Sokoloski E H
Can J Nurs Res. 1995 Spring;27(1):89-100.
Evidence links adequate prenatal care to improved birth outcomes. Research, however, indicates that First Nations women do not attend regularly for prenatal care. In the current study, seven informants, representing three First Nations tribes, were extensively interviewed to examine their beliefs about pregnancy and participation in prenatal care. First Nations women conceptualized pregnancy in a spiritual context and believed it to be a healthy, natural process requiring no intervention. Since they believed they were responsible for "taking care of themselves" during pregnancy, cultural practices that were thought to promote a healthy pregnancy were espoused. First Nations women were reportedly often dissatisfied with health-care providers in prenatal clinics. Their expectations of freely offered explanations and a friendly non-authoritarian approach were often not realized and their beliefs about pregnancy were in conflict with those of health-care providers. Barriers to prenatal care might be reduced by improving communication and providing holistic culture-specific care.
有证据表明，充分的产前护理与改善分娩结局相关。然而，研究表明，原住民妇女并不经常接受产前护理。在当前的研究中，代表三个原住民部落的七名线人接受了广泛的访谈，以考察她们对怀孕和参与产前护理的看法。原住民妇女从精神层面来理解怀孕，认为这是一个健康、自然的过程，无需干预。由于她们认为自己在孕期有责任“照顾好自己”，所以会支持那些被认为能促进孕期健康的文化习俗。据报道，原住民妇女在产前诊所经常对医护人员不满。她们对能够自由获得解释以及友好、非专制态度的期望往往无法实现，而且她们对怀孕的看法与医护人员的看法存在冲突。通过改善沟通和提供针对特定文化的全面护理，或许可以减少产前护理的障碍。
