ; Humans ; India/ethnology ; Mental Disorders/psychology ; Middle Aged ; New Zealand/ethnology ; Pakistan/ethnology ; Parity ; Philippines/ethnology ; Pregnancy ; Psychiatric Status Rating Scales ; Retrospective Studies ; Risk Factors ; Smoking/ethnology ; Sudan/ethnology ; Young Adult
    • نبذة مختصرة :
      Background: One in four Australians is born overseas and 47% are either born overseas or have a parent who was. Obstetric and psychosocial risk factors for these women may differ.
      Method: Data from one Sydney hospital (2012-2013) of all births recorded in the ObstetriX database were analysed (n = 3,092). Demographics, obstetric and psychosocial risk profile, obstetric interventions and complications and selected maternal and neonatal outcomes were examined for women born in Australia and overseas.
      Results: Women born in Australia were younger, more likely to be primiparous (28.6 v 27.5%), be obese (32.0% v 21.4%), smoke (19.7 % v 3.0%), have an epidural (26.2% v 20.2%) and were less likely to have gestational diabetes mellitus (GDM) (6.8% v 13.7% when compared to non-Australian born women. The highest rates of GDM, Gestational Hypertension (GH) and maternal anaemia were seen in women born in China, the Philippines and Pakistan respectively. Differences were also seen in psychosocial screening between Australian and non-Australian women with Australian-born women more likely to smoke and report a mental health disorder. There was an association between having an Edinburgh Postnatal Depression Scale (EPDS) ≥ 13 and other psychosocial issues, such as thoughts of self-harm, domestic violence, childhood abuse etc. These women were also less likely to breastfeed. Women with an EPDS ≥ 13 at booking compared to women with EPDS ≤12 had a higher chance of being diagnosed with GDM (AOR 1.85 95% CI 1.14-3.0).
      Conclusions: There are significant differences in obstetric and psychosocial risk profiles and maternal and neonatal outcomes between Australian-born and non-Australian born women. In particular there appears to be an association between an EPDS of ≥13 and developing GDM, which warrants further investigation.
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    • الموضوع:
      Date Created: 20151111 Date Completed: 20160623 Latest Revision: 20211203
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC4640409
    • الرقم المعرف:
      10.1186/s12884-015-0681-2
    • الرقم المعرف:
      26552427