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Cultural Security in the Perinatal Period for Indigenous Women in Urban Areas: A Scoping Review

Marriott, Rhonda, Strobel, Natalie A., Kendall, Sally, Bowen, Angela, Eades, Anne-Marie, Landes, Jasmin K., Adams, Claire, Reibel, Tracy (2019) Cultural Security in the Perinatal Period for Indigenous Women in Urban Areas: A Scoping Review. Women and Birth, 32 (5). pp. 412-426. ISSN 1871-5192. (doi:10.1016/j.wombi.2019.06.012) (KAR id:75408)

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http://dx.doi.org/10.1016/j.wombi.2019.06.012

Abstract

Background

Culturally secure care is considered foundational for good perinatal outcomes for Indigenous women. It is unknown what literature reports on whether Indigenous women giving birth in urban areas receives appropriate cultural care. The aim of this scoping review was to examine and summarise relevant evidence which reports on culturally secure care for Indigenous women using urban maternity services at any time during the perinatal period.

Methods

Ten journal databases plus grey literature and theses databases were searched for relevant material dated 1986-2018. Articles were included if they were about Indigenous women from Australia, New Zealand, Canada or the USA; care was provided anytime during the perinatal period, in an urban area; and cultural security (or variations of this term) were used.

Results

6856 titles and abstracts were screened, of these: 25 studies, 15 grey literature documents and 9 theses matched the search criteria. Studies were mostly qualitative (13/25) and from Australia (18/25). Studies showed women’s access to and experiences of culturally secure maternity care in urban areas as variable. The grey literature originated from Australia (8/15); New Zealand (4/15); and Canada (3/15); while theses were from Canada (7/9) and Australia (2/9).

Conclusion

The scoping review results showed substantial qualitative evidence on Indigenous women’s experience during the perinatal period in urban areas. In-depth analysis of these studies is required to inform future practice and policy on what works and what needs improvement. Culturally secure midwifery care shows promising results.

Item Type: Article
DOI/Identification number: 10.1016/j.wombi.2019.06.012
Uncontrolled keywords: Indigenous, cultural security, urban, perinatal, scoping review
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Meg Dampier
Date Deposited: 21 Aug 2019 16:14 UTC
Last Modified: 04 Jul 2023 12:45 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/75408 (The current URI for this page, for reference purposes)

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