Douglas Vasiliki Kravariotis
University of Northern British Columbia, Prince George, Canada.
Int J Circumpolar Health. 2011 Apr;70(2):178-85. doi: 10.3402/ijch.v70i2.17803. Epub 2011 Apr 8.
To trace the historical development of the Rankin Inlet Birthing Centre since its inception in 1993 in the context of plans to make it the nucleus of a system of community birthing centres throughout Nunavut.
This is an analytical historical study using a combination of oral history interviews, government documents and existing literature.
Oral history interviews with current and former employees of the Birthing Centre, founding organizers and women who gave birth there were combined with a review of the literature using MEDLINE, Anthropology PLUS, CINAHL and Historical Abstracts, as well as a search of the records of the Nunavut Government and the debates of the Nunavut Legislature and its predecessor, the NWT Legislature. Results. The Rankin Inlet Birthing Centre has been successful, but only marginally so. The majority of births for residents of this region still occur in southern hospitals, either in Churchill or Winnipeg. Although the long-term plan for the Centre is to train and employ Inuit midwives, thus far only two maternity care workers are employed at the Centre. All the midwives are from southern Canada and rotate through the Centre and the community on fixed terms. The Centre has been very successful at gaining and retaining support at the political level, with a strong official commitment to it from the Nunavut Legislature, and active support from the medical communities in the Kivalliq and in Manitoba through the Northern Health Unit at the University of Manitoba. Community support within Rankin Inlet is less apparent and has been halting. Plans to extend the model of the Centre to other communities are long-standing, but have been slow to come to fruition.
The Rankin Inlet Birthing Centre has remained an important, but peripheral, institution in Rankin Inlet. It is in many ways a southern institution located in the Arctic; for this reason, and due to the social networks present in Rankin Inlet itself, it has suffered from a lack of enthusiastic support from the community. However, the staff at the Birthing Centre are aware of its shortcomings and explicitly support more community-centred approaches in other communities.
The staff and clients of the Rankin Inlet Birthing Centre have broadly recognized the challenges it faces. Future expansion is likely to adapt to local traditions and requirements, leading to new birthing centres that will be integrated into their communities.
追溯兰金河口分娩中心自1993年成立以来的历史发展，该中心计划成为努纳武特地区社区分娩中心系统的核心。
这是一项分析性历史研究，结合了口述历史访谈、政府文件和现有文献。
对口述历史访谈的对象包括分娩中心的现任和前任员工、创始组织者以及在该中心分娩的女性。同时，使用MEDLINE、Anthropology PLUS、CINAHL和Historical Abstracts数据库对文献进行综述，并搜索努纳武特政府的记录以及努纳武特立法机构及其前身西北地区立法机构的辩论记录。结果：兰金河口分娩中心取得了一定成功，但程度有限。该地区居民的大多数分娩仍在南部医院进行，要么是丘吉尔的医院，要么是温尼伯的医院。尽管该中心的长期计划是培训和雇佣因纽特助产士，但到目前为止，该中心仅雇佣了两名产妇护理人员。所有助产士都来自加拿大南部，定期在该中心和社区轮岗。该中心在政治层面获得并保持支持方面非常成功，努纳武特立法机构给予了坚定的官方支持，基瓦利克地区和曼尼托巴省的医疗社区通过曼尼托巴大学北方健康部门提供了积极支持。兰金河口的社区支持不太明显且进展缓慢。将该中心模式扩展到其他社区的计划由来已久，但实现进展缓慢。
兰金河口分娩中心在兰金河口一直是一个重要但边缘的机构。从很多方面来看，它是一个位于北极地区的南方机构；由于这个原因，以及兰金河口自身的社会网络，它缺乏来自社区的热情支持。然而，分娩中心的工作人员意识到其不足之处，并明确支持在其他社区采用更以社区为中心的方法。
兰金河口分娩中心的工作人员和客户普遍认识到它所面临的挑战。未来的扩张可能会适应当地传统和需求，从而产生将融入其社区的新分娩中心。
