Mary-Anne Measey

University of Western Australia, Perth City, Western Australia, Australia

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Publications (7)7.31 Total impact

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    ABSTRACT: To identify factors, including the loss of a previous pregnancy before 20 weeks gestation, which are associated with increased risk of singleton antepartum unexplained fetal death (UFD) in Western Australia (WA) using information recorded in routine data collections. All fetal deaths in WA from 1990 to 1999 that underwent thorough post-mortem investigations were classified using the Perinatal Society of Australia and New Zealand Perinatal Death Classification System. All UFDs were selected as cases and unmatched controls were randomly drawn from all live births in WA occurring during the study period. Demographic and clinical information on cases and controls was obtained from the WA Midwives' Notification System. Multivariable logistic regression was carried out to determine the independent effect of risk factors and calculate odds ratios. Almost one quarter (22%) of stillbirths were unexplained. Primigravid and primiparous women with a history of pregnancy loss before 20 weeks were at higher risk of UFD than multiparous women who had not experienced any loss. Women with a history of fetal death (after 20 weeks) had the highest risk of UFD. The current practice of closely monitoring pregnant women with a history of fetal loss or death should continue as this study suggests they may have a higher risk of poor obstetric outcome. Larger studies are needed to confirm the association between previous pregnancy loss and UFD.
    Australian and New Zealand Journal of Obstetrics and Gynaecology 05/2009; 49(2):151-7. DOI:10.1111/j.1479-828X.2009.00982.x · 1.62 Impact Factor
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    ABSTRACT: To describe the rate of and demographic factors associated with fetal postmortem investigation and to classify the cause of all fetal deaths that underwent postmortem investigation. To compare the proportion of deaths remaining unexplained after postmortem investigation with estimates derived from death certificates. All fetal deaths in Western Australia (WA) from 1990 to 1999 were identified. These data were used to calculate postmortem rates and describe the characteristics of women consenting to postmortems. A multidisciplinary team classified the cause of all deaths that underwent postmortem investigation using the Perinatal Society of Australia and New Zealand Perinatal Death Classification System. The proportion of deaths that were unexplained was compared with estimates based on death certificates. Of the 1,619 fetal deaths recorded for 1990 to 1999, 49% (n=789) underwent complete postmortem investigation. Based on investigations, 22% of the 789 fetal deaths were unexplained and a further 18% were identified as having fetal growth restriction. Based on death certificates, 42% were unexplained and 65% were later explained by postmortem investigation. Postmortem investigation rates are low. They reveal a cause of death for the majority of cases that are unexplained clinically. Epidemiological investigations of unexplained fetal death based on cases not subject to complete postmortem investigation may lead to inaccurate conclusions. A standardised definition for unexplained fetal deaths that distinguishes between cases with detailed investigation and those with limited or no investigation is needed.
    Australian and New Zealand Journal of Public Health 11/2007; 31(5):444-9. DOI:10.1111/j.1753-6405.2007.00116.x · 1.90 Impact Factor
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    Mary-Anne L Measey, Shu Qin Li, Robert Parker, Zhiqiang Wang
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    ABSTRACT: To examine trends in suicide in the Northern Territory between 1981 and 2002, and demographic and other characteristics of people completing suicide in the Top End region in 2000-2002. Retrospective descriptive analysis of Australian Bureau of Statistics death registration data and data from the NT Coroner's Office. All residents of the NT who completed suicide between 1981 and 2002. Changes in the age-adjusted and age- and sex-specific rates of suicide in Indigenous and non-Indigenous NT residents over time; prior diagnosis of mental illness and use of alcohol or other drugs by those completing suicide. The age-adjusted suicide rate in the NT increased significantly between 1981 and 2002 (P < 0.001). Over this period, the rates among the Indigenous and non-Indigenous male populations increased by 800% (P < 0.05) and 30% (P > 0.05), respectively. Indigenous males aged under 45 years and non-Indigenous males aged 65 years and over were most at risk. In the Top End, a history of diagnosed mental illness was present in 49% of suicide cases, and misuse of alcohol or other drugs around the time of death was associated with 72% of suicide cases. Our study highlights the rising rate of suicide in the NT and suggests that suicide prevention initiatives need to specifically target Indigenous and non-Indigenous males in the age groups most at risk.
    The Medical journal of Australia 10/2006; 185(6):315-9. · 3.79 Impact Factor
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  • Annie Villeseche, Shu Qin Li, Mary-Anne Measey
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    ABSTRACT: This is the second report produced using data collected in WA, NT and SA. The first report compared the health of residents in these jurisdictions. This report uses the combined state/territory data to compare the health of residents in metropolitan, rural and remote regions based on the Accessibility/Remoteness Index of Australia (ARIA).
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    ABSTRACT: In November 2000, a CATI (Computer Assisted Telephone Interviewing) survey was undertaken to assess the health and well being of residents of Western Australia (WA), Northern Territory (NT) and South Australia (SA). The overall aim of the survey was to demonstrate the capacity for a public health survey partnership. The Commonwealth Department of Health and Aged Care and each state and territory provided funding for the collaborative partnership.