{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:35:50Z","timestamp":1790703350126,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2003,2,3]],"date-time":"2003-02-03T00:00:00Z","timestamp":1044230400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2003,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective:<\/jats:bold> To compare rates of fetal macrosomia (birthweight &gt;4000\u00a0g) and birth complications in both Chinese women immigrants and Caucasian women for two time periods: 1992 and 1999\u20132000.<\/jats:p><jats:p><jats:bold>Population:<\/jats:bold> Chinese women immigrants and Caucasian women attending the Royal North Shore Hospital and Hornsby Ku\u2010Ring\u2010Gai Hospital in Sydney's northern health region.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Data used were extracted from the Northern Suburbs Area Health Service OBSTET database. Significance of trends were assessed using \u03c7<jats:sup>2<\/jats:sup> test.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The results show a rise in macrosomic babies born to Chinese immigrants from 4% of total Chinese births in 1992 to 9.8% in 1999\u20132000 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02).There was no significant difference in the rate of macrosomia among Caucasian women with respective rates of 11 and 14% for the same periods. The incidence of post\u2010partum haemorrhage increased significantly in both Chinese immigrants and Caucasian women (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Australia has a multicultural population and yet the normal ranges defined for many obstetric investigations do not adjust for ethnicity. The application of values derived from a Caucasian population to other ethnic populations may be inappropriate and conceal important pathologies.<\/jats:p>","DOI":"10.1046\/j.0004-8666.2003.00013.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T01:28:22Z","timestamp":1047346102000},"page":"46-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Incidence of fetal macrosomia and birth complications in Chinese immigrant women"],"prefix":"10.1111","volume":"43","author":[{"given":"Susan Campbell","family":"Westerway","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Keogh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Heard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Morris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,2,3]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004040050262"},{"key":"e_1_2_7_3_2","unstructured":"Report on Maternal Deaths in Australia 1991\u20131993. Report of the Maternal Mortality Working Party. City of publication:National Health & Medical Research Council 1998."},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00606-7"},{"key":"e_1_2_7_5_2","first-page":"17","article-title":"Ultrasonographic prediction of fetal macrosomia. Association with cesarean delivery","volume":"45","author":"Parry S","year":"2000","journal-title":"J Reprod Med."},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2000.tb03338.x"},{"key":"e_1_2_7_7_2","first-page":"628","article-title":"Reference charts of foetal biometry in Asians","volume":"36","author":"Lai FM","year":"1995","journal-title":"Singapore Med J."},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1981.tb00979.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2001.tb01205.x"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1046\/j.0004-8666.2003.00013.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T14:39:29Z","timestamp":1697207969000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1046\/j.0004-8666.2003.00013.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,2]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2003,2]]}},"alternative-id":["10.1046\/j.0004-8666.2003.00013.x"],"URL":"https:\/\/doi.org\/10.1046\/j.0004-8666.2003.00013.x","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,2]]},"assertion":[{"value":"2003-02-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}