Abstract:
INTRODUCTION:This study considered the views and experiences of 85 rural women, most of whom gave birth in two regional South Australian hospitals. METHOD:This descriptive survey used a validated questionnaire, modified for use in rural South Australia, which included open-ended questions to invite further comment. Women were invited to participate while in hospital after giving birth and those who agreed (n = 136) were mailed a questionnaire 6-8 weeks after the birth. Data were collected on demographic and other information including: age, smoking status, model of antenatal and birth care, birth method, women's views of their care in pregnancy, labour and after the birth, breastfeeding uptake and continuance rates, and prevalence of possible depression after birth using the Edinburgh Postnatal Depression Scale. Non-identifiable data were described using descriptive statistics and analysed using t-tests, 2 x 2 contingency tables and relative risks, as appropriate. Where available, comparisons were made with other rural and South Australian data. Qualitative data were themed by consensus. RESULTS:Eighty-five women (63%) returned a completed questionnaire. Rates of spontaneous vaginal birth were significantly lower in the study than for 5257 South Australian rural residents who gave birth in 2006 (n = 38, 45% vs 3057, 58%). While caesarean rates overall were similar, elective caesarean rates were higher (25% vs 15%), while fewer study women smoked throughout pregnancy (9% vs 24%). Overall, women in the study rated their care as 'very good' for antenatal care(59%), for labour and birth care (73%) and postnatal care (53%). More women stayed in hospital for 5 days or more than South Australian women overall (53% vs 40%). Open-ended comments confirmed reasons that were related to their choice. Breastfeeding was commenced by 95% of the women and 69% were breastfeeding at 6 weeks. CONCLUSIONS:The findings confirm Victorian rural women's ratings, and further highlight that in the postnatal period women often feel left to manage on their own, and are less than happy with their care.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Guest ML,Stamp GEsubject
Has Abstractpub_date
2009-07-01 00:00:00pages
1101issue
3issn
1445-6354pii
1101journal_volume
9pub_type
杂志文章abstract::The poor health of Indigenous Australians is highlighted by the fact that their life expectancy is 17 years less than that of non-Indigenous Australians. The cause of this health disparity is multifactorial, and includes the under use of health services and medications. Distance, cost, and embarrassment, or fear of se...
journal_title:Rural and remote health
pub_type: 杂志文章,评审
doi:
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH4709
更新日期:2018-11-01 00:00:00
abstract::FPA Health (Family Planning NSW) has conducted two integrated clinical and health promotion projects with Aboriginal communities in western NSW, Australia. The first was in Coonamble, a small rural community which had been selected as a pilot site for the Royal Australian College of General Practitioners Women's Abori...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:INTRODUCTION:This article describes the use and effectiveness of the participatory action research (PAR) framework to better understand community members' perceptions and risks of pandemic influenza. In 2009, the H1N1 influenza pandemic affected Indigenous populations more than non-Indigenous populations in Oceania and...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:The safe and effective application of psychomotor skills in the clinical environment is a central pillar of the health professions. The current global coronavirus pandemic has significantly impacted health professions education (HPE) and has been of particular consequence for routine face-to-face (F2F) skill ed...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH6132
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:Internationally, nurse-led models of telephone triage have become commonplace in unscheduled healthcare delivery. Various existing models have had a positive impact on the delivery of healthcare services, often reducing the demand on accident and emergency departments and staff workload 'out of hours'. Our...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:INTRODUCTON:The key parameter for rural clinical schools (RCSs) is to provide at least 1 year of clinical training in rural areas for 25% of Australian Commonwealth supported medical students with the intent to influence future rural medical workforce outcomes. The objective of this study was to describe the associatio...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2016-10-01 00:00:00
abstract:INTRODUCTION:With the ability to diagnose malaria with rapid diagnostic tests (mRDT), interest in improving diagnostics for non-malarial fevers has increased. Understanding how health providers diagnose and treat fevers is important for identifying additional tools to improve outcomes and reduce unnecessary antibiotic ...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH4818
更新日期:2019-06-01 00:00:00
abstract:CONTEXT:Diabetes mellitus is a healthcare burden in India. Seventy-four percent of India's population lives in rural areas with limited access to healthcare resources. Telemedicine can play a big role in screening people with diabetes at grassroots level. In the telescreening model, single field 45-degree photographs a...
journal_title:Rural and remote health
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2014-01-01 00:00:00
abstract:CONTEXT:People living in rural and remote areas have been found to suffer higher rates of mental illness and psychological distress than their urban counterparts. However, rural and remote Australians also suffer from a lack of specialist mental health services. Mental health consumers are concerned about the lack of a...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:Rural health workforce issues are a priority area for the Australian Government and substantial funding has been provided for rural education programs to address health workforce disparities across Australia's rural and remote communities. The Australian Government established a Rural Health Strategy in 20...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION:Hokianga Hospital is a small rural hospital in the far north of New Zealand serving a predominantly Maori population of 6500. The hospital, an integral part of a comprehensive primary healthcare service, provides continuous acute in-hospital and emergency care. Point-of-care (POC) biochemistry has been ava...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH4934
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION:There has been no research exploring the financial impact on the live renal donor in terms of testing, hospitalisation and surgery for kidney removal (known as nephrectomy). The only mention of financial issues in relation to live renal transplantation is the recipients' concerns in relation to monetary pa...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:Skin infections including scabies and impetigo have a high burden and cause significant morbidity in remote Aboriginal communities in Australia. Nevertheless, there is limited knowledge about community, healthcare practitioner and service provider perspectives on skin infections and treatment preferences. ...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH5227
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION:The next influenza pandemic is predicted to disproportionately impact marginalized populations, such as those living in geographically remote Aboriginal communities, and there remains a paucity of scientific literature regarding effective and feasible community mitigation strategies. In Canada, current pan...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION:The community care philosophy in Australia has led to a number of older people remaining in their own homes, dependant on others for the majority of their care needs. A small number of older people being cared for by a family member or friend will move into residential aged care facilities for full-time ca...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:In mid-July 2010 flash flooding in Pakistan destroyed the basic water, environmental sanitation and livelihood infrastructures in 82 districts. Two months later, the local press of Swat (northern Pakistan) reported that several residents of Marghazar town became ill and were hospitalized after drinking con...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:In Scotland, approximately 5% of out-of-hospital cardiac arrest patients survive to hospital discharge. Improving bystander cardiopulmonary resuscitation (CPR), especially in rural areas, could have a significant effect on the numbers of lives saved. The objective of this study was to systematically review...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH4772
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION:The views of health managers and physicians working in non-metropolitan areas of Western Australia (WA) were sought about which telehealth services are most needed. METHOD:Chief executives and nurse managers of rural hospitals were sent a simple, open-ended questionnaire and asked to consider the current ...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:Health worker shortages and maldistribution have important implications for the capacity of health systems. Ghana has one of the highest physician emigration rates in the world, and over 75% of those who remain work in Ghana's two largest cities. The aim of this study was to investigate the contribution of...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:St Mary's Hospital in Rehoboth, Namibia, attends to all individuals who have health problems that are considered serious by the community. The aim of this study was to describe the existing suicide management approach in Rehoboth. METHOD:Clinical charts of all patients who attended St Mary's Hospital Reho...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract:INTRODUCTION:The environmental degradation following crude oil exploration in the Niger Delta has resulted in poverty for local rural dwellers. For those who are ill, if herbal treatments and/or self-medication with orthodox drugs are unsuccessful, the only alternative is expensive medical treatment in clinics. Surgica...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:CONTEXT:Finding providers to work in the hospitals and clinics in the small towns of the USA is a significant struggle. In the traditional model, the primary care doctor sees patients in the inpatient setting in addition to a clinic practice. In the usual hospitalist model, providers specialize to work only in the inpa...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:10.22605/RRH4419
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Physician shortages in the USA, an issue that has been particularly challenging in Mississippi, have been a concern among health scholars and policy makers for several decades. Physician shortages hinder residents from easily obtaining routine care, potentially magnifying health disparities. This study exa...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:Ensuring access to oral health services is crucial for improving the oral health of rural and remote populations. A logical step towards addressing oral health disparities and underutilization of services in rural areas is to ensure the availability of the dental workforce. Geographical information systems...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:Smoke-free laws and the addition of graphic warning labels to cigarette packages represent public health policies that can potentially reduce smoking and smoking-related disease. The attitudes and beliefs relating to these policies were examined among residents of Ohio Appalachia, a mostly rural region wit...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:In Nepal, a number of private sector medical schools have opened recently; although sufficient numbers of doctors are graduating there continues to be a doctor shortage in rural areas. This article analysed the rural doctor shortage in Nepal and reviewed the international literature for strategies that may...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:In Italy the course to become a general practitioner (GP) lasts 3 years and includes both theoretical and practical study. Different from the theoretical part, until recently the practical activity has not been assessed at all. The Emilia Romagna Regional Health Authority has developed a special program ca...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION:Australia is the sixth largest country (in area) in the world with a total area of over 7.5 million km² (3 million miles²). To date much of the research and policy activity in the dental workforce has been based on simple statistical analysis including practitioner-to-population ratios; however, risks are ...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract:CONTEXT:Entry to practice medical programs (graduate- and undergraduate-entry) in Australia are under considerable pressure to provide clinical training as a result of increased student numbers. At the same time modern medical curricula require the development of active placements in expanded settings to achieve gradua...
journal_title:Rural and remote health
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00