{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T09:36:20Z","timestamp":1771148180649,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"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":[[2022,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The stillbirth rate for Australian Aboriginal and Torres Strait Islander infants remains higher than non\u2010Indigenous rates. Risks for stillbirth include maternal factors such as ethnicity, age, geographic location, and physical health. Fetal risk factors include gestational age, birthweight and congenital anomalies. The total stillbirth rate for all babies born at the Townsville University Hospital during the study period was 11 per 1000 births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify Aboriginal and Torres Strait Islander stillbirth rates, risk factors and causes in North Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective chart audit was conducted to identify Indigenous women who had experienced stillbirth in the Townsville University Hospital between January 2005 and December 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010two charts were available for audit. The stillbirth rate for non\u2010Indigenous infants was 10.3 per 1000 births. The stillbirth rate for Indigenous infants was 11.7 per 1000 births. Almost half of the women lived in rural, remote or very remote areas. Maternal risk factors included poorer physical health, such as obesity, diabetes, hypertension, and smoking, fertility issues and lack of antenatal care. Fetal risk factors included congenital anomalies, including cardiac and skeletal abnormalities, placental disorders, and preterm birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stillbirth risk remains higher for Aboriginal and Torres Strait Islander women and their babies. Supporting women to enhance their health is paramount, particularly during pregnancy. Further, increasing awareness of stillbirth risk factors through education for both women and healthcare professionals will support culturally responsive care for women and their families to mitigate stillbirth risk and enhance pregnancy outcomes in non\u2010urban Queensland.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13422","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T18:37:28Z","timestamp":1629398248000},"page":"86-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Stillbirth risks and rates for Aboriginal and Torres Strait Islander women and their babies in North Queensland"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2473-727X","authenticated-orcid":false,"given":"Meegan","family":"Kilcullen","sequence":"first","affiliation":[{"name":"College of Healthcare Sciences James Cook University Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7645-8398","authenticated-orcid":false,"given":"Yogavijayan","family":"Kandasamy","sequence":"additional","affiliation":[{"name":"Department of Neonatology The Townsville Hospital Townsville Queensland Australia"},{"name":"Mothers and Babies Research Centre Hunter Medical Research Institute John Hunter Hospital The University of Newcastle Newcastle New South Wales Australia"},{"name":"College of Medicine and Dentistry James Cook University Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Watson","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University Townsville Queensland Australia"},{"name":"Department of Obstetrics and Gynaecology The Townsville Hospital Douglas Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Cadet\u2010James","sequence":"additional","affiliation":[{"name":"Indigenous Research and Education Centre James Cook University Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12580"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.120945"},{"key":"e_1_2_6_5_1","volume-title":"Australia's Mothers and Babies 2018: In Brief. 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Cat. no PER 108","author":"Australian Institute of Health and Welfare","year":"2020"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2016.1163678"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12465"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0943-7"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001152"},{"key":"e_1_2_6_10_1","volume-title":"Fetal and Infant Deaths 2016","author":"Ministry of Health","year":"2019"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15294"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0526-3"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13052"},{"key":"e_1_2_6_14_1","volume-title":"Estimates of Aboriginal and Torres Strait Islander Australians","author":"Australian Bureau of Statistics","year":"2018"},{"key":"e_1_2_6_15_1","volume-title":"2071.0 \u2010 Census of Population and Housing: Reflecting Australia \u2010 Stories from the Census, 2016","author":"Australian Bureau of Statistics","year":"2019"},{"key":"e_1_2_6_16_1","volume-title":"Clinical Practice Guidline for Care around Stillbirth and Neonatal Death. Version 3, Section 4","author":"Flenady V","year":"2018"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T12:26:41Z","timestamp":1693139201000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,19]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1111\/ajo.13422"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13422","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,19]]},"assertion":[{"value":"2020-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}