Evidence map›Paper›PMID 36434515›Full record

ArticleBMC pregnancy and childbirth2022

Kivalliq Inuit women travelling to Manitoba for birthing: findings from the Qanuinngitsiarutiksait study.

Josée G Lavoie, Wayne Clark, Leah McDonnell, Nathan Nickel, Rachel Dutton, Janet Kanayok, Jack Anawak, Caroline Anawak, Levinia Brown, Grace Voisey Clark and 6 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Inuit youth health and wellbeing programming in Canada.International journal of circumpolar health · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
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

16 authors.

Josée G LavoieUniversity of Manitoba, Winnipeg, MB, Canada. josee.lavoie@umanitoba.ca.
Wayne ClarkUniversity of Alberta, Edmonton, AB, Canada.
Leah McDonnellUniversity of Manitoba, Winnipeg, MB, Canada.
Nathan NickelUniversity of Manitoba, Winnipeg, MB, Canada.
Rachel DuttonManitoba Inuit Association, Winnipeg, MB, Canada.
Janet KanayokManitoba Inuit Association, Winnipeg, MB, Canada.
Jack AnawakIsumataq Sivuliuqti, Iqaluit, Canada.
Caroline AnawakIsumataq Sivuliuqti, Iqaluit, Canada.
Levinia BrownIsumataq Sivuliuqti, Iqaluit, Canada.
Grace Voisey ClarkIsumataq Sivuliuqti, Iqaluit, Canada.
Maata Evaluardjuk-PalmerIsumataq Sivuliuqti, Iqaluit, Canada.
Frederick FordIsumataq Sivuliuqti, Iqaluit, Canada.
Melinda Fowler-WoodsUniversity of Manitoba, Winnipeg, MB, Canada.
Sabrina WongUniversity of British Columbia, Vancouver, BC, Canada.
Julianne SanguinsManitoba Metis Federation, Winnipeg, MB, Canada.
Alan KatzUniversity of Manitoba, Winnipeg, MB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Qanuinngitsiarutiksait study aimed to develop detailed profiles of Inuit health service utilization in Manitoba, by Inuit living in Manitoba (approximately 1,500) and by Inuit from the Kivalliq region of Nunavut who travel to Manitoba to access care not available in Nunavut (approximately 16,000 per year).

methodsWe used health administrative data routinely collected in Manitoba for all services provided and developed an algorithm to identify Inuit in the dataset. This paper focused on health services used by Inuit from the Kivalliq for prenatal care and birthing.

resultsOur study found that approximately 80 percent of births to women from the Kivalliq region occur in Manitoba, primarily in Winnipeg. When perinatal care and birthing are combined, they constitute one third of all consults happening by Kivalliq residents in Manitoba. For scale, hospitalizations for childbirths to Kivalliq women about to only 5 percent of all childbirth-related hospitalizations in Manitoba.

conclusionsThe practice of evacuating women from the Kivalliq for perinatal care and birthing is rooted in colonialism, rationalized as ensuring that women whose pregnancy is at high risk have access to specialized care not available in Nunavut. While defendable, this practice is costly, and does not provide Inuit women a choice as to where to birth. Attempts at relocating birthing to the north have proven complex to operationalize. Given this, there is an urgent need to develop Inuit-centric and culturally appropriate perinatal and birthing care in Manitoba.

Indexed as

InuitParturitionDelivery, ObstetricFemaleHumansManitobaNunavutPregnancyBirthingInuit healthMothersPregnancy

Identifiers

PMID36434515
PMCPMC9694830

What OpenQuestion holds

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Registered trials

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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.