Indigenous maternal health and health services within Canada: a scoping review.
Canada
Cultural sensitivity
Health education
Health inequalities
Healthcare delivery
Indigenous
Maternal health
Pregnancy
Prenatal care
Scoping review
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
08 May 2023
08 May 2023
Historique:
received:
15
11
2022
accepted:
25
04
2023
medline:
11
5
2023
pubmed:
9
5
2023
entrez:
9
5
2023
Statut:
epublish
Résumé
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. 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. 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. 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.
Sections du résumé
BACKGROUND
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
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
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
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.
Identifiants
pubmed: 37158865
doi: 10.1186/s12884-023-05645-y
pii: 10.1186/s12884-023-05645-y
pmc: PMC10165845
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
327Informations de copyright
© 2023. The Author(s).
Références
Can Fam Physician. 2014 Oct;60(10):e493-8
pubmed: 25316764
Contemp Nurse. 2010 Dec-2011 Jan;37(1):57-68
pubmed: 21591827
Can J Nurs Res. 2006 Mar;38(1):102-19
pubmed: 16671283
Diabetes Res Clin Pract. 2012 Nov;98(2):209-25
pubmed: 22917638
BMC Public Health. 2013 May 14;13:472
pubmed: 23672201
J Acad Nutr Diet. 2017 Aug;117(8):1222-1253.e2
pubmed: 28476322
Disabil Rehabil. 2018 Dec;40(26):3206-3216
pubmed: 28969457
Can Fam Physician. 2014 Jan;60(1):e69-72
pubmed: 24452583
Health Promot Chronic Dis Prev Can. 2018 Jul/Aug;38(7-8):269-276
pubmed: 30129714
BMC Womens Health. 2017 Sep 15;17(1):84
pubmed: 28915868
Diabet Med. 2012 Aug;29(8):e180-3
pubmed: 22507394
Neurotoxicol Teratol. 2017 Nov;64:73-78
pubmed: 29079497
J Obstet Gynecol Neonatal Nurs. 2016 Mar-Apr;45(2):180-95
pubmed: 26807819
CMAJ. 2016 Feb 2;188(2):E36-E43
pubmed: 26527824
J Dev Orig Health Dis. 2019 Feb;10(1):48-54
pubmed: 29271332
BMC Pregnancy Childbirth. 2014 Apr 10;14:136
pubmed: 24716718
BMC Pregnancy Childbirth. 2016 Aug 11;16(1):216
pubmed: 27514523
Women Birth. 2017 Feb;30(1):77-86
pubmed: 27612623
Public Health Rev. 2016 Jul 20;37:2
pubmed: 29450044
Can Fam Physician. 2014 Jan;60(1):e65-8
pubmed: 24452582
Rural Remote Health. 2010 Jul-Sep;10(3):1484
pubmed: 20818840
ANS Adv Nurs Sci. 2019 Apr/Jun;42(2):139-155
pubmed: 30531355
BMC Health Serv Res. 2014 Sep 26;14:440
pubmed: 25258117
J Nutr Educ Behav. 2011 Nov-Dec;43(6):482-91
pubmed: 22078771
J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug;35(4):491-8
pubmed: 16881993
Open Med. 2009;3(3):e123-30
pubmed: 21603045
Can J Diabetes. 2020 Oct;44(7):605-614
pubmed: 32033918
Can J Public Health. 2018 Dec;109(5-6):671-683
pubmed: 30030682
BMC Pregnancy Childbirth. 2016 Aug 11;16(1):215
pubmed: 27514674
BMJ Open Diabetes Res Care. 2020 May;8(1):
pubmed: 32393481
Environ Int. 2020 Dec;145:106169
pubmed: 33041046
Can J Public Health. 2007 Jul-Aug;98(4):321-5
pubmed: 17896745
EClinicalMedicine. 2021 Apr 25;35:100851
pubmed: 33997743
Sci Total Environ. 2021 Feb 10;755(Pt 2):143196
pubmed: 33183817
J Health Care Poor Underserved. 2016;27(1A):178-206
pubmed: 27763440
Int J Circumpolar Health. 2013 Aug 05;72:
pubmed: 23984290
Qual Health Res. 2014 Nov;24(11):1469-80
pubmed: 25082157
Health Place. 2009 Jun;15(2):403-411
pubmed: 18760954
ANS Adv Nurs Sci. 2006 Apr-Jun;29(2):E27-44
pubmed: 16717484
JAMA Health Forum. 2020 May 1;1(5):e200517
pubmed: 36218496
Qual Health Res. 2017 Jan;27(2):249-259
pubmed: 27401489
Women Birth. 2016 Feb;29(1):e23-32
pubmed: 26321229
BMC Pregnancy Childbirth. 2017 Jun 2;17(1):164
pubmed: 28576137
Can J Diabetes. 2020 Oct;44(7):597-604
pubmed: 31987766
J Epidemiol Community Health. 2009 May;63(5):414-6
pubmed: 19155236
Can J Psychiatry. 2019 Mar;64(3):190-198
pubmed: 30068224
J Obstet Gynaecol Can. 2016 Jan;38(1):29-34
pubmed: 26872753
Diabet Med. 2016 Sep;33(9):1245-52
pubmed: 26359622
Qual Health Res. 2016 Jan;26(1):5-16
pubmed: 25779985
J Obstet Gynaecol Can. 2013 Oct;35(10):905-913
pubmed: 24165058
Int J Equity Health. 2021 Aug 26;20(1):189
pubmed: 34446010
ANS Adv Nurs Sci. 2016 Apr-Jun;39(2):181-98
pubmed: 27149230
Clin Biochem. 2013 Oct;46(15):1489-92
pubmed: 23726811
Birth Defects Res. 2019 Jul 15;111(12):835-847
pubmed: 30790478
BMJ Open. 2019 Apr 15;9(4):e025084
pubmed: 30992290
CMAJ Open. 2020 Mar 19;8(1):E214-E225
pubmed: 32193282
Int J Qual Stud Health Well-being. 2017 Dec;12(1):1275155
pubmed: 28140776
BMC Pregnancy Childbirth. 2013 Jan 29;13:26
pubmed: 23360168
Int J Circumpolar Health. 2018 Dec;77(1):1474706
pubmed: 29785879