Cultural safety and maternity care for Aboriginal and Torres Strait Islander Australians.
OBJECTIVE
To discuss cultural safety and critique the provision of culturally appropriate maternity services to remote Aboriginal and Torres Strait Islander women in Australia.


METHODS
The literature and policies around 'culture' and 'cultural safety' are discussed and applied to the provision of maternity services to Aboriginal and Torres Strait Islander women in remote areas of Australia.


RESULTS
The current provision of maternity services to Aboriginal and Torres Strait Islander women, particularly those living in remote Australia, appears largely inadequate. The provision of culturally safe maternity care requires health system reform at all levels including: the individual practitioner response; the educational preparation of practitioners; the delivery of maternity services and the development of policy at local, state and national level. This paper considers the changes that can be made from the individual practitioner through to the design and implementation of maternity services.


CONCLUSIONS
Cultural safety provides a useful framework to improve the delivery of maternity services to remote Aboriginal and Torres Strait Islander women and their families.
Kruske
Sue
S
Graduate School for Health Practice, Institute of Advanced Studies, Charles Darwin University, Darwin, NT 0909, Australia. sue.kruske@cdu.edu.au
Kildea
Sue
S
Barclay
Lesley
L
D001315:Australia; D003466:Cultural Characteristics; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006297:Health Services Accessibility / Q000458:organization & administration; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008429:Maternal Welfare / Q000208:ethnology*; D011787:Quality of Health Care / Q000458:organization & administration; D019035:Rural Health Services / Q000458:organization & administration; D000095283:Australian Aboriginal and Torres Strait Islander Peoples