Childbirth evacuation among rural and remote Indigenous communities in Canada: A scoping review

Hilah Silver; Ivan Sarmiento; Juan Pablo Pimentel; Richard Budgell; Anne Cockcroft; Zoua M. Vang; Neil Andersson

doi:10.1016/j.wombi.2021.03.003

Childbirth evacuation among rural and remote Indigenous communities in Canada: A scoping review

Título traducido de la contribución: Evacuación durante el parto en las comunidades indígenas rurales y remotas de Canadá: Una revisión del alcance

Hilah Silver, Ivan Sarmiento, Juan Pablo Pimentel, Richard Budgell, Anne Cockcroft, Zoua M. Vang, Neil Andersson

Producción científica: Contribución a una revista › Artículo de revisión › revisión exhaustiva

6 Citas (Scopus)

Resumen

Problema: La evacuación rutinaria de mujeres indígenas embarazadas de regiones remotas a centros urbanos para dar a luz es una estrategia central para abordar las disparidades de salud materna en Canadá. La evacuación materna continúa a pesar de que cada vez hay más pruebas de su impacto negativo en las mujeres y familias indígenas. Antecedentes: Desde la década de 1960, las mujeres indígenas embarazadas que viven en regiones remotas de Canadá han sido trasladadas a hospitales urbanos para dar a luz. En las décadas siguientes surgieron pruebas que relacionaban la evacuación materna con repercusiones negativas para las mujeres indígenas, sus familias y sus comunidades. En algunas comunidades, la resistencia a la evacuación y la creación de instalaciones locales para el parto han dado lugar a experiencias muy diversas en relación con el parto y la evacuación. Objetivo: Una revisión de alcance mapeó la evidencia sobre la evacuación materna de mujeres indígenas en Canadá y sus factores y resultados asociados desde 1978 hasta 2019. Métodos: Se realizaron búsquedas en MEDLINE, Embase y CINAHL, y en la literatura gris de organizaciones gubernamentales e indígenas. Cotejamos la evidencia sobre evacuación materna en 12 temas. Resultados: Los factores relacionados con la evacuación incluyen (a) políticas de evacuación (b) coerción institucional (c) lejanía y (d) estado de salud materno-fetal. Los resultados relacionados con la evacuación incluyen (e) los impactos en la salud materno-infantil (f) la experiencia de las mujeres con la evacuación (g) las dificultades económicas (h) la ruptura familiar (i) la continuidad cultural y el bienestar de la comunidad (ij) el compromiso con los servicios sanitarios (k) la autodeterminación, y (l) la calidad de los servicios sanitarios. Discusión: Numerosos daños emocionales, sociales y culturales están asociados con la evacuación de las mujeres indígenas en Canadá. Poco se sabe sobre los impactos a largo plazo de la evacuación en la salud materno-infantil indígena. Las pruebas sobre la evacuación de comunidades métis remotas siguen siendo una laguna de conocimiento crítica.

Título traducido de la contribución	Evacuación durante el parto en las comunidades indígenas rurales y remotas de Canadá: Una revisión del alcance
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	11-22
Número de páginas	12
Publicación	Women and Birth
Volumen	35
N.º	1
DOI	https://doi.org/10.1016/j.wombi.2021.03.003
Estado	Publicada - feb. 2022

Áreas temáticas de ASJC Scopus

Ginecología y obstetricia
Maternidad y obstetricia

ODS de las Naciones Unidas

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10.1016/j.wombi.2021.03.003

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@article{647ed69a72744f5ab114a29fa88b4ae6,

title = "Childbirth evacuation among rural and remote Indigenous communities in Canada: A scoping review",

abstract = "Problem: Routine evacuation of pregnant Indigenous women from remote regions to urban centres for childbirth is a central strategy for addressing maternal health disparities in Canada. Maternal evacuation continues despite mounting evidence of its negative impacts on Indigenous women and families. Background: Since the 1960s, pregnant Indigenous women living in remote regions in Canada have been transferred to urban hospitals for childbirth. In the following decades, evidence emerged linking maternal evacuation with negative impacts on Indigenous women, their families, and communities. In some communities, resistance to evacuation and the creation of local birthing facilities has resulted in highly diverse experiences of childbirth and evacuation. Aim: A scoping review mapped the evidence on maternal evacuation of Indigenous women in Canada and its associated factors and outcomes from 1978 to 2019. Methods: We searched MEDLINE, Embase, and CINAHL, and grey literature from governmental and Indigenous organizations. We collated the evidence on maternal evacuation into 12 themes. Results: Factors related to evacuation include (a) evacuation policies (b) institutional coercion (c) remoteness and (d) maternal-fetal health status. Evacuation-related outcomes include (e) maternal-child health impacts (f) women's experience of evacuation (g) financial hardships (h) family disruption (i) cultural continuity and community wellness (ij) engagement with health services (k) self-determination, and (l) quality of health services. Discussion: Numerous emotional, social and cultural harms are associated with evacuation of Indigenous women in Canada. Little is known about the long-term impacts of evacuation on Indigenous maternal-infant health. Evidence on evacuation from remote M{\'e}tis communities remains a critical knowledge gap.",

author = "Hilah Silver and Ivan Sarmiento and Pimentel, {Juan Pablo} and Richard Budgell and Anne Cockcroft and Vang, {Zoua M.} and Neil Andersson",

note = "Publisher Copyright: {\textcopyright} 2021 Australian College of Midwives",

year = "2022",

month = feb,

doi = "10.1016/j.wombi.2021.03.003",

language = "English (US)",

volume = "35",

pages = "11--22",

journal = "Women and Birth",

issn = "1871-5192",

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TY - JOUR

T1 - Childbirth evacuation among rural and remote Indigenous communities in Canada

T2 - A scoping review

AU - Silver, Hilah

AU - Sarmiento, Ivan

AU - Pimentel, Juan Pablo

AU - Budgell, Richard

AU - Cockcroft, Anne

AU - Vang, Zoua M.

AU - Andersson, Neil

PY - 2022/2

Y1 - 2022/2

N2 - Problem: Routine evacuation of pregnant Indigenous women from remote regions to urban centres for childbirth is a central strategy for addressing maternal health disparities in Canada. Maternal evacuation continues despite mounting evidence of its negative impacts on Indigenous women and families. Background: Since the 1960s, pregnant Indigenous women living in remote regions in Canada have been transferred to urban hospitals for childbirth. In the following decades, evidence emerged linking maternal evacuation with negative impacts on Indigenous women, their families, and communities. In some communities, resistance to evacuation and the creation of local birthing facilities has resulted in highly diverse experiences of childbirth and evacuation. Aim: A scoping review mapped the evidence on maternal evacuation of Indigenous women in Canada and its associated factors and outcomes from 1978 to 2019. Methods: We searched MEDLINE, Embase, and CINAHL, and grey literature from governmental and Indigenous organizations. We collated the evidence on maternal evacuation into 12 themes. Results: Factors related to evacuation include (a) evacuation policies (b) institutional coercion (c) remoteness and (d) maternal-fetal health status. Evacuation-related outcomes include (e) maternal-child health impacts (f) women's experience of evacuation (g) financial hardships (h) family disruption (i) cultural continuity and community wellness (ij) engagement with health services (k) self-determination, and (l) quality of health services. Discussion: Numerous emotional, social and cultural harms are associated with evacuation of Indigenous women in Canada. Little is known about the long-term impacts of evacuation on Indigenous maternal-infant health. Evidence on evacuation from remote Métis communities remains a critical knowledge gap.

AB - Problem: Routine evacuation of pregnant Indigenous women from remote regions to urban centres for childbirth is a central strategy for addressing maternal health disparities in Canada. Maternal evacuation continues despite mounting evidence of its negative impacts on Indigenous women and families. Background: Since the 1960s, pregnant Indigenous women living in remote regions in Canada have been transferred to urban hospitals for childbirth. In the following decades, evidence emerged linking maternal evacuation with negative impacts on Indigenous women, their families, and communities. In some communities, resistance to evacuation and the creation of local birthing facilities has resulted in highly diverse experiences of childbirth and evacuation. Aim: A scoping review mapped the evidence on maternal evacuation of Indigenous women in Canada and its associated factors and outcomes from 1978 to 2019. Methods: We searched MEDLINE, Embase, and CINAHL, and grey literature from governmental and Indigenous organizations. We collated the evidence on maternal evacuation into 12 themes. Results: Factors related to evacuation include (a) evacuation policies (b) institutional coercion (c) remoteness and (d) maternal-fetal health status. Evacuation-related outcomes include (e) maternal-child health impacts (f) women's experience of evacuation (g) financial hardships (h) family disruption (i) cultural continuity and community wellness (ij) engagement with health services (k) self-determination, and (l) quality of health services. Discussion: Numerous emotional, social and cultural harms are associated with evacuation of Indigenous women in Canada. Little is known about the long-term impacts of evacuation on Indigenous maternal-infant health. Evidence on evacuation from remote Métis communities remains a critical knowledge gap.

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Childbirth evacuation among rural and remote Indigenous communities in Canada: A scoping review

Resumen

Áreas temáticas de ASJC Scopus

ODS de las Naciones Unidas

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