{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:35Z","timestamp":1787013815654,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T00:00:00Z","timestamp":1587427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["HRC 14\/371"],"award-info":[{"award-number":["HRC 14\/371"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While there is a global focus on severe maternal morbidity (SMM), less is known about the impact of SMM on fetal and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine fetal\/neonatal outcomes associated with SMM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A national New Zealand (NZ) retrospective cohort study describing fetal\/neonatal outcomes of all women with SMM admitted to a NZ Intensive Care Unit (ICU) or High Dependency Unit (HDU) in 2014. Adverse fetal\/neonatal outcomes were defined as one or more of the following: fetal or early neonatal death, hypoxic ischaemic encephalopathy, Apgar score less than seven at five\u00a0minutes, admission to Neonatal Intensive Care Unit or Special Care Baby Unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 400 women with SMM admitted to NZ ICU\/HDU units in 2014, and 395 (98.8%) had complete birth\/pregnancy outcome information. Of these, 49.4% (195\/395) were associated with an adverse fetal\/neonatal outcome. Indigenous M\u0101ori women had a 30% higher rate of adverse fetal\/neonatal outcome compared to NZ European women (63.7% and 48.9% respectively; relative risk\u00a0=\u00a01.30, 95% CI 1.04\u20131.64). Pre\u2010eclampsia was associated with an adverse fetal\/neonatal outcome in 67% (81\/120). Perinatal\u2010related mortality rate was 53.1 per 1000 total births compared to NZ perinatal mortality of 11.2 per 1000 total births for 2014.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SMM events are associated with high rates of adverse fetal\/neonatal outcomes with a higher burden of adverse events for M\u0101ori. Further research is needed to explore opportunities in maternal and neonatal care pathways to improve fetal\/neonatal outcomes and address inequities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.13163","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T21:29:00Z","timestamp":1587504540000},"page":"865-870","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Examining adverse fetal\/neonatal outcomes associated with severe maternal morbidity"],"prefix":"10.1111","volume":"60","author":[{"given":"Beverley","family":"Lawton","sequence":"first","affiliation":[{"name":"Women\u2019s Health Research Centre Department of Obstetrics and Gynaecology Wellington Medical School University of Otago Wellington New 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