title: The role of support person for Ngaanyatjarra women during pregnancy and birth.
abstract: BACKGROUND
  This study took place in a remote community on the Ngaanyatjarra Lands, Western Australia. Ngaanyatjarra women's cultural practices have been subject to erosion during the past 70 years. Women are now expected to birth hundreds of kilometres from home and, due to financial barriers, without family support. Older women lament their lack of input into, and control of, contemporary birthing services.
  
  
  OBJECTIVE
  In order to provide culturally appropriate maternity services we asked: What issues would the Ngaanyatjarra women of the community like to see resolved in the area of antenatal and birthing services?
  
  
  METHODS
  Eligible participants were any Ngaanyatjarra women of the study community who had birthed at least once. We utilised a participatory research methodology. 36 women were interviewed.
  
  
  RESULTS
  This paper discusses one finding related to support for child-bearing women. The role is important in many ways. Ngaanyatjarra women did not traditionally have their support persons with them during labour and birth, nor do they necessarily expect them to be present in current times. Most women do, however, wish to have a support person with them during antenatal checkups and when they travel to town to await birth.
  
  
  CONCLUSIONS
  Aboriginal women from remote communities should be able to have a support person with them when they access regional birthing services, but the nature of this role must not be assumed. A culturally appropriate service has input from the community, provides options and respects choices.
authors.affiliation: Queensland Institute of Medical Research, Post Office Royal Brisbane Hospital, Q 4029, Australia. donnasimmonds@bigpond.com
authors.forename: Donna M
authors.initials: DM
authors.lastname: Simmonds
authors.forename: Lalla
authors.initials: L
authors.lastname: West
authors.forename: Julie
authors.initials: J
authors.lastname: Porter
authors.forename: Melva
authors.initials: M
authors.lastname: Davies
authors.forename: Carol
authors.initials: C
authors.lastname: Holland
authors.forename: Annie
authors.initials: A
authors.lastname: Preston-Thomas
authors.forename: Peter K
authors.initials: PK
authors.lastname: O'Rourke
authors.forename: Annie
authors.initials: A
authors.lastname: Tangey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055812:Community-Based Participatory Research; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D008427:Maternal Health Services / Q000458:organization & administration*; D008875:Middle Aged; D008880:Midwifery; D036801:Parturition / Q000208:ethnology* / Q000523:psychology; D011247:Pregnancy; D012111:Residence Characteristics; D012424:Rural Population; D012944:Social Support; D014904:Western Australia; D055815:Young Adult