{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:55:14Z","timestamp":1790265314321,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,9,17]],"date-time":"2014-09-17T00:00:00Z","timestamp":1410912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["510298"],"award-info":[{"award-number":["510298"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006065","name":"Department of Health, Government of Western Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Studies in other developed countries have suggested that socioeconomic position may be a risk factor for poorer pregnancy outcomes. This analysis aimed to explore the independent impact of socioeconomic position on selected severe maternal morbidities among women in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A case\u2013control study using data on severe maternal morbidities associated with direct maternal death collected through the Australasian Maternity Outcomes Surveillance System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>623 cases, 820 controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Logistic regression analysis to investigate differences in outcomes among different socioeconomic groups, classified by Socio\u2010Economic Indexes for Areas (\n                      <jats:styled-content style=\"fixed-case\">SEIFA<\/jats:styled-content>\n                      ) quintile.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Severe maternal morbidity (amniotic fluid embolism, placenta accreta, peripartum hysterectomy, eclampsia or pulmonary embolism).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      SEIFA quintile was statistically significantly associated with maternal morbidity, with cases being twice as likely as controls to reside in the most disadvantaged areas (adjusted OR 2.00, 95%CI 1.29\u20133.10). Maternal age [adjusted odds ratio (\n                      <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>\n                      ) 2.20 for women aged 35 or over compared with women aged 25\u201329, 95%CI 1.64\u20133.15] and previous pregnancy complications (\n                      <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>\n                      1.30, 95%CI 1.21\u20131.87) were significantly associated with morbidity. A parity of 1 or 2 was protective (\n                      <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>\n                      0.58, 95%CI 0.43\u20130.79), whereas previous caesarean delivery was associated with maternal morbidity (\n                      <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>\n                      2.20 for women with one caesarean delivery, 95%CI 1.44\u20132.85, compared with women with no caesareans).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The risk of severe maternal morbidity among women in Australia is significantly increased by social disadvantage. This study suggests that future efforts in improving maternity care provision and maternal outcomes in Australia should include socioeconomic position as an independent risk factor for adverse outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.13058","type":"journal-article","created":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T04:30:44Z","timestamp":1410755444000},"page":"1601-1609","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["The impact of socioeconomic position on severe maternal morbidity outcomes among women in Australia: a national case\u2013control study"],"prefix":"10.1111","volume":"122","author":[{"given":"A","family":"Lindquist","sequence":"first","affiliation":[{"name":"National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford Oxford UK"},{"name":"Department of Obstetrics and Gynaecology Monash Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Noor","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Knight","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,17]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Human Development Report 2005: International Cooperation at a Crossroads: Aid, Trade, Security in an Unequal World","author":"The United Nations Development Programme","year":"2006"},{"key":"e_1_2_6_3_1","volume-title":"AIHW Authoritative Information and Statistics to Promote Better Health and Wellbeing","author":"Australian Institute of Health and Welfare","year":"2011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2000.tb124041.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-7"},{"issue":"1","key":"e_1_2_6_6_1","first-page":"1","article-title":"Saving Mothers\u2019 Lives: Reviewing maternal deaths to make motherhood safer: 2006\u20132008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom","volume":"118","author":"Cantwell R","year":"2011","journal-title":"BJOG"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002742"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12020"},{"key":"e_1_2_6_9_1","volume-title":"Information Paper: An Introduction to Socio\u2010Economic Indexes for Areas (SEIFA)","author":"Australian Bureau of Statistics","year":"2006"},{"key":"e_1_2_6_10_1","volume-title":"Socio\u2010Economic Indexes for Areas (SEIFA): Technical Paper","author":"Australian Bureau of Statistics","year":"2011"},{"key":"e_1_2_6_11_1","volume-title":"Australian Standard Geographical Classification \u2013 Remoteness Area (ASGC\u2010RA)","author":"Australian Bureau of Statistics","year":"2001"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-74"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2004.tb06123.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01713.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00303.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.045156"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b542"},{"key":"e_1_2_6_18_1","volume-title":"Recorded Delivery: A National Survey of Women's Experience of Maternity Care 2006","author":"Redshaw M","year":"2007"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13059"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2012.00550.x"},{"key":"e_1_2_6_21_1","volume-title":"Report of the Maternity Servicezrs Review","author":"Australian Government Department of Health and Ageing","year":"2009"},{"key":"e_1_2_6_22_1","volume-title":"National Maternity Services Plan","author":"Australian Health Ministers\u2019 Conference","year":"2010"},{"key":"e_1_2_6_23_1","volume-title":"CG110 Pregnancy and Complex Social Factors: NICE Guideline","author":"National Institute of Clinical Excellence","year":"2010"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.13058","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.13058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T19:37:26Z","timestamp":1696275446000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.13058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,17]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1111\/1471-0528.13058"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.13058","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,17]]},"assertion":[{"value":"2014-07-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}