Degree of rural isolation and birth outcomes

Luo, Zhong‐Cheng; Wilkins, Russell

doi:10.1111/j.1365-3016.2008.00938.x

Cited by 42 publications

(72 citation statements)

References 25 publications

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“…Rural-urban differences in access to services are also likely to contribute, especially in populations in remote areas that are most at risk of stillbirth. 50,57 Institution alised racism is often reported by women accessing antenatal care. 58…”

Section: Access To and Quality Of Antenatal And Maternity Carementioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

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Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

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Section: Access To and Quality Of Antenatal And Maternity Carementioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

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“…No information was available on medical risk factors such as diabetes in pregnancy in the Canadian linked birth data. Because remoteness may affect timely access to high-quality tertiary care and hence the risks of perinatal and postneonatal death, 22 we further assessed the risk differences restricted to remote areas. We defined remote areas as any rural area with a workforce-commuting flow into urban centres (population ≥ 10 000 in the 1996 census) of less than 5% based on maternal residential postal codes as recorded on birth registrations.…”

Section: Resultsmentioning

confidence: 99%

“…We defined remote areas as any rural area with a workforce-commuting flow into urban centres (population ≥ 10 000 in the 1996 census) of less than 5% based on maternal residential postal codes as recorded on birth registrations. 22 Two-tailed p values < 0.05 were considered significant.…”

Section: Resultsmentioning

confidence: 99%

Association of macrosomia with perinatal and postneonatal mortality among First Nations people in Quebec

Wassimi¹,

Wilkins²,

McHugh³

et al. 2011

Canadian Medical Association Journal

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“…Cumulatively these data suggest that abuse, depression and stress over generations may be associated with poor perinatal outcomes and suggest the possibility that historical child abuse, such as that derived from the abuse of residential schools [124], has a residual and multigenerational effect upon modifiable health behaviours and directly or indirectly upon perinatal outcomes. Other factors such as the degree of rural isolation and the geographical location (North vs. South) also appear associated with risks of multiple adverse birth outcomes and infant mortality [109,125,126].…”

Section: Indigenous Peoples Of Canadamentioning

confidence: 99%

“…This evacuation practice also leads to higher levels of postpartum depression, as well as increased risks of maternal and newborn complications [132,133]. Non-Aboriginal women living in rural or remote areas have similar experiences and consequences [112,125,126,134].…”

Section: Indigenous Peoples Of Canadamentioning

confidence: 99%

Canada’s pregnancy-related mortality rates: doing well but room for improvement

Verstraeten¹,

Mijovic-Kondejewski²,

Takeda³

et al. 2015

CIM

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Canada's pregnancy-related mortality rates: doing well but room for improvement Abstract Purpose: Canada's perinatal, infant and maternal mortality rates were examined and compared with other Organization for Economic Cooperation and Development (OECD) countries. The type and the quality of the available data and best practices in several OECD countries were evaluated.Source: A literature search was performed in PubMed and the Cochrane Library. Vital statistics data were obtained from the OECD Health Database and Statistics Canada and subjected to secondary analysis.Principal findings: Overall, Canadian pregnancy mortality rates have fallen dramatically since the early 1960's. Perinatal and infant mortality rates remain low and stable, but the maternal mortality rate has increased slightly and both mortality rates have declined in their relative OECD rankings over the last 20 years. Data quality and coverage across Canada and internationally, especially for Indigenous peoples, is inconsistent and registration practices differ greatly, making comparisons difficult. Available data do show that Indigenous people's perinatal and infant mortality rates are nearly twice those of the general population. Best practices in other OECD countries include Australia's National Maternity Services plan to improve Aboriginal perinatal health, the Netherlands' midwifery services and National Perinatal Registry and Japan's national pregnancy registration and Maternal Handbook. Conclusion:To diminish Canadian disparities in perinatal health rates and improve health outcomes we recommend a) uniform registration practices across Canada, b) better data quality and coverage especially among Indigenous communities, c) adoption of a national pregnancy registration and a maternal handbook along with d) improved midwifery and primary practice services to rural and remote communities. At a time when Canada is focusing upon improving pregnancy health in developing nations, it also needs to address its own challenges in improving pregnancy outcomes.

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Degree of rural isolation and birth outcomes

Cited by 42 publications

References 25 publications

Stillbirths: recall to action in high-income countries

Stillbirths: recall to action in high-income countries

Association of macrosomia with perinatal and postneonatal mortality among First Nations people in Quebec

Canada’s pregnancy-related mortality rates: doing well but room for improvement

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