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.
Keywords
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Article info
Publication history
Published online: June 28, 2019
Accepted:
June 13,
2019
Received in revised form:
June 13,
2019
Received:
April 10,
2019
Identification
Copyright
© 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
