Long C R, Curry M A
Child Welfare Partnership, Portland State University, Oregon, USA.
Health Care Women Int. 1998 May-Jun;19(3):205-15. doi: 10.1080/073993398246377.
The purpose of this qualitative study was to explore traditional beliefs and practices related to pregnancy and childbirth among Native American women and examine the relationship of these beliefs and practices to current use of prenatal care. Focus groups of elders and young women were held and the data analyzed with the Ethnograph software. The central theme was the breakdown in transmission of cultural wisdom among Native American women. The major causes described by women were federal assimilation policies and deaths of elders. Major factors influencing young women's nonutilization of prenatal care were this breakdown, the "Western model" of prenatal care, substance abuse, and domestic violence. Recommendations for improving the use of prenatal care are grounded in the reality that Native American women live in two different worlds. Prenatal care should be reconceptualized as traditional cultural wisdom, with the majority of care provided by natural helpers in the Native American community, including tribal elders, grandmothers, and aunts in collaboration with licensed providers.
这项定性研究的目的是探索美国原住民女性在怀孕和分娩方面的传统信仰与习俗，并考察这些信仰和习俗与当前产前护理使用情况之间的关系。研究召集了老年女性和年轻女性焦点小组，并使用民族志软件对数据进行分析。核心主题是美国原住民女性中文化智慧传承的中断。女性们描述的主要原因是联邦同化政策和长辈的离世。影响年轻女性不使用产前护理的主要因素包括这种传承中断、产前护理的“西方模式”、药物滥用和家庭暴力。改善产前护理使用情况的建议基于美国原住民女性生活在两个不同世界这一现实。产前护理应被重新定义为传统文化智慧，大部分护理由美国原住民社区的自然辅助者提供，包括部落长辈、祖母和阿姨，并与有执照的医疗服务提供者合作。
