{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T01:05:06Z","timestamp":1776474306708,"version":"3.51.2"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T00:00:00Z","timestamp":1489363200000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Severe fetal growth restriction (<jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content>) (&lt;\u00a0third centile) in a singleton pregnancy undelivered by 40\u00a0weeks is one of a number of Victorian Perinatal Services Performance Indicators, which aim to provide a measure of the quality and safety of maternity care. Women of refugee background have been found to have poorer perinatal outcomes compared to others and these outcomes can in part be explained by previous history. However, less access to and engagement with pregnancy care may also be contributing factors. This study examined the impact of likely refugee background on severe <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> in a singleton pregnancy undelivered by 40\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was undertaken utilising data on women who gave birth to a severely growth\u2010restricted infant at Monash Health during January 2013\u2013July 2015. Unadjusted and adjusted analyses were undertaken to examine the association between the mother being of likely refugee background and severe <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> in singletons delivered after 40\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was an association between the mother being of likely refugee background and giving birth to a severely growth\u2010restricted baby after 40\u00a0weeks with these mothers at two and half times the odds compared to mothers of non\u2010refugee background (adjusted odds ratio 2.52; 95% <jats:styled-content style=\"fixed-case\">confidence interval<\/jats:styled-content>: 1.44\u20134.42).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While detecting <jats:styled-content style=\"fixed-case\">FGR<\/jats:styled-content> is clinically challenging, our findings suggest that maternity services need to be supported to offer care tailored to the specific needs of vulnerable and disadvantaged populations. Providing quality, culturally responsive and accessible care is fundamental to addressing refugee maternal and perinatal health inequalities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12593","type":"journal-article","created":{"date-parts":[[2017,3,14]],"date-time":"2017-03-14T16:38:42Z","timestamp":1489509522000},"page":"186-192","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Poorer detection rates of severe fetal growth restriction in women of likely refugee background: A\u00a0case for re\u2010focusing pregnancy care"],"prefix":"10.1111","volume":"57","author":[{"given":"Mary Anne","family":"Biro","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Clayton Campus, Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"East","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Clayton Campus, Monash University  Clayton Victoria Australia"},{"name":"Monash Health Monash Medical Centre  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200606000-00004"},{"key":"e_1_2_7_3_1","unstructured":"Department of Health and Human Services.Victorian perinatal services performance indicators 2013\u201314.Melbourne:Victorian Government 2016. [Cited 22 August 2016.] Available from URL:https:\/\/www2.health.vic.gov.au\/hospitals-and-health-services\/patient-care\/perinatal-reproductive\/maternity-newborn-services\/vic-perinatal-services-performance-indicators"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11331"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200606000-00013"},{"key":"e_1_2_7_6_1","unstructured":"PaxtonG SmithN WinAet\u00a0al.Refugee status report: A report on how refugee children and young people in Victoria are faring.Melbourne:Department of Education and Early Childhood Development 2011. 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