ArticleFrontiers in global women's health2026
Birthing injustice: unmasking structural racism and the illusion of reconciliation in indigenous perinatal care in Canada, insights from the RESPCCT study.
Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Indigenous people in Canada continue to experience systemic racism, disrespect, and loss of autonomy within the healthcare system, particularly in the context of pregnancy and childbirth. Despite national commitments to reconciliation and the recognition of Indigenous rights through frameworks such as the Truth and Reconciliation Commission (TRC) and the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), the realities of maternity care for Indigenous people are shameful. This study draws on data from a national survey examining respect, mistreatment and autonomy in pregnancy and childbirth care across Canada, with focused analysis of the experiences of Indigenous respondents. The findings reveal persistent racism, lack of culturally safe care, and widespread violations of their rights, particularly informed consent and bodily autonomy. Mistreatment and disrespect were more common among Indigenous participants, participants who had an Indigenous partner, and those aged 25 and younger (
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