Objective: To determine if maternal country of birth is associated with the risk of antepartum stillbirth in late pregnancy.
Design, setting and participants: Retrospective cross‐sectional study of all singleton births at 37–42 weeks’ gestation, excluding those with congenital abnormalities and intrapartum stillbirths, between 1 June 2001 and 31 May 2011 at Southern Health, a large metropolitan maternity service in Melbourne, Australia.
Main outcome measure: Rate of late‐pregnancy antepartum stillbirth, analysed by maternal country of birth.
Results: Among 44 326 births, there was a significant difference in the stillbirth rate by maternal country of birth (P < 0.001). The rate of stillbirth per 1000 births was 1.48 among Australian‐born women, 3.55 among South Asian‐born women and 1.06 among South‐East–East Asian‐born women. Women born in South Asia were 2.4 (95% CI, 1.4–4.0) times more likely to have a late‐pregnancy stillbirth than women born in Australia (P < 0.001). There was no significant difference between women born in Australia and women born in South‐East–East Asia (P = 0.34). Adjusting for potential confounding factors, South Asian maternal birth remained an independent risk factor for stillbirth (adjusted odds ratio, 2.5; 95% CI, 1.3–5.1; P = 0.009).
Conclusion: Women born in South Asia have an increased risk of antepartum stillbirth in late pregnancy, compared with other women. This observation may have implications for the delivery of pregnancy care in Australia.
The interrelationships among measures of stress, anxiety, depression, and physical illness in a proportional sample of college undergraduates (N = 184) were examined. Significant correlations were found in the stress-illness, anxiety-illness, depression-illness, and anxiety-depression relationships. Partial correlations demonstrated that the stress-illness relationship remained significant, though lowered, when first anxiety and then depression were held constant. In the second phase of the research the indices of stress, anxiety, depression, and illness were predicted to vary by both year in school and gender within this sample. Significant differences in reported stress and anxiety by year in school and in reported illness incidence by gender were found. Possible ties between these results and research on coping, social support, and gender roles are discussed.
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