‘Choice, culture and confidence’: key findings from the 2012 having a baby in Queensland Aboriginal and Torres Strait Islander survey

Parker, Susan, McKinnon, Loretta and Kruske, Sue (2014) ‘Choice, culture and confidence’: key findings from the 2012 having a baby in Queensland Aboriginal and Torres Strait Islander survey. BMC Health Srvices Research, 14 1: . doi:10.1186/1472-6963-14-196


Author Parker, Susan
McKinnon, Loretta
Kruske, Sue
Title ‘Choice, culture and confidence’: key findings from the 2012 having a baby in Queensland Aboriginal and Torres Strait Islander survey
Journal name BMC Health Srvices Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2014-05-01
Year available 2014
Sub-type Article (original research)
DOI 10.1186/1472-6963-14-196
Open Access Status DOI
Volume 14
Issue 1
Total pages 12
Place of publication London, United Kingdom
Publisher BioMed
Collection year 2015
Language eng
Formatted abstract
Background
To describe the maternity care experiences of Aboriginal and/or Torres Strait Islander women in Queensland, Australia and to identify areas for policy and practice improvements.

Methods
A culturally-tailored survey requesting both quantitative and qualitative information was completed by respondents either independently (online or in hard copy) or with the assistance of a trained peer-interviewer. Data were analysed using descriptive statistics and thematic analysis.

Eligible women were over 16 years of age, identified as Aboriginal and/or Torres Strait Islander, resided in Queensland, and had a live, singleton birth between the first of July 2011 and the first of July 2012.

Results
187 women of 207 respondents were included in analyses. Women reported high rates of stressful life events in pregnancy, low levels of choice in place of birth and model of care and limited options to carry out cultural practices. High levels of confidence in parenting were also reported. Women were less likely to report being treated with kindness, understanding and respect by maternity care staff than women answering a similar mainstream survey.

Conclusions
Aboriginal and Torres Strait Islander women have additional needs to mainstream Australian women. This study identified a number of recommendations to improve services including the need to enhance the cultural competence of maternity services; increase access to continuity of midwifery care models, facilitate more choices in care, work with the strengths of Aboriginal and Torres Strait Islander women, families and communities, and engage women in the design and delivery of care.
Keyword Birthing on country
Indigenous
Aboriginal
Torres Strait Islander
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number 196.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
 
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Created: Fri, 23 May 2014, 14:39:06 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work