http://www.perinatalservicesbc.ca/Documents/Resources/SystemPlanning/Rural/SafetyRuralMaternityServicesWithoutLocalAccessCsection_2015.pdf
This is an applied policy research review asking the question “What is the relative safety of rural maternity health services without local access to caesarean section?”. I chose this research article to further understand the gaps in health care delivery that Indigenous women (especially in rural areas) experience.
Some key takeaways from this study that are required:
1.Skilled and confident maternity care providers with an understanding of the contextual realities of supporting childbirth in a low-resource setting;
2. Local maternity services must correspond to population need. Where higher resourced maternity services can be sustained, primary maternity without surgical support is not a replacement.
3. The primacy of birth for families, communities and the health system, where birth is the most common reason for hospitalization
4. That patient centred care means a health system that matches both the health needs and values of the people using the system
5. That risk and safety each have many definitions and perspectives, all of which must be considered when optimizing health system outcomes.