Psychosocial costs of transferring indigenous women from their community for birth

Chamberlain, Marie; Barclay, Kate

doi:10.1054/midw.1999.0202

Cited by 63 publications

(66 citation statements)

References 1 publication

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“…The first by Chamberlain and Barclay (2000), examined a birthing project in two Arctic communities. The study used a broad, qualitative approach to describe the psychosocial effects of transferring Inuit women from their home communities to give birth in urban settings.…”

Section: Qualitative Studiesmentioning

confidence: 99%

Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: A critical review of the literature

Bowen

Duncan

Peacock

et al. 2013

Transcult Psychiatry

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We conducted a review of research literature related to anxiety, depression, and mood problems in Indigenous women in Canada, the United States (including Hawaii), Australia, and New Zealand. Quantitative and qualitative research studies published between 1980 and March 2010 were reviewed. The initial search revealed 396 potential documents, and after being checked for relevance by two researchers, data were extracted from 16 quantitative studies, one qualitative research article, and one dissertation. Depression is a common problem in Indigenous pregnant and postpartum women; however, the prevalence and correlates of anxiety and mood disorders are understudied. The review identified four key areas where further research is needed: (a) longitudinal, population-based studies; (b) further validation and modification of appropriate screening tools; (c) exploration of cultural diversity and meaning of the lived experiences of antenatal and postpartum depression, anxiety, and mood disorders; and (d) development of evidence-informed practices for researchers and practitioners through collaborations with Aboriginal communities to better understand and improve mental health of women of childbearing age.

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Section: Qualitative Studiesmentioning

confidence: 99%

Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: A critical review of the literature

Bowen

Duncan

Peacock

et al. 2013

Transcult Psychiatry

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“…;seven articles on experiences of birthing and maternal healthcare [57][58][59][60][61][62][63] ; and eight articles that presented data relevant to both categories [64][65][66][67][68] (Table 1). These articles were further classified by the primary area of research described in the study: eight articles on maternal healthcare and/or medical evacuation [65][66][67][68] ; three articles on the impact of policies on maternal health [59][60][61][62][63] ; three articles on gestational diabetes mellitus (GDM) 61,62 ; and two articles on maternal weight changes and/or breastfeeding [66][67][68] .…”

mentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

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Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people's experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women's experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990( -March 2015 in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous peoples (n=918) and non-Indigenous peoples (n=125) who were mothers or pregnant women (n=814), healthcare providers or workers in a health-related field (n=132), and fathers, Elders, or other community members (n=97). Availability of healthcare resources, healthcare services' consideration of socio-economic or lifestyle barriers to health, and the impact of colonization on interactions with healthcare providers were main factors that impacted Indigenous women's maternal health experiences. Medical evacuation was often due to limited maternity care options available in remote communities, and was associated with emotional, physical, and financial stress. This review highlights the importance of consistent health policies and practices for maternal health in Canada and providing culturally safe and patient-centered maternity healthcare services within indigenous communities.

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“…Nevertheless, our finding could mean that returning birth to the community is an opportunity for new mothers to receive culturally appropriate lactation support from both family members and health care providers. Lack of instrumental and social support-a direct result of evacuation practices-has been described by some Inuit women as a barrier to initiating breastfeeding [40].…”

Section: Resultsmentioning

confidence: 99%

Prevalence and Characteristics Associated with Breastfeeding Initiation Among Canadian Inuit from the 2007–2008 Nunavut Inuit Child Health Survey

McIsaac

Sellen

Lou

et al. 2015

Matern Child Health J

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We aimed to determine the prevalence of, and factors associated with, breastfeeding initiation in Canadian Inuit. We used data from the Nunavut Inuit Child Health Survey, a population-based, cross-sectional survey conducted in the Canadian territory of Nunavut. Inuit children aged 3-5 years in 2007 or 2008 were randomly selected for the survey. Select household, maternal, infant and community characteristics were collected from the child's primary caregiver and entered into logistic regression models as potential predictors of breastfeeding initiation. Analyses were repeated in a subgroup of caregiver reports from biological mothers. The reported prevalence of breastfeeding initiation was 67.6% (95% CI 62.4-72.8) overall and 85.1% (95% CI 80.2-90.1) in a subgroup of caregiver reports from biological mothers. Adjusted prevalence odds ratios (pOR) indicate the primary caregiver was an important determinant of breastfeeding (adopted parent vs. biological mother: pOR = 0.03, 95% CI 0.01-0.07; other vs. biological mother: pOR = 0.33, 95% CI 0.14-0.74). Maternal smoking during pregnancy and having access to a community birthing facility were also potentially important, but not statistically significant (p > 0.05). In conclusion, data from the Nunavut Inuit Child Health Survey indicate breastfeeding is initiated for more than two-thirds of children, but rates are below the national average and this may be one of several pathways to poor health outcomes documented in many Inuit communities. Considered in the particular context of birthing facilities utilization and postnatal care arrangements in Inuit communities, these results suggest that increasing breastfeeding initiation will require health interventions that effectively engage all types of primary caregivers.

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Psychosocial costs of transferring indigenous women from their community for birth

Cited by 63 publications

References 1 publication

Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: A critical review of the literature

Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: A critical review of the literature

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Prevalence and Characteristics Associated with Breastfeeding Initiation Among Canadian Inuit from the 2007–2008 Nunavut Inuit Child Health Survey

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