"This policy sucks and it's stupid:" Mapping maternity care for First Nations women on reserves in Manitoba, Canada. Issue 12 (2nd December 2019)

• Record Type: Journal Article
• Authors: Lawford, Karen M.; Bourgeault, Ivy L.; Giles, Audrey R.
• Is Part Of: Health care for women international. Volume 40:Issue 12(2019)
• Page Start: 1302
• Page End: 1335
• Publication Date: 2019-12-02
• Subjects: Women -- Health and hygiene -- Periodicals; Women's health services -- Periodicals; Genital Diseases, Female; Neonatology; Obstetrics; Women -- psychology; Femmes -- Santé et hygiène -- Périodiques; Femmes -- Santé, Services de -- Périodiques; 613.0424405
• DOI: 10.1080/07399332.2019.1639706
• Languages: English
• ISSNs: 0739-9332

Abstract

Abstract: First Nations women who live on rural and remote reserves in Canada leave their communities between 36 and 38 weeks gestational age to receive labor and birthing services in large urban centers. The process and administrative details of this process are undocumented despite decades of relocation as a routine component of maternity care. Using data from 32 semistructured interviews and information from peer-reviewed literature, grey literature, and public documents, I constructed a descriptive map and a visual representation of the policy. I present new and detailed information about Canada's health policy as well as recommendations to address the health care gaps identified.