Indigenous women's experiences of diabetes in pregnancy: A thematic synthesis

Power, Tamara; Wilson, Denise; East, Leah; Cashman, Belinda; Wannell, Jasmine; Jackson, Debra

doi:10.1016/j.colegn.2021.01.004

Cited by 2 publications

(9 citation statements)

References 35 publications

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“…Previously implemented health programs and benefits were seen to put Indigenous pregnant women at a lower risk of experiencing low birth weight, preterm birth, decrease drug use by time of delivery, and had a higher rate of initiating breastfeeding [ 53 ]. While providing educational services and resources are seen to increase positive health outcomes, it has also been recommended that the development of resources for Indigenous women should be done with their full participation and consultation [ 55 , 57 ]. Indigenous maternal health programs should incorporate community involvement, such as community health workers, female relatives, and Elders [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…While providing educational services and resources are seen to increase positive health outcomes, it has also been recommended that the development of resources for Indigenous women should be done with their full participation and consultation [ 55 , 57 ]. Indigenous maternal health programs should incorporate community involvement, such as community health workers, female relatives, and Elders [ 57 ]. To improve dietary counselling and education, food suggestions should be provided with an emphasis on cultural learning, and the consideration of incorporating traditional foods [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…Indigenous maternal health programs should incorporate community involvement, such as community health workers, female relatives, and Elders [ 57 ]. To improve dietary counselling and education, food suggestions should be provided with an emphasis on cultural learning, and the consideration of incorporating traditional foods [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…This situation highlighted the importance of ensuring that routine programming is offered to not only physicians, but to all individuals providing care within the health system [ 56 ]. One study recommended that health programming and services need to increase culturally appropriate intergenerational education and promote the learning of cultural ideas systems and emotional lives of patients among health providers [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…It is important that the health system itself be flexible and accommodating to Indigenous patients as there are many geographic, social, and historical barriers that limit the ability and desire to access care [ 56 ]. Moreover, the results have shown the need to teach health providers how to administer care in a culturally appropriate manner [ 57 ]. However, educational programming should be done in an ongoing manner to ensure new staff that are hired as a result of employee turnover are properly trained [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Indigenous maternal health and health services within Canada: a scoping review

Bacciaglia

Neufeld

Neiterman

et al. 2023

BMC Pregnancy Childbirth

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Background Globally, there are disparities in access to maternal health care services and equity in maternal health outcomes between Indigenous and non-Indigenous populations. While the literature is growing, it has not been systematically synthesized. This review addresses this gap by synthesizing the existing literature on the organizational structure of maternity care, accessibility and delivery of services, and clinical disparities impacting Indigenous maternal health within Canada. It also identifies current knowledge gaps in research on these topics. Methods A scoping review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines and the extension for scoping reviews. The search for relevant papers was performed in PubMed, CINAHL, and SCOPUS electronic databases and included any empirical literature written in English and published during 2006 – 2021. The research team inductively coded 5 articles to develop a coding scheme, which was then applied to the remaining articles. Results A total of 89 articles were included in the review, of which 32 were qualitative papers, 40 quantitative, 8 were mixed-methods publications, and 9 were review papers. The analysis of the articles resulted in identifying a range of overarching themes pertaining to the maternal health of Indigenous women within Canada including provision of services, clinical issues, education, health disparities, organization, spatial context, and impact of informal support. The results suggest that physical, psychological, organizational, and systemic barriers inhibit the quality-of-care pregnant Indigenous women receive, and that maternal health services are not consistently provided in a culturally safe manner. Results also suggest that, compared to non-Indigenous pregnant women, Indigenous women are more likely to develop clinical complications during pregnancy, reflecting the structural impacts of colonization that continue to negatively influence Indigenous maternal health and well-being. Conclusions There are many complex barriers that prevent Indigenous women from receiving high quality and culturally appropriate maternal care. Possible areas that could address the service gaps illuminated through this review include the implementation of cultural considerations across health care jurisdictions within Canada.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Indigenous maternal health and health services within Canada: a scoping review

Bacciaglia

Neufeld

Neiterman

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

Empowering Iraqi Female Students Toward Healthier Preconception Behaviors

Arief,

Naji

2024

psikologia

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This study explores the efficacy of a health beliefs model-based intervention in enhancing pre-pregnancy health behaviors among female college students at the University of Baghdad's English Department. Despite initial similarities in health behaviors between the control (n=72) and experimental (n=72) groups, significant improvements were observed in the experimental group post-intervention, indicating a successful impact of the intervention on health behaviors (first posttest: p < 0.001; second posttest: p < 0.001). Conducted from October 2023 to March 2024, this randomized controlled trial utilized pretests, posttests, and intervention sessions to evaluate outcomes. Results underscore the potential of incorporating such targeted health programs into existing university health curricula to foster better pre-pregnancy health practices among young women, thereby improving long-term health outcomes. This intervention fills a crucial gap by demonstrating sustainable behavior change, which is essential for proactive health management in this demographic. Keywords: Expanded Health Belief Model, Preconception, Health Behaviors, Female Collegians

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Indigenous women's experiences of diabetes in pregnancy: A thematic synthesis

Cited by 2 publications

References 35 publications

Indigenous maternal health and health services within Canada: a scoping review

Indigenous maternal health and health services within Canada: a scoping review

Empowering Iraqi Female Students Toward Healthier Preconception Behaviors

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