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Multiple logistic regression was performed to determine associations between social disadvantage and adverse maternal and neonatal outcomes with confidence limits set at 99%. Time\u2010trend analysis for perinatal outcomes was performed in relation to area\u2010level disadvantage measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Incidence of maternal admission to intensive care unit (ICU), postpartum haemorrhage (PPH) and caesarean section, perinatal mortality, preterm birth, low birthweight (LBW), and admission to special care nursery\/neonatal intensive care unit (SCN\/NICU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Social disadvantage was associated with higher odds of adverse perinatal outcomes. Disadvantaged women were more likely to be admitted to ICU, have a PPH or experience perinatal mortality (stillbirth or neonatal death) and their neonates were more likely to be admitted to SCN\/NICU, be born preterm and be LBW. A persistent social gradient existed across time for the most disadvantaged women for all outcomes except caesarean section.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Social disadvantage has a marked negative impact on perinatal outcomes. This aligns with national and international evidence regarding the impact of disadvantage. Strategies that improve access to, and reduce fragmentation in, maternity care in addition to initiatives that address the social determinants of health may contribute to improving perinatal outcomes for socially disadvantaged women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17501","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T07:33:53Z","timestamp":1681976033000},"page":"1380-1393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Perinatal outcomes of socially disadvantaged women in Australia: A population\u2010based retrospective cohort study"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0656-0597","authenticated-orcid":false,"given":"Fiona","family":"Faulks","sequence":"first","affiliation":[{"name":"Judith Lumley Centre La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Touran","family":"Shafiei","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Della","family":"Forster","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Mogren","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Copnell","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Edvardsson","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery\/Judith Lumley Centre La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"McLachlanR GilfillanG GordonJ.Deep and persistent disadvantage in Australia productivity commission staff working paper. 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