Brown Stephanie Janne, Weetra Donna, Glover Karen, Buckskin Mary, Ah Kit Jackie, Leane Cathy, Mitchell Amanda, Stuart-Butler Deanna, Turner May, Gartland Deirdre, Yelland Jane
Healthy Mothers Healthy Families, Murdoch Childrens Research Institute, Royal Children's Hospital, University of Melbourne, Melbourne, Vic., Australia.
Birth. 2015 Mar;42(1):27-37. doi: 10.1111/birt.12143. Epub 2015 Jan 20.
Aboriginal and Torres Strait Islander families experience markedly worse maternal and child health outcomes than non-Aboriginal families. The objective of this study was to investigate the experiences of women attending Aboriginal Family Birthing Program services in South Australia compared with women attending mainstream public antenatal care.
Population-based survey of mothers of Aboriginal babies giving birth in urban, regional, and remote areas of South Australia between July 2011 and June 2013.
A total of 344 women took part in the study around 4-9 months after giving birth; 93 percent were Aboriginal and/or Torres Strait Islanders, and 7 percent were non-Aboriginal mothers of Aboriginal babies. Of these, 39 percent of women lived in a major city, 36 percent in inner or outer regional areas, and 25 percent in remote areas of South Australia. Compared with women attending mainstream public antenatal care, women attending metropolitan and regional Aboriginal Family Birthing Program services had a higher likelihood of reporting positive experiences of pregnancy care (adjOR 3.4 [95% CI 1.6-7.0] and adjOR 2.4 [95% CI 1.4-4.3], respectively). Women attending Aboriginal Health Services were also more likely to report positive experiences of care (adjOR 3.5 [95% CI 1.3-9.4]).
In the urban, regional, and remote areas where the Aboriginal Family Birthing Program has been implemented, the program has expanded access to culturally responsive antenatal care for Aboriginal women and families. The positive experiences reported by many women using the program have the potential to translate into improved outcomes for Aboriginal families.
与非原住民家庭相比，澳大利亚原住民和托雷斯海峡岛民家庭的母婴健康状况明显更差。本研究的目的是调查南澳大利亚州参加原住民家庭分娩计划服务的妇女与参加主流公共产前护理的妇女的经历。
对2011年7月至2013年6月在南澳大利亚州城市、地区和偏远地区分娩的原住民婴儿母亲进行基于人群的调查。
共有344名妇女在产后4 - 9个月左右参与了研究；93%为原住民和/或托雷斯海峡岛民，7%为原住民婴儿的非原住民母亲。其中，39%的妇女居住在大城市，36%居住在内外地区，25%居住在南澳大利亚州的偏远地区。与参加主流公共产前护理的妇女相比，参加大都市和地区原住民家庭分娩计划服务的妇女报告妊娠护理积极体验的可能性更高（调整后的比值比分别为3.4 [95%置信区间1.6 - 7.0]和2.4 [95%置信区间1.4 - 4.3]）。参加原住民健康服务的妇女也更有可能报告护理的积极体验（调整后的比值比为3.5 [95%置信区间1.3 - 9.4]）。
在实施了原住民家庭分娩计划的城市、地区和偏远地区，该计划扩大了原住民妇女和家庭获得具有文化响应性的产前护理的机会。许多使用该计划的妇女报告的积极体验有可能转化为改善原住民家庭的结局。
