Schwarzburg Lisa Llewellyn
UAF Interdisciplinary Program Cross-Cultural and Indigenous Studies, Rural and Indigenous Health Policy, University of Alaska Fairbanks, Fairbanks, AK, USA.
Int J Circumpolar Health. 2013 Aug 5;72. doi: 10.3402/ijch.v72i0.21199. eCollection 2013.
While the primary goal of the NW Alaska Native maternal transport is safe deliveries for mothers from remote villages, little has been done to question the impact of transport on the mothers and communities involved. This study explores how presence of Iñupiat values influences the desire of indigenous women of differing eras and NW Alaska villages to participate in biomedical birth, largely made available by a tribal health-sponsored transport system.
This paper portrays how important it is (and why) for Alaska Native families and women of different generations from various areas of Iñupiat villages of NW Alaska to get to the hospital to give birth. This research asks: How does a community's presence of Iñupiat values influence women of different eras and locations to participate in a more biomedical mode of birth?
Theoretical frameworks of medical anthropology and maternal identity work are used to track the differences in regard to the maternal transport operation for Iñupiat mothers of the area. Presence of Iñupiat values in each of the communities is compared by birth era and location for each village. Content analysis is conducted to determine common themes in an inductive, recursive fashion.
A connection is shown between a community's manifestation of Iñupiat cultural expression and mothers' acceptance of maternal transport in this study. For this group of Iñupiat Eskimo mothers, there is interplay between community expression of Iñupiat values and desire and lengths gone to by women of different eras and locations.
The more openly manifested the Iñupiat values of the community, the more likely alternative birthing practices sought, lessening the reliance on the existing transport policy. Conversely, the more openly western values are manifested in the village of origin, the less likely alternative measures are sought. For this study group, mothers from study villages with openly manifested western values are more likely to easily acquiesce to policy, and "make the best" of their prenatal travel.
虽然阿拉斯加西北部原住民产妇转运的主要目标是确保偏远村庄的母亲安全分娩，但对于转运对相关母亲和社区的影响，几乎未作探究。本研究探讨因纽皮亚特价值观的存在如何影响不同时代以及阿拉斯加西北部不同村庄的原住民妇女参与生物医学分娩的意愿，这种分娩方式主要通过部落健康资助的转运系统得以实现。
本文描述了阿拉斯加西北部因纽皮亚特村庄不同地区的原住民家庭和不同代际的妇女前往医院分娩的重要性（以及原因）。本研究提出问题：社区中因纽皮亚特价值观的存在如何影响不同时代和地点的妇女参与更具生物医学模式的分娩？
运用医学人类学和产妇身份研究的理论框架，来追踪该地区因纽皮亚特母亲在产妇转运操作方面的差异。按每个村庄的出生时代和地点，比较各社区中因纽皮亚特价值观的存在情况。采用归纳递归的方式进行内容分析，以确定共同主题。
本研究表明社区因纽皮亚特文化表达的表现形式与母亲对产妇转运的接受程度之间存在关联。对于这群因纽皮亚特爱斯基摩母亲来说，因纽皮亚特价值观在社区中的表达与不同时代和地点的妇女的意愿及她们所采取的行动之间存在相互作用。
社区因纽皮亚特价值观表现得越公开，寻求替代分娩方式的可能性就越大，对现有转运政策的依赖就越小。相反，在原住村庄中西方价值观表现得越公开，寻求替代措施的可能性就越小。对于本研究群体而言，来自西方价值观公开表现的研究村庄的母亲更有可能轻易接受政策，并“充分利用”她们的产前行程。
