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Returning childbirth to Inuit communities in the Canadian Arctic

While Inuit living in Nunavut have been advocating for decades for the return of birthing to their own communities, over two-third of births continue to occur outside of the territory. We conducted a literature review to answer the question, why has birthplace choice not been given back to Inuit yet...

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Autores principales: Lee, Erika, Gudmundson, Bryarre, Lavoie, Josée G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/
https://www.ncbi.nlm.nih.gov/pubmed/35491889
http://dx.doi.org/10.1080/22423982.2022.2071410
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author Lee, Erika
Gudmundson, Bryarre
Lavoie, Josée G.
author_facet Lee, Erika
Gudmundson, Bryarre
Lavoie, Josée G.
author_sort Lee, Erika
collection PubMed
description While Inuit living in Nunavut have been advocating for decades for the return of birthing to their own communities, over two-third of births continue to occur outside of the territory. We conducted a literature review to answer the question, why has birthplace choice not been given back to Inuit yet. Based on our review we identified a number of factors impacting birthplace choice, including the organisation of the Nunavut medical system that is focused on primary health care and that cannot easily accommodate the potential clinical risks Western health care associates with birthing, often in isolation from socio-cultural risks; staffing vacancies and turn over in Nunavut, which creates challenges in continuity of care and in maintaining trust; and trends in Canada towards the medicalisation of birthing, which resulted in the displacement of traditional midwifery, and lately in the professionalisation of midwifery with training centres mostly located outside of Nunavut. We recognise that providing more options to birth in the north is complex. While birthing in the north as an option is a given objective, operationalising this objective in a consistent manner is likely going to be a challenge for years to come.
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spelling pubmed-90679592022-05-05 Returning childbirth to Inuit communities in the Canadian Arctic Lee, Erika Gudmundson, Bryarre Lavoie, Josée G. Int J Circumpolar Health Review Article (Scoping and Systematic) While Inuit living in Nunavut have been advocating for decades for the return of birthing to their own communities, over two-third of births continue to occur outside of the territory. We conducted a literature review to answer the question, why has birthplace choice not been given back to Inuit yet. Based on our review we identified a number of factors impacting birthplace choice, including the organisation of the Nunavut medical system that is focused on primary health care and that cannot easily accommodate the potential clinical risks Western health care associates with birthing, often in isolation from socio-cultural risks; staffing vacancies and turn over in Nunavut, which creates challenges in continuity of care and in maintaining trust; and trends in Canada towards the medicalisation of birthing, which resulted in the displacement of traditional midwifery, and lately in the professionalisation of midwifery with training centres mostly located outside of Nunavut. We recognise that providing more options to birth in the north is complex. While birthing in the north as an option is a given objective, operationalising this objective in a consistent manner is likely going to be a challenge for years to come. Taylor & Francis 2022-05-01 /pmc/articles/PMC9067959/ /pubmed/35491889 http://dx.doi.org/10.1080/22423982.2022.2071410 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article (Scoping and Systematic)
Lee, Erika
Gudmundson, Bryarre
Lavoie, Josée G.
Returning childbirth to Inuit communities in the Canadian Arctic
title Returning childbirth to Inuit communities in the Canadian Arctic
title_full Returning childbirth to Inuit communities in the Canadian Arctic
title_fullStr Returning childbirth to Inuit communities in the Canadian Arctic
title_full_unstemmed Returning childbirth to Inuit communities in the Canadian Arctic
title_short Returning childbirth to Inuit communities in the Canadian Arctic
title_sort returning childbirth to inuit communities in the canadian arctic
topic Review Article (Scoping and Systematic)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/
https://www.ncbi.nlm.nih.gov/pubmed/35491889
http://dx.doi.org/10.1080/22423982.2022.2071410
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