Carmel Davies

Australian Aboriginal kinship: a means to enhance maternal well-being.

BACKGROUND The relocation of women from their rural communities to birth in a centralised hospital is becoming increasingly common as maternity units close in rural areas of Australia. The significance for Aboriginal women when they are denied the support of kin around the time of birth but have that support re-established postnatally is explored. METHODS This paper gathered data from multiple sources including in-depth interviews with three Aboriginal mothers and one partner; observational field notes; and during debriefing, the knowledge and experience of an Aboriginal midwife. Thematic analysis was utilised to both explore and critique the collected data. FINDINGS AND DISCUSSION Aboriginal women are particularly disadvantaged by maternity unit closures in rural areas of the south eastern Australian state of New South Wales (NSW). However, contrary to the expectation that this would result in postnatal mental health problems, the support the Aboriginal participants in this study received from kin may have had a mediating effect which enhanced their well-being and possibly prevented mental ill health. RECOMMENDATIONS Recommendations relate to strategies and policies that have the potential to increase community governance and feelings of cultural safety for Aboriginal childbearing women living in rural areas. CONCLUSION While the practice of forcing Aboriginal women to relocate around the time of birth has a negative impact on perinatal health outcomes, kinship support may be a mediating factor.

Rural nursing : the Australian context

The Australian rural environment is unique, diverse and challenging for nurses who are the most significant providers of health care in this context. Rural Nursing: the Australian Context provides readers with an understanding of the knowledge and skills required to practise in rural locations and communities. This book includes chapters on pregnancy, parenting, childhood, adolescence, adulthood, ageing and mental health. It examines rurality, population and health demographics, and the different practice opportunities available in rural settings. The authors outline the importance of having well-established professional networks and encourage readers to develop practice skills in response to a particular community. Each chapter features a vignette, reflective questions and a list of websites for further reading. Written by a team of academics and practising rural nurses, Rural Nursing will equip nursing students with the confidence to provide high-quality health care in a range of practice settings.