Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge

We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH...

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Bibliographic Details
Published in:International journal of circumpolar health 2022-12, Vol.81 (1), p.2090066-2090066
Main Authors: Doherty, Sean, Asghari, Shabnam, Heeley, Thomas, House-Denine, Marissa, Hall, Amanda, Swab, Michelle
Format: Article
Language:English
Subjects:
Canada - epidemiology
Cervix
childbirth
Female
Grey literature
Health services
Hemorrhage
Humans
indigenous
Injuries
Inuit
Maternal & child health
Native North Americans
Native peoples
Nursing
Pacific Islander people
Placenta
Postpartum haemorrhage
Postpartum Hemorrhage - epidemiology
Postpartum Hemorrhage - prevention & control
Review (Scoping and Systematic)
Risk factors
rural
Rural areas
Rural health care
Rural Population
Trauma
Vagina
women's health
Womens health
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Summary:We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH incidence, risk factors, or maternal outcomes published from inception to 11 January 2021. Eleven articles were deemed relevant after screening and quality assessment using the National Institutes of Health scoring system for mixed study reviews. Of these, 3 articles were good quality, 1 was fair, and 7 were poor. Nine possible risk factors were recorded. The outcomes studied were transfusion, hysterectomy and mortality. PPH research in rural Indigenous women is scarce, mostly low quality and fails to represent most Indigenous cultures and countries. Women from Indigenous groups in rural Canada, Australia and the USA are at higher risk for PPH but specific risk factors are unknown. While widely differing populations made the data difficult to synthesise, this inaugural scoping review highlights a need for further research and increased obstetrical resources in areas where rural Indigenous women reside.
ISSN:2242-3982
1239-9736
2242-3982
DOI:10.1080/22423982.2022.2090066