Hui Amy, Philips-Beck Wanda, Campbell Rhonda, Sinclair Stephanie, Kuzdak Connie, Courchene Erin, Roulette Maxine, Mousseau Wendy, Beaulieu Doloris, Wood Eric, Munroe Gloria, Desjarlais Frances, Ludwig Sora, Wicklow Brandy, McGavock Jonathan, Sellers Elizabeth, Nickel Nathan, Jiang Depeng, Thiessen Kellie, Pylypjuk Christy, Morris Margaret, Shen Garry X
Department of Internal Medicine, University of Manitoba Canada.
First Nations Health and Social Secretariat of Manitoba Canada.
EClinicalMedicine. 2021 Apr 25;35:100851. doi: 10.1016/j.eclinm.2021.100851. eCollection 2021 May.
First Nations (FN) women have a higher risk of diabetes than non-FN women in Canada. Prenatal education and breastfeeding may reduce the risk of diabetes in mothers and offspring. The rates of breastfeeding initiation and participation in the prenatal program are low in FN communities.
A prenatal educational website, social media-assisted prenatal chat groups and community support teams were developed in three rural or remote FN communities in Manitoba. The rates of participation of pregnant women in prenatal programs and breastfeeding initiation were compared before and after the start of the remote prenatal education program within 2014-2017.
The participation rate of FN pregnant women in rural or remote communities in the prenatal program and breastfeeding initiation during 1-year after the start of the community-based remote prenatal education program were significantly increased compared to that during 1-year before the start of the program (54% versus 36% for the participation rate, 50% versus 34% for breastfeeding initiation, < 0·001). Availability of high-speed Wi-Fi and/or postpartum supporting team were associated with favorite study outcomes. Positive feedback on the remote prenatal education was received from participants.
The findings suggest that remote prenatal education is feasible and effective for improving the breastfeeding rate and engaging pregnant women to participate in the prenatal program in rural or remote FN communities. The remote prenatal education remained active during COVID-19 in the participating communities, which suggests an advantage to expand remote prenatal education in other Indigenous communities.
Canadian Institutes of Health Research, the Lawson Foundation and University of Manitoba.
在加拿大，原住民（FN）女性患糖尿病的风险高于非原住民女性。产前教育和母乳喂养可能会降低母亲和后代患糖尿病的风险。FN社区中开始母乳喂养和参与产前项目的比例较低。
在曼尼托巴省的三个农村或偏远FN社区开发了一个产前教育网站、社交媒体辅助的产前聊天群组和社区支持团队。比较了2014 - 2017年远程产前教育项目开始前后孕妇参与产前项目和开始母乳喂养的比例。
与项目开始前1年相比，基于社区的远程产前教育项目开始后1年，农村或偏远社区的FN孕妇参与产前项目和开始母乳喂养的比例显著增加（参与率从36%升至54%，母乳喂养开始率从34%升至50%，P < 0·001）。高速Wi-Fi的可用性和/或产后支持团队与良好的研究结果相关。参与者对远程产前教育给予了积极反馈。
研究结果表明，远程产前教育对于提高农村或偏远FN社区的母乳喂养率以及促使孕妇参与产前项目是可行且有效的。在参与社区中，远程产前教育在COVID-19期间仍保持活跃，这表明在其他原住民社区扩大远程产前教育具有优势。
加拿大卫生研究院、劳森基金会和曼尼托巴大学。
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