Evidence map›Paper›PMID 23360168›Full record

ArticleBMC pregnancy and childbirth2013

Help bring back the celebration of life: a community-based participatory study of rural Aboriginal women's maternity experiences and outcomes.

Colleen Varcoe, Helen Brown, Betty Calam, Thelma Harvey, Miranda Tallio

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Indigenous people's experiences of primary health care in Canada: a qualitative systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Pooled it
  3. Trial
  4. Article
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  10. Anti-Indigenous racism in Canadian healthcare: a scoping review of the literature.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Returning childbirth to inuit communities in the Canadian Arctic.International journal of circumpolar health · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Colleen VarcoeUniversity of British Columbia School of Nursing, T149 - 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada. colleen.varcoe@nursing.ubc.ca
Helen Brown
Betty Calam
Thelma Harvey
Miranda Tallio

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundDespite clear evidence regarding how social determinants of health and structural inequities shape health, Aboriginal women's birth outcomes are not adequately understood as arising from the historical, economic and social circumstances of their lives. The purpose of this study was to understand rural Aboriginal women's experiences of maternity care and factors shaping those experiences.

methodsAboriginal women from the Nuxalk, Haida and 'Namgis First Nations and academics from the University of British Columbia in nursing, medicine and counselling psychology used ethnographic methods within a participatory action research framework. We interviewed over 100 women, and involved additional community members through interviews and community meetings. Data were analyzed within each community and across communities.

resultsMost participants described distressing experiences during pregnancy and birthing as they grappled with diminishing local maternity care choices, racism and challenging economic circumstances. Rural Aboriginal women's birthing experiences are shaped by the intersections among rural circumstances, the effects of historical and ongoing colonization, and concurrent efforts toward self-determination and more vibrant cultures and communities.

conclusionWomen's experiences and birth outcomes could be significantly improved if health care providers learned about and accounted for Aboriginal people's varied encounters with historical and ongoing colonization that unequivocally shapes health and health care. Practitioners who better understand Aboriginal women's birth outcomes in context can better care in every interaction, particularly by enhancing women's power, choice, and control over their experiences. Efforts to improve maternity care that account for the social and historical production of health inequities are crucial.

Indexed as

Health Services AccessibilityIndians, North AmericanAdultBritish ColumbiaCommunity-Based Participatory ResearchCultureFemaleHumansMaternal Health ServicesParturitionPregnancyQualitative ResearchRacismRural Health ServicesRural Population

Identifiers

PMID23360168
PMCPMC3577503

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.