{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:13:54Z","timestamp":1788491634249,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore preterm birth among M\u0101ori indigenous peoples through Kaupapa M\u0101ori research of preterm birth in Aotearoa New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Linked maternity, mortality, and hospital data were analyzed for women and their infants born between January 1, 2010 and December 31, 2014. Relative risks (RR) were calculated for each ethnic group for preterm birth, small for gestational age (SGA), and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adjusted rates showed that compared with M\u0101ori women, European women were at significantly less risk of having extremely and very preterm infants (RR 0.86, 95% confidence interval [CI] 0.76\u20130.95). Preterm infants of European women had a significantly lower adjusted RR of early neonatal death (RR 0.65, 95% CI 0.45\u20130.93) or post\u2010neonatal death (RR 0.41, 95% CI 0.26\u20130.64). In addition to ethnicity, preterm rates were influenced by maternal age, body mass index, smoking status, and SGA status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that the Aotearoa New Zealand maternity system privileges whiteness, suggesting that clinical pathways for evidence\u2010based medical care are not delivered systemically and equitably for all. Health pathways that focus on equity as a fundamental right will enhance health outcomes for M\u0101ori women and their infants.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13855","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T07:54:57Z","timestamp":1628236497000},"page":"239-246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010\u20132014"],"prefix":"10.1002","volume":"155","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-449X","authenticated-orcid":false,"given":"Liza Kathleen","family":"Edmonds","sequence":"first","affiliation":[{"name":"Dunedin Hospital Department of Women's &amp; Children's Health University of Otago Dunedin Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nokuthaba","family":"Sibanda","sequence":"additional","affiliation":[{"name":"School of Mathematics and Statistics Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacie","family":"Geller","sequence":"additional","affiliation":[{"name":"G William Arends Professor of Obstetrics and Gynecology Director Center for Research on Women and Gender College of Medicine University of Illinois Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Cram","sequence":"additional","affiliation":[{"name":"Katoa Ltd Auckland Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Robson","sequence":"additional","affiliation":[{"name":"Department of Public Health Eru P\u014dmare M\u0101ori Health Research Centre University of Otago Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Filoche","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Women's Health University of Otago Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Storey","sequence":"additional","affiliation":[{"name":"Te T\u0101tai Hauora O Hine: Centre for Women's Health Research Wellington Faculty of Health Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Gibson\u2010Helm","sequence":"additional","affiliation":[{"name":"Te T\u0101tai Hauora O Hine: Centre for Women's Health Research Wellington Faculty of Health Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Lawton","sequence":"additional","affiliation":[{"name":"Te T\u0101tai Hauora O Hine: Centre for Women's Health Research Wellington Faculty of Health Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.08.062554"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874291201004020007"},{"key":"e_1_2_8_4_1","unstructured":"Health Quality & Safety Commission | Fourteenth Annual Report of the Perinatal and Maternal Mortality Review Committee | Te P\u016brongo \u0101\u2010Tau Tekau m\u0101 Wh\u0101 o te Komiti Arotake Mate P\u0113pi Mate Whaea Hoki.hqsc.govt.nz. 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