scholarly journals Characteristics and changes in characteristics of women and babies admitted to residential parenting services in New South Wales, Australia in the first year following birth: a population-based data linkage study 2000–2012

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030133 ◽  
Author(s):  
Hannah G Dahlen ◽  
Charlene Thornton ◽  
Cathrine Fowler ◽  
Robert Mills ◽  
Grainne O'Loughlin ◽  
...  

ObjectiveTo examine the characteristics of women and babies admitted to the residential parenting services (RPS) of Tresillian and Karitane in the first year following birth.DesignA linked population data cohort study was undertaken for the years 2000–2012.SettingNew South Wales (NSW), Australia.ParticipantsAll women giving birth and babies born in NSW were compared with those admitted to RPS.ResultsDuring the time period there were a total of 1 097 762 births (2000–2012) in NSW and 32 991 admissions to RPS. Women in cohort 1: (those admitted to RPS) were older at the time of birth, more likely to be admitted as a private patient at the time of birth, be born in Australia and be having their first baby compared with women in cohort 2 (those not admitted to an RPS). Women admitted to RPS experienced more birth intervention (induction, instrumental birth, caesarean section), had more multiple births and were more likely to have a male infant. Their babies were also more likely to be resuscitated and have experienced birth trauma to the scalp. Between 2000 and 2012 the average age of women in the RPS increased by nearly 2 years; their infants were older on admission and women were less likely to smoke. Over the time period there was a drop in the numbers of women admitted to RPS having a normal vaginal birth and an increase in women having an instrumental birth.ConclusionWomen who access RPS in the first year after birth are more socially advantaged and have higher birth intervention than those who do not, due in part to higher numbers birthing in the private sector where intervention rates are high. The rise in women admitted to RPS (2000–2012) who have had instrumental births is intriguing as overall rates did not increase.

2016 ◽  
Vol 205 (8) ◽  
pp. 365-369 ◽  
Author(s):  
Amanda J Ampt ◽  
Vijay Roach ◽  
Christine L Roberts

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e022633 ◽  
Author(s):  
Caroline Lee ◽  
Mark Hanly ◽  
Natasha Larter ◽  
Karen Zwi ◽  
Susan Woolfenden ◽  
...  

ObjectivesTo investigate differences in demographic and clinical characteristics of Aboriginal and non-Aboriginal children aged 0–4 years hospitalised for unintentional poisoning in New South Wales (NSW), Australia.Design and settingRetrospective whole-of-population cohort analysis of linked hospital and mortality data for 2000–2014.ParticipantsAll children (Aboriginal and non-Aboriginal) under the age of 5 years who were born in a hospital in NSW from 2000 to 2009.OutcomesThe primary outcome was hospitalisation for unintentional poisoning. Logistic regression was used to estimate odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children. Poisoning agents and clinical outcomes were compared by Aboriginality.ResultsThe cohort included 767 119 children, including 28 528 (3.7%) Aboriginal children. Aboriginal children had approximately three times higher rates of hospitalised poisoning (1.34%) compared with non-Aboriginal children (0.41%). Poisoning incidence peaked at 2–3 years of age. Male sex, socioeconomic disadvantage and geographical remoteness were associated with higher odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children, but associations with disadvantage and remoteness were statistically significant only for non-Aboriginal children. Most (83%) poisonings were caused by pharmaceutical agents. Few Aboriginal and non-Aboriginal children had repeat admissions for poisoning; most had a length of stay of 1 day or less. Only 8% of poisoning admissions involved contact with a social worker.ConclusionCommonly used medications in the general population contribute to poisonings among both Aboriginal and non-Aboriginal preschool-aged children. This study highlights a need to develop culturally safe poisoning prevention strategies and policies.


2010 ◽  
Vol 53 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Heather F. Gidding ◽  
Janaki Amin ◽  
Gregory J. Dore ◽  
Kate Ward ◽  
Matthew G. Law

Author(s):  
Bette Liu ◽  
Duleepa Jayasundara ◽  
Victoria Pye ◽  
Timothy Dobbins ◽  
Gregory J Dore ◽  
...  

1979 ◽  
Vol 7 (5) ◽  
pp. 29-32
Author(s):  

The New South Wales Aboriginal Education Consultative Group feels that more emphasis needs to be placed on the training of teachers in regards to Aboriginal education.Many first year teachers are sent to country areas with a relatively high percentage of Aboriginal students. In the main, these teachers have had little or no contact with Aboriginal children or parents.


1987 ◽  
Vol 14 (2) ◽  
pp. 163 ◽  
Author(s):  
D. Lunney ◽  
B. Cullis ◽  
P. Eby

This study of the effects of logging on small mammals in Mumbulla State Forest on the south coast of New South Wales included the effects of a fire in November 1980 and a drought throughout the study period from June 1980 to June 1983. Rattus fuscipes was sensitive to change: logging had a significant impact on its numbers, response to ground cover, and recapture rate; fire had a more severe effect, and drought retarded the post-fire recovery of the population. The three species of dasyurid marsupials differed markedly in their response to ground cover, canopy cover, logging and fire. Antechinus stuartii was distributed evenly through all habitats and was not affected by logging, but fire had an immediate and adverse effect which was sustained by the intense drought. A. swainsonii markedly preferred the regenerating forest, and was not seen again after the fire, the failure of the population being attributed to its dependence on dense ground cover. Sminthopsis leucopus was found in low numbers, appeared to prefer forest with sparse ground cover, and showed no immediate response to logging or fire; its disappearance by the third year post-fire suggests that regenerating forest is inimical to the survival of this species. Mus musculus showed no response to logging. In the first year following the fire its numbers were still very low, but in the next year there was a short-lived plague which coincided with the only respite in the 3-year drought and, importantly, occurred in the intensely burnt parts of the forest. The options for managing this forest for the conservation of small mammals include minimising fire, retaining unlogged forest, extending the time over which alternate coupes are logged and minimising disturbance from heavy machinery.


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