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Examining adverse fetal/neonatal outcomes associated with severe maternal morbidity

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From Māori Health Review Issue 85
Authors:
  • Lawton B, et al.
Summary:

Severe maternal morbidity events were associated with high rates (49.4%) of adverse foetal and neonatal outcomes in a retrospective study of 400 women admitted to New Zealand intensive care units (ICUs) or high dependency units (HDUs) in 2014. Adverse foetal/neonatal outcomes were defined as foetal or early neonatal death, hypoxic ischaemic encephalopathy, Apgar score <7 at 5 minutes, or admission to neonatal intensive care unit (NICU) or special care baby unit (SCBU). Pre‐eclampsia was the most common condition associated with an adverse foetal/neonatal outcome (67%). The rate of adverse foetal/neonatal outcomes was 30% higher in Māori women compared with New Zealand European women (63.7% vs 48.9%; RR 1.30; 95% CI 1.04–1.64).www.uruta.maori.nz/hapu-mama

Comment:
In addition to highlighting the results and discussion presented here, I would like to acknowledge the work of Bev Lawton, the first author, in advocating for women’s health during recent weeks of COVID-19 lockdown. I encourage readers to look at the advice Bev, Kasey Tawhara and others have written for whānau, available on the Urutā website.
Reference: Aust N Z J Obstet Gynaecol. 2020 Apr 21. doi: 10.1111/ajo.13163. [Epub ahead of print]
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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