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Cultures of risk and their influence on birth in rural British Columbia

BACKGROUND: A significant number of Canadian rural communities offer local maternity services in the absence of caesarean section back-up to parturient residents. These communities are witnessing a high outflow of women leaving to give birth in larger centres to ensure immediate access to the proced...

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Autores principales: Kornelsen, Jude, Grzybowski, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533840/
https://www.ncbi.nlm.nih.gov/pubmed/23153019
http://dx.doi.org/10.1186/1471-2296-13-108
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author Kornelsen, Jude
Grzybowski, Stefan
author_facet Kornelsen, Jude
Grzybowski, Stefan
author_sort Kornelsen, Jude
collection PubMed
description BACKGROUND: A significant number of Canadian rural communities offer local maternity services in the absence of caesarean section back-up to parturient residents. These communities are witnessing a high outflow of women leaving to give birth in larger centres to ensure immediate access to the procedure. A minority of women choose to stay in their home communities to give birth in the absence of such access. In this instance, decision-making criteria and conceptions of risk between physicians and parturient women may not align due to the privileging of different risk factors. METHODS: In-depth qualitative interviews and focus groups with 27 care providers and 43 women from 3 rural communities in B.C. RESULTS: When birth was planned locally, physicians expressed an awareness and acceptance of the clinical risk incurred. Likewise, when birth was planned outside the local community, most parturient women expressed an awareness and acceptance of the social risk incurred due to leaving the community. CONCLUSIONS: The tensions created by these contrasting approaches relate to underlying values and beliefs. As such, an awareness can address the impasse and work to provide a resolution to the competing prioritizations of risk.
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spelling pubmed-35338402013-01-03 Cultures of risk and their influence on birth in rural British Columbia Kornelsen, Jude Grzybowski, Stefan BMC Fam Pract Research Article BACKGROUND: A significant number of Canadian rural communities offer local maternity services in the absence of caesarean section back-up to parturient residents. These communities are witnessing a high outflow of women leaving to give birth in larger centres to ensure immediate access to the procedure. A minority of women choose to stay in their home communities to give birth in the absence of such access. In this instance, decision-making criteria and conceptions of risk between physicians and parturient women may not align due to the privileging of different risk factors. METHODS: In-depth qualitative interviews and focus groups with 27 care providers and 43 women from 3 rural communities in B.C. RESULTS: When birth was planned locally, physicians expressed an awareness and acceptance of the clinical risk incurred. Likewise, when birth was planned outside the local community, most parturient women expressed an awareness and acceptance of the social risk incurred due to leaving the community. CONCLUSIONS: The tensions created by these contrasting approaches relate to underlying values and beliefs. As such, an awareness can address the impasse and work to provide a resolution to the competing prioritizations of risk. BioMed Central 2012-11-16 /pmc/articles/PMC3533840/ /pubmed/23153019 http://dx.doi.org/10.1186/1471-2296-13-108 Text en Copyright ©2012 Kornelsen and Grzybowski; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kornelsen, Jude
Grzybowski, Stefan
Cultures of risk and their influence on birth in rural British Columbia
title Cultures of risk and their influence on birth in rural British Columbia
title_full Cultures of risk and their influence on birth in rural British Columbia
title_fullStr Cultures of risk and their influence on birth in rural British Columbia
title_full_unstemmed Cultures of risk and their influence on birth in rural British Columbia
title_short Cultures of risk and their influence on birth in rural British Columbia
title_sort cultures of risk and their influence on birth in rural british columbia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533840/
https://www.ncbi.nlm.nih.gov/pubmed/23153019
http://dx.doi.org/10.1186/1471-2296-13-108
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