RESUMO
In Aotearoa New Zealand, wahine Maori (Maori women) are overrepresented in several negative post-natal outcomes, including negative outcomes related to caesarean deliveries. We aimed to understand the experiences of wahine Maori who had experienced a caesarean delivery and to identify how healthcare systems can better meet the needs of wahine Maori during pre- and post-natal care. Using kaupapa Maori principles, thematic analysis of one-on-one interviews identified eight themes covering a range of issues related to overall wellbeing. Bodily autonomy and choice were discussed by all participants, as was the need for mental wellbeing to be a larger focus of perinatal care. Participants also shared positive encounters with midwives and nurses, as well as a desire to incorporate religious and cultural practices within perinatal care. The caesarean delivery birthing stories of wahine Maori highlighted the importance of Maori health models in understanding and providing culturally-affirming healthcare to wahine Maori across Aotearoa.
RESUMO
OBJECTIVE: Prospective evaluation of pregnancy outcomes in pregestational diabetes along the Atlantic seaboard 2006-2007. RESEARCH DESIGN AND METHODS: The Atlantic Diabetes in Pregnancy group, representing five antenatal centers in a wide geographical location, was established in 2005. All women with diabetes for >6 months before the index pregnancy were included. Results were collected electronically via the DIAMOND Diabetes Information System. Pregnancy outcome was compared with background rates. RESULTS: There were 104 singleton pregnancies. The stillbirth rate (25/1,000) was 5 times, perinatal mortality rate (25/1,000) 3.5 times, and congenital malformation rate (24/1,000) 2 times that of the background population. A total of 28% of women received prepregnancy care, 43% received prepregnancy folic acid, and 51% achieved an A1C Assuntos
Estado Pré-Diabético/epidemiologia
, Gravidez em Diabéticas/epidemiologia
, Adulto
, Anormalidades Congênitas/epidemiologia
, Complicações do Diabetes/epidemiologia
, Diabetes Mellitus Tipo 1/epidemiologia
, Diabetes Mellitus Tipo 2/epidemiologia
, Feminino
, Hemoglobinas Glicadas/análise
, Humanos
, Hipertensão/epidemiologia
, Recém-Nascido
, Irlanda/epidemiologia
, Pré-Eclâmpsia/epidemiologia
, Gravidez
, Resultado da Gravidez
, Cuidado Pré-Natal
, Natimorto