Promotion of Global Perinatal Health

2009 ◽  
pp. 43-51
Author(s):  
Victor Y.H. Yu
Keyword(s):  
Perinatal Health

scholarly journals Evidence‐based priorities of under‐served pregnant and parenting adolescents: addressing inequities through a participatory approach to contextualizing evidence syntheses

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Dion ◽  
Aime Klevor ◽  
Amy Nakajima ◽  
Neil Andersson
Keyword(s):  
Social Services ◽  
Adolescent Mothers ◽  
Priority Setting ◽  
Service Providers ◽  
Post Partum ◽  
Perinatal Outcomes ◽  
Health Inequities ◽  
Participatory Approach ◽  
Perinatal Health ◽  
Evidence Based

Abstract Purpose This study describes an interdiscursive evidence-based priority setting process with pregnant and parenting adolescents and their services providers. Methods A mixed methods literature review identified studies reporting on perinatal outcomes and experiences of adolescents during pregnancy to 12 months post-partum published in Canada after 2000. We also calculated relative risks for common perinatal risk factors and outcomes for adolescents compared to adult populations from 2012 to 2017 based on data from a provincial database of maternal and newborn outcomes. Two trained peer researchers identified outcomes most relevant to their peers. We shared syntheses results with four service providers and 13 adolescent mothers accessing services at a community service organization, who identified and prioritized their areas of concern. We repeated the process for the identified priority issue and expanded upon it through semi-structured interviews. Results Adolescent mothers face higher rates of poverty, abuse, anxiety and depression than do adult mothers. Adolescents prioritized the experience of judgment in perinatal health and social services, particularly as it contributed to them being identified as a child protection risk. Secondary priorities included loss of social support and inaccessibility of community resources. The experience of judgment in adolescent perinatal health literature was summarized around: being invisible, seen as incapable and seen as a risk. Adolescent mothers adapted these categories, emphasizing organizational and social barriers. Conclusions Young marginalized women are disproportionately affected by inequities in perinatal outcomes, yet their perspectives are rarely centered in efforts to address these inequities. This research addresses health inequities by presenting a robust, transparent and participatory approach to priority setting as a way to better represent the perspectives of those who carry the greatest burden of health inequities in evidence syntheses. In our work, marginalized adolescent parents adapted published literature around the experience and consequences of social stigma on perinatal outcomes, shifting our understanding of root causes and possible solutions.

scholarly journals Between a woman and her fetus: Bedouin women mediators advance the health of pregnant women and babies in their society

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rachel Sharaby ◽  
Hagit Peres
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Narrative Analysis ◽  
Research Question ◽  
Medical Knowledge ◽  
Perinatal Health ◽  
Child Health Services ◽  
Self Confidence ◽  
Active Approach ◽  
Mother And Child

Abstract Introduction Bedouin women in Israel confront a challenging circumstance between their traditional patriarchal society and transition to modernity. In terms of reproductive health, they face grave disparities as women, pregnant women and mothers. In this article we aim to understand the challenges of Bedouin women who work as mediators in the promotion of Bedouin women’s perinatal health. We explore their challenges with the dual and often conflictual role as health peer-instructors-mediators in mother-and-child clinics, and also as members of a Bedouin community, embodying a status as women, mothers, and family caretakers. Drawn upon a feminist interpretative framework, the article describes their challenges in matters of perinatal health. Our research question is: how do women who traditionally suffer from blatant gender inequality utilize health-promotion work to navigate and empower themselves and other Bedouin women. Methods Based on an interpretive feminist framework, we performed narrative analysis on eleven in-depth interviews with health mediators who worked in a project in the Negev area of Israel. The article qualitatively analyses the ways in which Bedouin women mediators narrate their challenging situations. Results This article shows how difficult health mediators’ task may be for women with restricted education who struggle for autonomy and better social and maternal status. Through their praxis, women mediators develop a critical perspective without risking their commitments as women who are committed to their work as well as their society, communities, and families. These health mediators navigate their ways between the demands of their employer (the Israeli national mother and child health services) and their patriarchal Bedouin society. While avoiding open conflictual confrontations with both hegemonic powers, they also develop self-confidence and a critical and active approach. Conclusions The article shows the ways by which the mediator’s activity involved in perinatal health-promotion may utilize modern perinatal medical knowledge to increase women’s awareness and autonomy over their pregnant bodies and their role as caregivers. We hope our results will be applicable for other women as well, especially for women who belong to other traditional and patriarchal societies.

scholarly journals Perinatal health services: an immodest proposal.

BMJ ◽  
1980 ◽  
Vol 280 (6217) ◽  
pp. 842-845 ◽  
Author(s):  
I Chalmers ◽  
A Oakley ◽  
A Macfarlane
Keyword(s):  
Health Services ◽  
Perinatal Health

scholarly journals Trends in perinatal health in France from 1995 to 2010. Results from the French National Perinatal Surveys

2012 ◽  
Vol 41 (4) ◽  
pp. e1-e15 ◽  
Author(s):  
B. Blondel ◽  
N. Lelong ◽  
M. Kermarrec ◽  
F. Goffinet
Keyword(s):  
Perinatal Health

From Healthy Start to Hurricane Katrina: Using GIS to eliminate disparities in perinatal health

2008 ◽  
Vol 27 (20) ◽  
pp. 3984-3997 ◽  
Author(s):  
Andrew Curtis
Keyword(s):  
Hurricane Katrina ◽  
Healthy Start ◽  
Perinatal Health

Opinions of UK perinatal health care professionals on home birth

Midwifery ◽  
2014 ◽  
Vol 30 (7) ◽  
pp. 839-846 ◽  
Author(s):  
Andrea McNutt ◽  
Tamsin Thornton ◽  
Pamela Sizer ◽  
Anna Curley ◽  
Paul Clarke
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Home Birth ◽  
Perinatal Health ◽  
Perinatal Health Care
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