Hilah Silver , Elisapi Padlayat , Pasha Saviakjuk , Ivan Sarmiento , Richard Budgell , Anne Cockcroft , Zoua M. Vang , Neil Andersson
{"title":"保持在家分娩：社区和服务提供者对努纳维克围产期健康和因努伊特人继续生育的愿景。","authors":"Hilah Silver , Elisapi Padlayat , Pasha Saviakjuk , Ivan Sarmiento , Richard Budgell , Anne Cockcroft , Zoua M. Vang , Neil Andersson","doi":"10.1016/j.wombi.2024.101839","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem</h3><div>Childbirth on traditional territories is unattainable for many Indigenous peoples living in remote communities in Canada.</div></div><div><h3>Background</h3><div>In Nunavik, Inuit territory in northern Quebec, rapid population growth risks exceeding local midwifery capacity. This poses challenges to community-based childbirth in a region recognized for reclaiming Inuit midwifery and local birthing.</div></div><div><h3>Aim</h3><div>To explore community views on protective factors of maternal and family perinatal wellness and continued local birthing.</div></div><div><h3>Methods</h3><div>In ten communities, Inuit families and perinatal service providers created a total of 54 fuzzy cognitive maps on protective factors for (1) birth in a good way in Nunavik, (2) maternal and family perinatal wellness, and (3) community-based birthing in Nunavik. We used fuzzy transitive closure to examine direct and indirect connections and collated individual factors into categories using inductive thematic analysis.</div></div><div><h3>Findings</h3><div>Well-equipped local medical facilities and services, community birthing centres run by Inuit midwives, and Inuit perinatal traditions had the strongest influence on experiencing <em>birth in a good way in Nunavik</em>. Inuit youth perspectives featured instrumental and emotional support for mothers and families, along with health and self-care in pregnancy as the most influential factors on <em>maternal and family perinatal wellness</em>. Prominent protective factors for <em>community birth in Nunavik</em> included maternal-infant health and wellness, local Inuit midwifery services, and well-resourced medical facilities.</div></div><div><h3>Discussion</h3><div>Fuzzy cognitive mapping was helpful in informing community visioning of local childbirth and maternal and family perinatal wellness in Nunavik.</div></div><div><h3>Conclusion</h3><div>Inuit-led midwifery services are essential to continued local childbirth in the region.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"37 6","pages":"Article 101839"},"PeriodicalIF":4.4000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Keeping birth at home: Community and service provider visions for perinatal wellness and continued Inuit childbirth in Nunavik\",\"authors\":\"Hilah Silver , Elisapi Padlayat , Pasha Saviakjuk , Ivan Sarmiento , Richard Budgell , Anne Cockcroft , Zoua M. Vang , Neil Andersson\",\"doi\":\"10.1016/j.wombi.2024.101839\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Problem</h3><div>Childbirth on traditional territories is unattainable for many Indigenous peoples living in remote communities in Canada.</div></div><div><h3>Background</h3><div>In Nunavik, Inuit territory in northern Quebec, rapid population growth risks exceeding local midwifery capacity. This poses challenges to community-based childbirth in a region recognized for reclaiming Inuit midwifery and local birthing.</div></div><div><h3>Aim</h3><div>To explore community views on protective factors of maternal and family perinatal wellness and continued local birthing.</div></div><div><h3>Methods</h3><div>In ten communities, Inuit families and perinatal service providers created a total of 54 fuzzy cognitive maps on protective factors for (1) birth in a good way in Nunavik, (2) maternal and family perinatal wellness, and (3) community-based birthing in Nunavik. We used fuzzy transitive closure to examine direct and indirect connections and collated individual factors into categories using inductive thematic analysis.</div></div><div><h3>Findings</h3><div>Well-equipped local medical facilities and services, community birthing centres run by Inuit midwives, and Inuit perinatal traditions had the strongest influence on experiencing <em>birth in a good way in Nunavik</em>. Inuit youth perspectives featured instrumental and emotional support for mothers and families, along with health and self-care in pregnancy as the most influential factors on <em>maternal and family perinatal wellness</em>. Prominent protective factors for <em>community birth in Nunavik</em> included maternal-infant health and wellness, local Inuit midwifery services, and well-resourced medical facilities.</div></div><div><h3>Discussion</h3><div>Fuzzy cognitive mapping was helpful in informing community visioning of local childbirth and maternal and family perinatal wellness in Nunavik.</div></div><div><h3>Conclusion</h3><div>Inuit-led midwifery services are essential to continued local childbirth in the region.</div></div>\",\"PeriodicalId\":48868,\"journal\":{\"name\":\"Women and Birth\",\"volume\":\"37 6\",\"pages\":\"Article 101839\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Women and Birth\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1871519224002993\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Women and Birth","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1871519224002993","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Keeping birth at home: Community and service provider visions for perinatal wellness and continued Inuit childbirth in Nunavik
Problem
Childbirth on traditional territories is unattainable for many Indigenous peoples living in remote communities in Canada.
Background
In Nunavik, Inuit territory in northern Quebec, rapid population growth risks exceeding local midwifery capacity. This poses challenges to community-based childbirth in a region recognized for reclaiming Inuit midwifery and local birthing.
Aim
To explore community views on protective factors of maternal and family perinatal wellness and continued local birthing.
Methods
In ten communities, Inuit families and perinatal service providers created a total of 54 fuzzy cognitive maps on protective factors for (1) birth in a good way in Nunavik, (2) maternal and family perinatal wellness, and (3) community-based birthing in Nunavik. We used fuzzy transitive closure to examine direct and indirect connections and collated individual factors into categories using inductive thematic analysis.
Findings
Well-equipped local medical facilities and services, community birthing centres run by Inuit midwives, and Inuit perinatal traditions had the strongest influence on experiencing birth in a good way in Nunavik. Inuit youth perspectives featured instrumental and emotional support for mothers and families, along with health and self-care in pregnancy as the most influential factors on maternal and family perinatal wellness. Prominent protective factors for community birth in Nunavik included maternal-infant health and wellness, local Inuit midwifery services, and well-resourced medical facilities.
Discussion
Fuzzy cognitive mapping was helpful in informing community visioning of local childbirth and maternal and family perinatal wellness in Nunavik.
Conclusion
Inuit-led midwifery services are essential to continued local childbirth in the region.
期刊介绍：
Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews.
Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.
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