University of Minnesota, Minneapolis, USA.
University of Winnipeg, 515 Portage Avenue, Winnipeg, Manitoba, R3B 2E9, Canada.
BMC Pregnancy Childbirth. 2022 Jan 16;22(1):41. doi: 10.1186/s12884-021-04333-z.
In Canada, there has been a significant increase in the training of Indigenous doulas, who provide continuous, culturally appropriate support to Indigenous birthing people during pregnancy, birth, and the postpartum period. The purpose of our project was to interview Indigenous doulas across Canada in order to document how they worked through the logistics of providing doula care and to discern their main challenges and innovations.
POPULATION/SETTING: Our paper analyzes interviews conducted with members of five Indigenous doula collectives across Canada, from the provinces of British Columbia, Manitoba, Ontario, Quebec and Nova Scotia.
Semi-structured interviews were conducted with members of the five Indigenous doula collectives across Canada in 2020 as part of the project, "She Walks With Me: Supporting Urban Indigenous Expectant Mothers Through Culturally Based Doulas." Interview transcripts were approved by participants and subsequently coded by the entire research team to identify key themes.
Our paper examines two themes that emerged in interviews: the main challenges Indigenous doulas describe confronting when working within western systems, and how they navigate and overcome these obstacles. Specifically, interview participants described tensions with the biomedical approach to maternal healthcare and conflicts with the practice of Indigenous infant apprehension. In response to these challenges, Indigenous doulas are working to develop Indigenous-specific doula training curricula, engaging in collective problem-solving, and advocating for the reformation of a grant program in order to fund more Indigenous doulas.
Both the biomedical model of maternal healthcare and the crisis of Indigenous infant apprehension renders Canadian hospitals unsafe and uncomfortable spaces for many Indigenous birthing people and their families. Indigenous doulas are continually navigating these challenges and creatively and concertedly working towards the revitalization of Indigenous birthing care. Indigenous doula care is critical to counter systemic, colonial barriers and issues that disproportionately impact Indigenous families, as well as recentering birth as the foundation of Indigenous sovereignty and community health.
在加拿大，培训原住民导乐的人数显著增加，他们在怀孕、分娩和产后期间为原住民产妇提供持续的、文化适宜的支持。我们项目的目的是采访加拿大各地的原住民导乐，记录他们如何解决提供导乐护理的后勤问题，并了解他们的主要挑战和创新。
人群/地点：我们的论文分析了对加拿大五个原住民导乐团体成员进行的采访，这些团体分布在不列颠哥伦比亚省、马尼托巴省、安大略省、魁北克省和新斯科舍省。
2020 年，作为“She Walks With Me：通过基于文化的导乐支持城市原住民孕妇”项目的一部分，对加拿大五个原住民导乐团体的成员进行了半结构化访谈。访谈记录得到了参与者的认可，随后由整个研究团队进行编码，以确定关键主题。
我们的论文探讨了访谈中出现的两个主题：原住民导乐在西方系统中工作时所描述的主要挑战，以及他们如何应对和克服这些障碍。具体来说，访谈参与者描述了与产妇医疗保健的生物医学方法之间的紧张关系，以及与原住民婴儿抚养实践之间的冲突。为了应对这些挑战，原住民导乐正在努力开发针对原住民的导乐培训课程，进行集体解决问题，并倡导改革赠款计划，以资助更多的原住民导乐。
产妇医疗保健的生物医学模式和原住民婴儿抚养危机使得许多原住民产妇及其家庭感到加拿大医院不安全和不舒服。原住民导乐一直在应对这些挑战，并创造性地、协调一致地努力复兴原住民生育护理。原住民导乐护理对于应对系统的、殖民的障碍和对原住民家庭产生不成比例影响的问题至关重要，同时将生育重新定位为原住民主权和社区健康的基础。
