ArticleCanadian family physician Medecin de famille canadien2022
Exploring how pregnant women in a remote northern community select a delivery location.
Article in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 1 citations in OpenAlex.
- Surgical Experiences of Patients From the Circumpolar North: A Scoping Review.World journal of surgery · 2025Article
- Family physicians' perspectives on advising patients on an obstetric delivery location: Study from a remote community.Canadian family physician Medecin de famille canadien · 2025Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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Abstract
objectiveTo explore the perspectives and preferences of pregnant women receiving prenatal care in a rural community regarding delivery location.
designExploratory qualitative research project.
settingThe La Ronge Medical Clinic in northern Saskatchewan.
participantsPregnant women of any parity aged 18 years or older who attended the clinic for prenatal care from March 1, 2018, to March 31, 2019, were invited to participate. The closest obstetric and surgical services are 240 km away.
methodsThis project was undertaken using semistructured interviews. The interviews were audiorecorded, transcribed, and analyzed using an inductive thematic analysis, taking into consideration both saturation and analyst triangulation. The investigators and researchers on this project were family medicine residents and faculty in a remote medical clinic. MAIN
findingsThe factors that played a substantial role in influencing the patients' decisions regarding delivery location included access to medical services, proximity to home community, perceptions of medical care providers, and some unique features of local hospitals. The participants largely believed they maintained their autonomy in selecting their preferred delivery location while seeking input from their prenatal care providers and families.
conclusionPregnant women in this rural community consider many factors when deciding on their delivery location. These findings can be taken into consideration by physicians when discussing with their rural patients the risks and benefits of delivery in both rural and urban centres. Barriers to local delivery should be addressed, while maintaining a woman's autonomy to choose where she gives birth.
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