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Edmonds LK, Sibanda N, Geller S, et al. He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010-2014. Int J Gynaecol Obstet. 2021;155(2):239-246doi: 10.1002/ijgo.13855.
Edmonds, L. K., Sibanda, N., Geller, S., Cram, F., Robson, B., Filoche, S., Storey, F., Gibson-Helm, M., & Lawton, B. (2021). He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010-2014. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 155(2), 239-246. https://doi.org/10.1002/ijgo.13855
Edmonds, Liza Kathleen, et al. "He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010-2014." International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics vol. 155,2 (2021): 239-246. doi: https://doi.org/10.1002/ijgo.13855
Edmonds LK, Sibanda N, Geller S, Cram F, Robson B, Filoche S, Storey F, Gibson-Helm M, Lawton B. He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010-2014. Int J Gynaecol Obstet. 2021 Nov;155(2):239-246. doi: 10.1002/ijgo.13855. Epub 2021 Aug 27. PMID: 34355389.
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Int J Gynaecol Obstet. 2021 Nov;155(2):239-246. doi: 10.1002/ijgo.13855. Epub 2021 Aug 27.

He Tamariki Kokoti Tau: Tackling preterm incidence and outcomes of preterm births by ethnicity in Aotearoa New Zealand 2010-2014.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

Liza Kathleen Edmonds, Nokuthaba Sibanda, Stacie Geller, Fiona Cram, Bridget Robson, Sara Filoche, Francesca Storey, Melanie Gibson-Helm, Beverley Lawton

Affiliations

  1. Dunedin Hospital, Department of Women's & Children's Health, University of Otago, Dunedin, Aotearoa New Zealand.
  2. School of Mathematics and Statistics, Victoria University of Wellington, Wellington, Aotearoa New Zealand.
  3. G William Arends Professor of Obstetrics and Gynecology Director, Center for Research on Women and Gender College of Medicine, University of Illinois, Chicago, Illinois, USA.
  4. Katoa Ltd, Auckland, Aotearoa New Zealand.
  5. Department of Public Health, Eru P?mare M?ori Health Research Centre, University of Otago, Wellington, Aotearoa New Zealand.
  6. Department of Obstetrics, Gynaecology and Women's Health, University of Otago, Wellington, Aotearoa New Zealand.
  7. Te T?tai Hauora O Hine: Centre for Women's Health Research, Wellington Faculty of Health, Victoria University of Wellington, Wellington, Aotearoa New Zealand.

PMID: 34355389 DOI: 10.1002/ijgo.13855

Abstract

OBJECTIVE: To explore preterm birth among Māori indigenous peoples through Kaupapa Māori research of preterm birth in Aotearoa New Zealand.

METHODS: Linked maternity, mortality, and hospital data were analyzed for women and their infants born between January 1, 2010 and December 31, 2014. Relative risks (RR) were calculated for each ethnic group for preterm birth, small for gestational age (SGA), and mortality.

RESULTS: Adjusted rates showed that compared with Māori women, European women were at significantly less risk of having extremely and very preterm infants (RR 0.86, 95% confidence interval [CI] 0.76-0.95). Preterm infants of European women had a significantly lower adjusted RR of early neonatal death (RR 0.65, 95% CI 0.45-0.93) or post-neonatal death (RR 0.41, 95% CI 0.26-0.64). In addition to ethnicity, preterm rates were influenced by maternal age, body mass index, smoking status, and SGA status.

CONCLUSION: This study demonstrates that the Aotearoa New Zealand maternity system privileges whiteness, suggesting that clinical pathways for evidence-based medical care are not delivered systemically and equitably for all. Health pathways that focus on equity as a fundamental right will enhance health outcomes for Māori women and their infants.

© 2021 International Federation of Gynecology and Obstetrics.

Keywords: Aotearoa; Māori; New Zealand; ethnic groups; indigenous peoples; perinatal death; premature birth; small for gestational age infant

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