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Douglas, Vasiliki Kravariotis (2012)
Publisher: Co-Action Publishing
Journal: International Journal of Circumpolar Health
Languages: English
Types: Article
Subjects: midwifery, Nunavut, childbirth
Objectives. To trace the historical development of the Rankin Inlet Birthing Centre since its inception in 1993 in the context of plans to make it the nucleus of a system of community birthing centres throughout Nunavut. Study design. This is an analytical historical study using a combination of oral history interviews, government documents and existing literature. Methods. Oral history interviews with current and former employees of the Birthing Centre, founding organizers and women who gave birth there were combined with a review of the literature using MEDLINE, Anthropology PLUS, CINAHL and Historical Abstracts, as well as a search of the records of the Nunavut Government and the debates of the Nunavut Legislature and its predecessor, the NWT Legislature. Results. The Rankin Inlet Birthing Centre has been successful, but only marginally so. The majority of births for residents of this region still occur in southern hospitals, either in Churchill or Winnipeg. Although the long-term plan for the Centre is to train and employ Inuit midwives, thus far only two maternity care workers are employed at the Centre. All the midwives are from southern Canada and rotate through the Centre and the community on fixed terms. The Centre has been very successful at gaining and retaining support at the political level, with a strong official commitment to it from the Nunavut Legislature, and active support from the medical communities in the Kivalliq and in Manitoba through the Northern Health Unit at the University of Manitoba. Community support within Rankin Inlet is less apparent and has been halting. Plans to extend the model of the Centre to other communities are long-standing, but have been slow to come to fruition. Discussion. The Rankin Inlet Birthing Centre has remained an important, but peripheral, institution in Rankin Inlet. It is in many ways a southern institution located in the Arctic; for this reason, and due to the social networks present in Rankin Inlet itself, it has suffered from a lack of enthusi-astic support from the community. However, the staff at the Birthing Centre are aware of its shortcomings and explicitly support more community-centred approaches in other communities. Conclusions. The staff and clients of the Rankin Inlet Birthing Centre have broadly recognized the challenges it faces. Future expansion is likely to adapt to local traditions and requirements, leading to new birthing centres that will be integrated into their communities.(Int J Circumpolar Health 2011; 70(2):178–185)Keywords: midwifery, Nunavut, childbirth
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Inuulitsivik Maternities. Strategic plan for development of midwifery care in Nunavik. Puvurnituq: Inuulitsivik Maternities (internal report no. 5); 2004. 5 p.
    • 2. George J. New midwife law faces lengthy delivery. Nunatsiaq News (Iqaluit: Nortext Publishing). 2008 Mar 21.
    • 3. England J. Rankin Inlet Birthing Project: Outcome of primipara deliveries. Int J Circumpolar Health 1998;57(Suppl 1):113-115.
    • 4. Foucault M.Two Lectures. In: Gordon C, editor. Power/ Knowledge: Selected interviews and other writings 1972-1977. New York: Pantheon; 1981. p. 78-108.
    • 5. Dreyfus HL, Rabinow P. Michel Foucault, beyond structuralism and hermeneutics. Chicago: University of Chicago Press; 1982. 231 p.
    • 6. Foucault M.The birth of biopolitics. In: Rabinow P, editor. The Essential works of Foucault 1954-1984,Vol. 1. Ethics, Subjectivity and Truth. NewYork: New Press; 1997. p. 73-79.
    • 7. Macaulay A, Durcan A Geraci J, Hatlevik N.A retrospective audit of the Rankin Inlet Birthing Centre, 1991- 2004. In: Proceedings, 13th International Congress on Circumpolar Health. Novosibirsk, RU: Siberian Branch of Russian Academy of Sciences; 2006. 275 p.
    • 8. Bourgeois A. Keewatin patients fear the worst. Nunatsiaq News (Iqaluit: Nortext Publishing). 1998 Jan 23.
    • 9. Legislative Assembly of Nunavut. Committee reports on Bills 010-2(4): Interim report of Bill 20. Iqaluit: Legislative Assembly of Nunavut; 2008. p. 39-40.
    • 10. O'Neil JD, Kaufert PA, Postl B, Binns B. A study of the impact of obstetric policy on Inuit women and their families in the Keewatin Region, NWT: final report, September 1990. Ottawa: Health and Welfare Canada; 1990. 58 p.
    • 11. Kaufert PA, Gilbert P, O'Neil JD, Brown R, Brown P, Postl B et al. Obstetric care in the Keewatin. Changes in the place of birth 1971-1985.Arctic Med Res 1988;47(Suppl 1):481-484.
    • 12. Chamberlain M, Nair R, Nimrod C, Moyer A, England J. Evaluation of a midwifery birthing centre in the Canadian north. Int J Circumpolar Health 1998;57(Suppl 1):116-120.
    • 13. Rideout D. Midwives worry birthing centre is shortstaffed. Nunatsiaq News (Iqaluit: Nortext Publishing). 2001 Nov 30.
    • 14. Gold ST, O'Neil JD, Wagner V. Examining midwifery based options to improve continuity of maternity care services in remote Nunavut communities. Ottawa: Canadian Health Services Research Foundation; 2005. 6 p.
    • 15. Lavoie J.The decolonization of the self and the recolonization of knowledge: The politics of Nunavik health care. In: Scott C, editor. Aboriginal autonomy and development in Northern Quebec and Labrador.Vancouver: UBC Press; 2000. p. 332-356.
    • 16. Douglas VK. Converging epistemologies: Critical issues in Canadian Inuit childbirth and pregnancy. Alaska Med 2007;49(2 Suppl):209-214.
    • 17. Aglukkaq L. Update Midwifery. Nunavut Hansard 2007; 4(2):290-291.
    • 18. Douglas V. Inuit healing and southern health care: Conlficting paradigms or nested epistemologies? In: Danby R, editor. Breaking the ice: Proceedings of the 7th ACUNS conference. Edmonton: CCI Press; 2004. p. 57-63.
    • 19. Therrien M, Laugrand F. Interviewing Inuit elders:Volume 5: Perspectives in traditional health. Iqaluit, NU: Nunavut Arctic College; 2001. 328 p.
    • 20. Chatwood S. Indications for transfer for childbirth in women served by the Inuulitsivik Maternity. [dissertation]. Montreal: McGill University; 1996. 116 p.
    • 21. Bennett J, Rowley S. Uqalurait:An oral history of Nunavut. Montreal: McGill-Queen's University Press; 2004. 473 p.
    • 22. Guemple DL.The Eskimo ritual sponsor:A problem in the fusion of semantic domains. Ethnology 1969;8:468- 483.
    • 23. Kaufert P, O'Neil JD. Cooptation and control: The reconstruction of Inuit birth. Med Anthropol Q 1990;4: 427-442.
    • 24. Kaufert PA, O'Neil JD.Analysis of a dialogue on risks in childbirth: Clinicians, epidemiologists and Inuit women. In: Lindenbaum S, Lock M, editors. Knowledge, power and practice:The anthropology of everyday life. Berkeley: University of California; 1993. p. 32-54.
    • 25. Douglas VK. Childbirth among the Canadian Inuit: a review of the clinical and cultural literature. Int J Circumpolar Health 2006;65(2):117-132.
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