O'Driscoll Terry, Payne Lauren, Kelly Len, Cromarty Helen, Pierre-Hansen Natalie St, Terry Carol
Division of Clinical Sciences, Northern Ontario School of Medicine Sioux Lookout ON.
Faculty of Health Sciences, Simon Fraser University Burnaby BC.
J Obstet Gynaecol Can. 2011 Jan;33(1):24-29. doi: 10.1016/S1701-2163(16)34768-5.
Traditionally, First Nations maternity care was provided by community-based midwives trained through apprenticeship. Obstetrical practices and beliefs were integrated to provide holistic care. The Sioux Lookout Meno Ya Win Health Centre has a mandate to be a centre of excellence for Aboriginal health care. We undertook a literature review and performed a qualitative research study to understand some of the traditional practices in maternity care.
We conducted qualitative semi-structured interviews in English and Oji-Cree with 12 elders who had knowledge and experience of historical birthing practices in their home communities. Research team members included nursing and medical personnel and Anishinabe First Nation members. Interviews were analyzed and themes developed and verified by member checking and triangulation.
The hands-on training for a community-based midwife often began in her teenage years with observation of childbirth practices. Practices were handed down by oral tradition and included prescriptions for healthy diet and moderate exercise during pregnancy; intrapartum care with preparation of clean cloths, moss, and scissors; the involvement of certain supportive family and community members; careful attention to the sacred handling of the placenta and umbilical cord; and careful wrapping of the newborn in fur. Complications, sometimes fatal, included retained placentas and stillbirths.
The provision of modern maternity care to Aboriginal patients should include acknowledgement of, and respect for, traditional birthing practices. Facilities providing care for these patients should consult with the relevant Aboriginal communities to understand their needs and initiate appropriate programming.
传统上，原住民产妇护理由通过学徒制培训的社区助产士提供。产科实践和信仰相互融合以提供全面护理。苏圣玛丽米诺亚温健康中心的使命是成为原住民医疗保健的卓越中心。我们进行了文献综述并开展了一项定性研究，以了解一些产妇护理的传统做法。
我们用英语和奥吉 - 克里语对12位在其家乡社区有历史分娩实践知识和经验的长者进行了定性半结构化访谈。研究团队成员包括护理和医疗人员以及阿尼什纳比原住民成员。对访谈进行了分析，并通过成员核对和三角验证来开发和验证主题。
社区助产士的实践培训通常在她十几岁时开始，通过观察分娩过程。这些做法通过口头传统传承下来，包括孕期健康饮食和适度运动的建议；分娩期护理，准备干净的布、苔藓和剪刀；某些支持性的家庭和社区成员的参与；对胎盘和脐带的神圣处理予以仔细关注；以及用皮毛小心包裹新生儿。并发症，有时是致命的，包括胎盘滞留和死产。
为原住民患者提供现代产妇护理应包括承认并尊重传统分娩做法。为这些患者提供护理的机构应与相关原住民社区协商，以了解他们的需求并启动适当的项目。
