Characteristics and changes in characteristics of women and babies admitted to residential parenting services in New South Wales, Australia in the first year following birth: a population-based data linkage study 2000-2012.
Adult
Australia
/ epidemiology
Delivery, Obstetric
/ methods
Female
Hospitalization
/ statistics & numerical data
Humans
Infant
Infant Behavior
/ physiology
Male
Maternal Behavior
/ psychology
Maternal-Child Health Centers
/ organization & administration
Mental Health
Parenting
/ psychology
Pregnancy
Pregnancy Outcome
/ epidemiology
Residential Facilities
/ statistics & numerical data
Socioeconomic Factors
Stress, Psychological
/ etiology
caesarean section
data linkage
early parenting
early term birth
instrumental birth
perinatal mental health
residential parenting services
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
22 09 2019
22 09 2019
Historique:
entrez:
24
9
2019
pubmed:
24
9
2019
medline:
21
10
2020
Statut:
epublish
Résumé
To examine the characteristics of women and babies admitted to the residential parenting services (RPS) of Tresillian and Karitane in the first year following birth. A linked population data cohort study was undertaken for the years 2000-2012. New South Wales (NSW), Australia. All women giving birth and babies born in NSW were compared with those admitted to RPS. During the time period there were a total of 1 097 762 births (2000-2012) in NSW and 32 991 admissions to RPS. Women in cohort 1: (those admitted to RPS) were older at the time of birth, more likely to be admitted as a private patient at the time of birth, be born in Australia and be having their first baby compared with women in cohort 2 (those not admitted to an RPS). Women admitted to RPS experienced more birth intervention (induction, instrumental birth, caesarean section), had more multiple births and were more likely to have a male infant. Their babies were also more likely to be resuscitated and have experienced birth trauma to the scalp. Between 2000 and 2012 the average age of women in the RPS increased by nearly 2 years; their infants were older on admission and women were less likely to smoke. Over the time period there was a drop in the numbers of women admitted to RPS having a normal vaginal birth and an increase in women having an instrumental birth. Women who access RPS in the first year after birth are more socially advantaged and have higher birth intervention than those who do not, due in part to higher numbers birthing in the private sector where intervention rates are high. The rise in women admitted to RPS (2000-2012) who have had instrumental births is intriguing as overall rates did not increase.
Identifiants
pubmed: 31543503
pii: bmjopen-2019-030133
doi: 10.1136/bmjopen-2019-030133
pmc: PMC6773315
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e030133Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: ICMJE uniform disclosure form has been completed. CF, RM, GO'L and JS all work for the organisations of Tresillian and Karitane and were partners in the project but they did not analyse or interpret the data. An ARC Linkage grant was received for this work LP130100306.
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