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...
Published in: | International Journal of Circumpolar Health |
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ftpubmed:oai:pubmedcentral.nih.gov:9067959 2023-05-15T15:06:44+02:00 Returning childbirth to inuit communities in the Canadian Arctic Lee, Erika Gudmundson, Bryarre Lavoie, Josée G. 2022-05-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/ http://www.ncbi.nlm.nih.gov/pubmed/35491889 https://doi.org/10.1080/22423982.2022.2071410 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/ http://www.ncbi.nlm.nih.gov/pubmed/35491889 http://dx.doi.org/10.1080/22423982.2022.2071410 © 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. CC-BY-NC Int J Circumpolar Health Review Article (Scoping and Systematic) Text 2022 ftpubmed https://doi.org/10.1080/22423982.2022.2071410 2022-05-08T01:20:00Z 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. Text Arctic Circumpolar Health inuit Nunavut PubMed Central (PMC) Arctic Canada Nunavut International Journal of Circumpolar Health 81 1 |
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Open Polar |
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PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Review Article (Scoping and Systematic) |
spellingShingle |
Review Article (Scoping and Systematic) Lee, Erika Gudmundson, Bryarre Lavoie, Josée G. Returning childbirth to inuit communities in the Canadian Arctic |
topic_facet |
Review Article (Scoping and Systematic) |
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. |
format |
Text |
author |
Lee, Erika Gudmundson, Bryarre Lavoie, Josée G. |
author_facet |
Lee, Erika Gudmundson, Bryarre Lavoie, Josée G. |
author_sort |
Lee, Erika |
title |
Returning childbirth to inuit communities in the Canadian Arctic |
title_short |
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_sort |
returning childbirth to inuit communities in the canadian arctic |
publisher |
Taylor & Francis |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/ http://www.ncbi.nlm.nih.gov/pubmed/35491889 https://doi.org/10.1080/22423982.2022.2071410 |
geographic |
Arctic Canada Nunavut |
geographic_facet |
Arctic Canada Nunavut |
genre |
Arctic Circumpolar Health inuit Nunavut |
genre_facet |
Arctic Circumpolar Health inuit Nunavut |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067959/ http://www.ncbi.nlm.nih.gov/pubmed/35491889 http://dx.doi.org/10.1080/22423982.2022.2071410 |
op_rights |
© 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. |
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CC-BY-NC |
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https://doi.org/10.1080/22423982.2022.2071410 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
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1766338289974902784 |