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Antenatal, labour, and delivery care for Māori: experiences, location within a lifecourse approach, and knowledge gaps

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Authors:
Summary:

These researchers reviewed the literature on antenatal care and care during labour and delivery for Māori, as well as accounts detailing Māori experiences, with particular reference to access and knowledge gaps. They also considered the links between access to care and health outcomes for Māori babies from a life course perspective. The paper reports that many gaps exist in our knowledge of antenatal, labour and delivery care, and birth outcomes for Māori. What is known is that, compared to other women, Māori women have much greater maternity care needs and that also, inequalities in birth outcomes between Māori and non-Māori persist. This review highlights the need to better understand the extent, causes of, and how to address ethnic inequalities in receipt of antenatal, labour, and delivery care. The reviewers go on to advise that research is also required to understand the causes of inequalities in birth outcomes for Māori, and what constitutes optimal antenatal care for Māori from a life course perspective.

Comment:
Great follow-up to a couple of internationally-based papers in the previous issue of Māori Health Research Review on the acute and long-term impacts of antenatal and birth care. Here we see the issues for Māori mama, pepi and whānau.
Reference: Pimatisiwin: a journal of Aboriginal and Indigenous community health 2013;10(3):353-66
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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