Rural and remote obstetric care close to home: program description, evaluation and discussion of Sioux Lookout Meno Ya Win Health Centre obstetrics.

نویسندگان

  • J Dooley
  • Len Kelly
  • N St Pierre-Hansen
  • I Antone
  • J Guilfoyle
  • T O'Driscoll
چکیده

PROBLEM BEING ADDRESSED Aboriginal and non-Aboriginal women in rural and remote settings struggle to access obstetric care close to home. Objective of the program: To deliver a full range of modern and safe obstetric care to 28 remote Aboriginal communities served by rural-based health care. PROGRAM DESCRIPTION Rural family physicians provide intrapartum, cesarean delivery and anesthesia services to 350 rural, primarily Aboriginal women in a collegial, supportive environment. CONCLUSION Rural and remote obstetric services need support before they fail. Patient volume, remote location and organizational culture are key elements. Evidence teaches us that outcomes are best when women deliver closer to home.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Acknowledging rural context, local and generalist care.

Sur and Loh are to be commended for their article on the management of a man disclosing crack cocaine use at a rural clinic.1 However, they do not elaborate on the rural context or acknowledge their recommendations’ potential limitations in rural Canada. Their guidance focuses on taking a history, ordering a battery of tests and referring to specialized services outside the primary care clinic....

متن کامل

Update on acute rheumatic fever: it still exists in remote communities.

OBJECTIVE To remind physicians who work with aboriginal populations of the ongoing prevalence of acute rheumatic fever and to review the recent evidence on presentation, treatment, and secondary prophylaxis. SOURCES OF INFORMATION The Cochrane Database of Systematic Reviews, MEDLINE, and EMBASE were searched from 1996 to 2007 with a focus on prevention, epidemiology, and disease management. C...

متن کامل

Prevalence of Helicobacter pylori in a First Nations population in northwestern Ontario.

OBJECTIVE To assess prevalence of Helicobacter pylori infection, reasons for referral for gastroscopy, and clinical findings of gastroscopy in a symptomatic First Nations population in northwestern Ontario from 2009 to 2011. DESIGN Three hundred four hospital charts of symptomatic patients who underwent upper endoscopy between June 2009 and March 2011 were reviewed. SETTING Meno Ya Win Heal...

متن کامل

High Incidence of Invasive Group A Streptococcal Infections in Remote Indigenous Communities in Northwestern Ontario, Canada

BACKGROUND Worldwide, indigenous populations appear to be at increased risk for invasive group A streptococcal (iGAS) infections. Although there is empirical evidence that the burden of iGAS disease is significant among remote First Nations communities in Northwestern Ontario, Canada, the epidemiology of iGAS infections in the area remains poorly characterized. METHODS Individuals that met ca...

متن کامل

The evolving nature of narcotic use in northwestern Ontario.

Narcotic use in pregnancy has been a noticeable clinical development con­ fronting the nursing and medical staff at the Sioux Lookout Meno Ya Win Health Centre.3 This regional mater­ nity centre provides prenatal services and obstetric services to a catchment area of 28 000 primarily First Nations people.4 The services include 400 de­ liveries annually. Narcotic use during pregnancy became a cl...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

دوره 14 2  شماره 

صفحات  -

تاریخ انتشار 2009