The Pros And Cons Of C-Section Births

The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.

In general, Aboriginal health services are ineffective. This is due to a wide variety of factors, but mainly due to a lack of trust/cultural miscommunication which is a catalyst for many other factors. This lack of engagement is due to a variety of factors, such as lack of access to health care, lack of aboriginal representation in the health workforce, ect. Overall, the difference in mortality rates between indigenous and non-indogneous peoples proves to highlight the need in the health community to provide effective services for Aboriginal people.

Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is

Although the security of Australia is grateful, the social inclusion was disregarded. (In text) described the lack of interpreting services in Australian hospitals and an absence of personal and communal care impacted on their experiences giving birth. Frequently, normal births became confusing or difficult for the midwife to manage, and with a language barrier it can become exacerbated due to stress of the women. (In text) have researched in responses from the women’s culture can vary from healthcare to healthcare professionals, with younger women displaying preparedness to report and identify discrimination. They believe the problems lie within the health care, coupled with the inability of women who require attention, not within the healthcare system itself, but more likely individual social attitudes which are the women’s rights to be treated (in text). Stress, depression, hopelessness and feelings of hostility can play a part from the language barriers. Without understanding each other the midwife and women would not achieve a good professional relationship. Without the rapport, labour and birth is compromised by the frustrations on the midwife and women due to the language barrier. This compromised by the lack of verbal

The colonial occupation and subsequent oppression has a greatly impact to the health of indigenous population across Australia. There is still lapses in regards to biomedical and ethnomedical models of health that still needed to work on in order to provide the quality care that is culturally appropriate and acceptable by the indigenous

“The status of Indigenous health in contemporary Australia is a result of historic factors as well as contemporary socio-economic issues” (Hampton & Toombs, 2013, p. 1).

Carson, B., Dunbar, T., Chenhall, R. D., & Bailie, R. (2007). Social determinants of Indigenous health. Allen & Unwin.

The social determinants of health are described as the condition of daily living in which determines the individual’s chances of maintaining optimum health (Department of Health and Human Services 2015). In Australia, the health inequality between indigenous and non-indigenous Australians is noted by the World Health Organization (WHO) to have the largest disparity in the world (Markwick et al. 2014). Statistically, the life expectancy for indigenous Australians who are born in 2010-2012 is estimated to be 10.6 years lower when compared to non-indigenous Australians (Markwick et al. 2014). Social determinants such as employment and social exclusion may contribute to the major difference in the health status between the indigenous and non-indigenous Australians (Markwick et al. 2014). This essay will focus on discussing how having employment and social exclusion has led to the health inequalities between indigenous and non-indigenous Australians, and how indigenous healthcare nurses can address these determinants in the care they provide in the indigenous community setting.

Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).

The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is

Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . 2018. Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . [ONLINE] Available at: https://consultations.health.gov.au/indigenous-health/determinants/. [Accessed 14 April

Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).

Also, for reasons that are still being investigated in public health, poorer pregnant women are much more likely to be diagnosed with labor-inducing bacterial infections such as bacterial vaginosis or chorioamnionitis (inflammation of the fetal membrane) (Allsworth & Peipert, 2007; Dammann, Leviton, & Allred, 2000). In a study sample of over 3,700 women who participated in the National Health and Nutrition Examination Survey, the prevalence of bacterial vaginosis was higher in pregnant women who were living at (34%) or below (37%) the federal poverty level compared to those who were living above it (24%) (Allsworth & Peipert, 2007). Additionally, pregnant women in lower SES communities have been found to suffer from more chronic healthcare care conditions such as hypertension and diabetes which are highly associated with preterm birth and small gestational size (Nagahawatte & Goldenberg,

Bernadette Ward RN, Midwife, Grad Cert Ed, MPHandTM, MHlth Sci Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia. B.Ward@latrobe.edu.au Glenda Verrinder RN, Midwife, Grad Cert Higher Ed, Grad Dip Pub and Com Health, MHlth Sci Senior Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia.

Pregnant Aboriginal and Torres Strait Islanders women currently experience more illness, disability and injury than non Indigenous Australians pregnant women, and these avoidable health inequalities arise because of the circumstances in which the indigenous women grow, live, work and age. This essay will discuss the health Pregnant Aboriginal and Torres Strait Islander women in remote areas and how there health is impacted by social determinants of health. The first part of the essay will contain literature reviews on the relevance, authority, timeliness and perspective of five resources that contain information on pregnant aboriginal and Torres Strait Islander Women remote areas. The second Part of the essay with discuss the two critical