title: Role of the nurse in returning birth to the North.
abstract: With the colonization of the Americas came the eventual stigmatization of Aboriginal women and their traditional birthing methods. Gradual introduction of Western ideology and medicine led to government pressure to medicalize birth. Women were eventually flown to southern hospitals with immediate medical and surgical services available to ensure 'safer' deliveries and thereby improve serious maternal and infant morbidity and mortality statistics that were becoming too obvious to ignore. This process led to devastating consequences for women and families, which are still being felt today. The history of colonization of birth for Aboriginal families is discussed, with current strategies to alleviate this suffering in the north. Proposals for change from the Society of Obstetricians and Gynecologists of Canada (SOGC) are discussed. The role of the nurse is described, including being culturally competent, fostering an environment of respect, dispelling myths and stereotypes, ensuring research involving Aboriginal peoples is done ethically, and promoting pursuing a career in health care.
authors.affiliation: McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada. wrighal@mcmaster.ca.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Wright
mesh_terms: D002170:Canada; D054521:Cultural Competency; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D004930:Inuit; D009722:Nurse Practitioners; D024802:Nurse's Role; D036801:Parturition; D012424:Rural Population
keywords: Colonisation; Cross-cultural Safety; Ethics; Health Service reform; Human Rights and Ethics; Maternal and Child Health; North America; Nursing; Professional conduct; Traditional Healers; Women's Health