View
219
Download
0
Embed Size (px)
Citation preview
8/7/2019 Place of Residence, Prenatal Care & Neonatal Outcome in Northern Canada
1/1
Applications for clinical services, research programs and policy
Programs designed to coordinate birthing services, such as the Stanton Northern Womens Program, and community basedbirthing services, also require ongoing evaluation and promotion as viable models to support birthing experiences in remoteregions.
Prenatal guidelines and education programs needs to be inormed by evidence and the unique demographic characteristics o
the northern regions o Canada. Perinatal databases need to be developed and established in northern jurisdictions to support evidence-based decision making. Comprehensive research programs that include partnerships with clinicians, policy makers and researchers will improve
the relevancy o programs and ser vices in northern populations.
References1. Healthy People 2010 [Internet]. Maternal, inant, and child health [cited 2009 Mar 16]. US Department
o Health and Human Sciences ; 2000. Available at: http://www.healthypeople.g ov/document/html/volume2/16mich.htm.
2. Mustard CA, Roos NP. T e relationship o prenatal care and pregnancy complication s to birthweight inWinnipeg, Canada. Am J Public Health. 1994 Sep;84(9):14507.
3. Heaman MI, Blanchard JF, Gupton AL, Mof att ME, Currie RF. Risk actors or spontane ous preterm birthamong aboriginal and non-aboriginal women in Manitoba. Paediatr Perinat Epidemiol. 2005 May;19(3):18193.
4. Heaman MI, Newburn-Cook CV, Green CG, Elliott LJ, Helewa ME. Inadequate prenatal care and itsassociation with adverse pregnancy outcomes: A comparison o indices. BMC Pregnancy & Childbirth.2008;8:15.
5. Petrou S, Kupek E, Vause S, Maresh M. Antenatal visits and adverse perinatal outcomes: Results rom aBritish population-based study. European Journal o Obstetrics & Gynecology and Reproductive Biology.2003;106(1):409.
6. Hodnett ED. Continuity o caregivers or care during pregnancy and childbirth. Cochrane Database oSystematic Reviews. 2000(2):62.
7. Shear CL, Gipe B, Mattheis JK, Levy MR. Provider continuity and quality o medical care. A retrospectiveanalysis o prenatal and perinatal outcome. Med Care. 1983 Dec;21(12):120410.
8. Daviss B. Heeding warnings rom the canary, the whale, and the Inuit: A ramework or analyzing competingtypes o knowledge about childbirth. In: Davis-Floyd R, Sargent C, editors. Childbirth and AuthoritativeKnowledge:Cross-Cultural Perspectives. Berkeley, Caliornia: University o Caliornia Press; 1997. p. 441.
9. Sokoloski EH. Canadian rst nations womens belies about pregnanc y and prenatal care. Canadian Journal oNursing Research. 1995;27(1):89.
10. Fletcher C. T e Inuulitsivik Maternity: Issues around the return o Inuit midwiery and birth to Povungn ituk,Quebec. Montreal, Quebec: Final report submitted to the Royal Commission on Aboriginal Peoples; 1993.
11. Daviss-Putt BA. Rights o passage in the nor th: From evacuation to the birth o a culture. In: Crnkovick M,editor. Gossip: A Spoken History o Women in the North. Ottawa: Canadian Arctic Resources Committee;1990. p. 91.
12. ONeil J, Kauert PA, Brown P. Inuit concerns about obstetric policy in the Keewatin region,N.W.. Arctic Medical Research. 1988;47 (Suppl 1):485.
YUKON NORTHWEST
TERRITORIES NUNAVUTWhitehorse
Yellowknife
Inuvik
Rankin Inlet
Fort Smith
Iqaluit
Hospital
Midwifery services
Cambridge Bay
Communities (1000 population)
without birthing services
Prenatal Care Provision in Transferand Non-Transfer Groups
Transfer Statusranser Non-ranser
Type of Health Care ProviderOB/GYNDoctorMidwieNurse or Nurse Practitioner
Same care providerfor pregnancy and birth
YesNo
Prenatal Care received asearly as wanted
YesNo
Attended Prenatal ClassesYesNo
Number of Prenatal Visits10 or more