A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

Wenman, Wanda M.

doi:10.1503/cmaj.1031730

Cited by 52 publications

(35 citation statements)

References 24 publications

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“…A depleção de nutrientes no feto pode acarretar doenças na vida adulta, como hipertensão, doenças coronárias, diabetes tipo 2 51,52,53 . O baixo peso ao nascer também pode ocorrer em virtude do alcoolismo e do tabagismo materno 54,55 .…”

Section: Discussionunclassified

"Fraqueza de nascença": sentidos e significados culturais de impressões maternas na saúde infantil no Nordeste brasileiro

et al. 2007

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A gestação abrange dimensões sócio-culturais, históricas e afetivas, que processam no corpo das mulheres diversos sentidos e significados. Cada sociedade constrói concepções, práticas ou modelos explicativos populares, que se diferenciam do modelo biomédico e visam a proteger a mãe-feto, promovendo uma gravidez saudável. Esta pesquisa qualitativa, baseada na antropologia interpretativa, desvela as experiências vivenciadas por 27 mulheres pobres e suas repercussões na desnutrição dos filhos atendidos num Centro de Desnutrição Infantil em Fortaleza, Nordeste brasileiro. De janeiro a junho de 2004, foram realizadas entrevistas etnográficas e narrativas sobre fraqueza de nascença e observação-participante de cuidados no ambulatório, enfermaria e domicílios. Conforme se argumenta, as mães acreditam que seus sofrimentos físicos, emocionais e a precária condição nutricional é "impressa" no feto, resultando na desnutrição do filho. Enquanto a etnoetiologia da "fraqueza" aponta fatores externos do corpo que involuntariamente atingem a gestante, a visão médica relatada tende a culpabilizar a mãe. É preciso compreender a narrativa das mães, sensibilizar-se com o seu sofrimento e aproximar as concepções populares e biomédicas.

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Section: Discussionunclassified

"Fraqueza de nascença": sentidos e significados culturais de impressões maternas na saúde infantil no Nordeste brasileiro

et al. 2007

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“…Currently, reliable data are only available for some subgroups. Indigenous women are not a homogenous group, with birth outcomes differing between various Aboriginal populations in Canada [108]; therefore, data from subgroups cannot be generalized to the entire Aboriginal population.…”

Section: Indigenous Peoples Of Canadamentioning

confidence: 99%

Canada’s pregnancy-related mortality rates: doing well but room for improvement

Verstraeten¹,

Mijovic-Kondejewski²,

Takeda³

et al. 2015

CIM

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Canada's pregnancy-related mortality rates: doing well but room for improvement Abstract Purpose: Canada's perinatal, infant and maternal mortality rates were examined and compared with other Organization for Economic Cooperation and Development (OECD) countries. The type and the quality of the available data and best practices in several OECD countries were evaluated.Source: A literature search was performed in PubMed and the Cochrane Library. Vital statistics data were obtained from the OECD Health Database and Statistics Canada and subjected to secondary analysis.Principal findings: Overall, Canadian pregnancy mortality rates have fallen dramatically since the early 1960's. Perinatal and infant mortality rates remain low and stable, but the maternal mortality rate has increased slightly and both mortality rates have declined in their relative OECD rankings over the last 20 years. Data quality and coverage across Canada and internationally, especially for Indigenous peoples, is inconsistent and registration practices differ greatly, making comparisons difficult. Available data do show that Indigenous people's perinatal and infant mortality rates are nearly twice those of the general population. Best practices in other OECD countries include Australia's National Maternity Services plan to improve Aboriginal perinatal health, the Netherlands' midwifery services and National Perinatal Registry and Japan's national pregnancy registration and Maternal Handbook. Conclusion:To diminish Canadian disparities in perinatal health rates and improve health outcomes we recommend a) uniform registration practices across Canada, b) better data quality and coverage especially among Indigenous communities, c) adoption of a national pregnancy registration and a maternal handbook along with d) improved midwifery and primary practice services to rural and remote communities. At a time when Canada is focusing upon improving pregnancy health in developing nations, it also needs to address its own challenges in improving pregnancy outcomes.

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“…Her argument is supported by our research in the Northern Territory of Australia, which explores the extent of miscommunication in health care delivery and its impact on quality of care. 1 In that study health care professionals used participatory action methodology to collaborate with Aboriginal patients and community members in planning and conducting the research and then in using the results to improve delivery of services for people with chronic kidney disease.…”

mentioning

confidence: 99%

The ethics of research involving Canada's Aboriginal populations

Cass¹

2005

Canadian Medical Association Journal

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A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

Cited by 52 publications

References 24 publications

"Fraqueza de nascença": sentidos e significados culturais de impressões maternas na saúde infantil no Nordeste brasileiro

"Fraqueza de nascença": sentidos e significados culturais de impressões maternas na saúde infantil no Nordeste brasileiro

Canada’s pregnancy-related mortality rates: doing well but room for improvement

The ethics of research involving Canada's Aboriginal populations

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