Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service
Aim To examine low birth weight (LBW) in First Nations babies born in a large metropolitan health service in Queensland, Australia. Materials and Methods A retrospective population‐based study using routinely collected data from administrative data sources. All singleton births in metropolitan healt...
Published in: | Australian and New Zealand Journal of Obstetrics and Gynaecology |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Online Access: | http://dx.doi.org/10.1111/ajo.13843 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.13843 |
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crwiley:10.1111/ajo.13843 2024-06-23T07:52:47+00:00 Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service Pervin, Sonia Kearney, Lauren Giudice, Sonita Holzapfel, Sherry Denaro, Tara Dyer, Jodi Cole, Phillipa E Callaway, Leonie 2024 http://dx.doi.org/10.1111/ajo.13843 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.13843 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ Australian and New Zealand Journal of Obstetrics and Gynaecology ISSN 0004-8666 1479-828X journal-article 2024 crwiley https://doi.org/10.1111/ajo.13843 2024-06-11T04:50:25Z Aim To examine low birth weight (LBW) in First Nations babies born in a large metropolitan health service in Queensland, Australia. Materials and Methods A retrospective population‐based study using routinely collected data from administrative data sources. All singleton births in metropolitan health services, Queensland, Australia of ≥20 weeks gestation or at least 400 g birthweight and had information on First Nations status and born between 2019 and 2021 were included. The study measured birthweight and birthweight z‐score, and also identified the predictors of LBW. Multivariate regression models were adjusted by demographic, socioeconomic and perinatal factors. Results First Nations babies had higher rates of LBW (11.4% vs 6.9%, P < 0.001), with higher rates of preterm birth (13.9% vs 8.8%, P < 0.001). In all babies, the most important factors contributing to LBW were: maternal smoking after 20 weeks of gestation; maternal pre‐pregnancy underweight (body mass index <18.5 kg/m 2 ); nulliparity; socioeconomic disadvantage; geographical remoteness; less frequent antenatal care; history of cannabis use; pre‐existing cardiovascular disease; pre‐eclampsia; antepartum haemorrhage; and birth outcomes including prematurity and female baby. After adjusting for all contributing factors, no difference in odds of LBW was observed between First Nations and non‐First Nation babies. Conclusions First Nations status was not an independent factor influencing LBW in this cohort, after adjustment for identifiable factors. The disparity in LBW relates to modifiable risk factors, socioeconomic disadvantage, and prematurity. Upscaling culturally safe maternity care, focusing on modifiable risk factors is required to address LBW in Australian women. Article in Journal/Newspaper First Nations Wiley Online Library Queensland Australian and New Zealand Journal of Obstetrics and Gynaecology |
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Wiley Online Library |
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crwiley |
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English |
description |
Aim To examine low birth weight (LBW) in First Nations babies born in a large metropolitan health service in Queensland, Australia. Materials and Methods A retrospective population‐based study using routinely collected data from administrative data sources. All singleton births in metropolitan health services, Queensland, Australia of ≥20 weeks gestation or at least 400 g birthweight and had information on First Nations status and born between 2019 and 2021 were included. The study measured birthweight and birthweight z‐score, and also identified the predictors of LBW. Multivariate regression models were adjusted by demographic, socioeconomic and perinatal factors. Results First Nations babies had higher rates of LBW (11.4% vs 6.9%, P < 0.001), with higher rates of preterm birth (13.9% vs 8.8%, P < 0.001). In all babies, the most important factors contributing to LBW were: maternal smoking after 20 weeks of gestation; maternal pre‐pregnancy underweight (body mass index <18.5 kg/m 2 ); nulliparity; socioeconomic disadvantage; geographical remoteness; less frequent antenatal care; history of cannabis use; pre‐existing cardiovascular disease; pre‐eclampsia; antepartum haemorrhage; and birth outcomes including prematurity and female baby. After adjusting for all contributing factors, no difference in odds of LBW was observed between First Nations and non‐First Nation babies. Conclusions First Nations status was not an independent factor influencing LBW in this cohort, after adjustment for identifiable factors. The disparity in LBW relates to modifiable risk factors, socioeconomic disadvantage, and prematurity. Upscaling culturally safe maternity care, focusing on modifiable risk factors is required to address LBW in Australian women. |
format |
Article in Journal/Newspaper |
author |
Pervin, Sonia Kearney, Lauren Giudice, Sonita Holzapfel, Sherry Denaro, Tara Dyer, Jodi Cole, Phillipa E Callaway, Leonie |
spellingShingle |
Pervin, Sonia Kearney, Lauren Giudice, Sonita Holzapfel, Sherry Denaro, Tara Dyer, Jodi Cole, Phillipa E Callaway, Leonie Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
author_facet |
Pervin, Sonia Kearney, Lauren Giudice, Sonita Holzapfel, Sherry Denaro, Tara Dyer, Jodi Cole, Phillipa E Callaway, Leonie |
author_sort |
Pervin, Sonia |
title |
Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
title_short |
Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
title_full |
Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
title_fullStr |
Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
title_full_unstemmed |
Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service |
title_sort |
being a first nations baby is not independently associated with low birthweight in a large metropolitan health service |
publisher |
Wiley |
publishDate |
2024 |
url |
http://dx.doi.org/10.1111/ajo.13843 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.13843 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Australian and New Zealand Journal of Obstetrics and Gynaecology ISSN 0004-8666 1479-828X |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1111/ajo.13843 |
container_title |
Australian and New Zealand Journal of Obstetrics and Gynaecology |
_version_ |
1802644182812065792 |