Higher Pregnancy Complications For Rural Women In Canadian Health System Essay.

You will Research the health issue discussed in your selected article to develop some expertise in this area. Review Hales and Lauzon (2015) and course materials (Foster & Davison, 2015) as well as other resources (e.g., government reports, scientific journal articles) beyond these course materials. Some areas to examine include descriptions of the issue, recent trends, people most commonly affected by the issue, and how the issue impacts the Canadian health and/or social systems.

The selected article is focused on expecting mothers in rural areas, who are more likely to experience complication (Grant, 2016). This news article demonstrates the reason behind the higher chance of complications of mothers, who live in rural areas, during pregnancies and deliveries. I got this news article from the Globe and Mail, which was published last year on September 26, 2016. The paper analyzed the birth rate between 2005 and 2010. The study found that among approximately 256,220 British Columbia women, 10 % were living in rural areas, who had two-fold higher rates of serious complications such as eclampsia, obstetric embolism and uterine rupture compared to the urban and suburban women (Canadian Institute for Health Information, 2013).

Sarka Lisonkova, a faculty of the Department of Obstetrics and Gynecology at the University of British Columbia revealed that there were a significant gap among the occurrence of life threatening disease among urban and rural pregnant women (Grant, 2016). She hypothesized that Provincial women have both a harder time to get prepared for USG and avail for health care facilities, as they had to travel a significant distance for that. Other reasons behind the issue are higher rates of teenager pregnancy, smoking, substance abuse and endless restorative conditions. Instead of controlling these variables study still discovered country moms had a higher probability of misery confusions. Dr. Lisonkova focused on that the general rate of extreme issues related to pregnancy and delivery, which is low. She depicted that unlike the normal mothers, they are having a scourge of life debilitating maternal conditions (ontariomidwives.ca, 2015). In addition, she revealed that women living in countryside have a higher risk. In light of these issues females are possibly facing environmental or other challenges; for which, they should be more carefully observed and inspected (Grant, 2016). Numerous well meaning individuals and the leader of the Society of Obstetricians and Gynecologists of Canada, George Carson, likewise concur that the human services framework should be especially attentive about how it mitigates perils for pregnant women in remote parts of BC (Grant, 2016).

An examination from the Canadian Institute for Health Information found that over 17% of women from provincial territories, i.e. NWT travelled longer than two hours to reach a clinic where they delivered their infants, compared to urban women, only 1 % of them travelled two hours.  I suggest you contact the AU write site for help on how to write a paper. Another report discharged today by the Canadian Institute for Health Information (CIHI) investigated the rural areas for infant size and rates of pre-term birth, where she revealed significant gap within provincial and urban women, availing doctor's facilities. In Canada, it has been revealed that the visit to physician’s clinic, in case of rural women, depends upon the distance between their residence and physician’s clinic. For instance, over 80% of women from countryside region, traveled two hours of more to reach a clinic for their delivery (Grant, 2016).  

The Vice President of Western Office and Developmental Initiatives Anne McFarlane, CIHI's said that "there are special contrasts in urban and provincial birth encounters. By comprehending them, health and wellbeing organizers should analyze their frameworks of care to ensure all moms and children across Canada have the best health outcomes" (Grant, 2016).

Factors contributing to higher risk of complications

The kind of social insurance suppliers going to birth fluctuates as indicated by another exploration from the CIHI's assembled information that women from rural areas were more likely than urban women to have their infants delivered by a family doctor and less prone to have a delivery by an obstetrician/gynecologist (OB/GYN) or maternity specialist. Additionally, differences in Cesarean area suppliers for rural women were likewise observed. Rural women were 13 times more prone to have their Caesarean delivery performed by a family doctor or general specialist. In contrast, Caesarean delivery for urban women was done to by an OB/GYN. Another exploration was similarly found that infants to rural and urban moms tend to have equivalent results. As indicated by CIHI'S report it was analyzed and found that children from rural women will probably be huge for gestational age, which can prompt to longer work times and expanded odds of requiring a (Cesar ontariomidwives.ca, 2015). Babies with rural mothers were additionally less prone to be little for gestational age, which can in some cases lead to development related issues for children (Grant, 2016). Rural and urban ladies had comparative rates of preterm birth before 37 weeks of gestation. Rural women who delivered in an urban healing facility were three times more prone to have preterm babies than rural women, who delivered in a rural doctor's facility.

The news article and research connect the course content as far as wellbeing and legitimate direction from a specialist. For instance, in the article from the globe and mail, it was expressed that rural areas have higher rate of smoking, robustness and substance abuse, which can bring about an unsuccessful labor. It additionally states in the course reading material that, while having issues with your delivery and nourishment, it's essential to get adequate care. Being overweight, having an ineffectively controlled condition, for example, diabetes or hyperthyroidism can expand the probability of unnatural birth cycle (ontariomidwives.ca, 2015). These issues were discussed under the course content from weight and nourishment. Some diseases can lead to unsuccessful labor, if experienced during pregnancy (Canadian Institute for Health Information, 2013). These include listeriotic and toxoplasmosis, sexually transmitted contaminations, like, syphilis, and conditions that promote hormone secretion leading to disorders like, polycystic ovaries, are similarly connected to late pregnancy miscarriage. Moreover, instance smoking, overwhelmed drinking and consuming cocaine enhance the chance of miscarriage. Consuming caffeine excessively similarly increase this hazard (Grant, 2016).  

These issues are additionally related with this course unit, which is regenerative decisions and pregnancy. The above areas similarly cover the unit from difficulties in pregnancy, ectopic pregnancy, unnatural birth cycle, diseases, and long working hours. It additionally tells how a mother can know about their own wellbeing, know precisely what to do, what preliminary steps should a mother do for well being of the child and how to promote a healthy labor (Grant, 2016). The article from the globe and mail says that Women living in rural areas don't have regular checkups including USG, through which unnatural signs of fetus growth can be revealed. Based on the information revealed form USG, care givers can set up care plan towards a healthy delivery.  

The strengths and limitations of the article from the globe and mail were that it was simple and framed in a logical way; it demonstrated some evidence and insights from previous literatures on the issue, the article additionally brought up direct data from urban and rural region of expecting mothers and their pregnancy measurements, further it analyzed and differentiate why rural region women have a higher possibility of complications during pregnancy and in delivery time. The article additionally clarifies how socio-economic factors affect countryside residents don't reach the urban area clinics for their standard checkups. It explained how mothers can have a successful pregnancy and delivery(Grant, 2016). The limitations in this article were that it was generally limited to British Columbia Canada; it did not have data demonstrating the reasons behind the significant gap in the society. Rather, it just worked on the basis of information from experts in social insurance industry or specialists not the victims (Canadian Institute for Health Information, 2013).

Distance as an obstacle to prenatal care in rural areas

The article kept favouring how the urban areas are better in health facilities. Thus, from a reader’s point of view, it is more likely to be a paper concentrating on urban areas. For example in the article it was stated that “If women don’t have their babies in the community, the only reason anybody goes to hospital is to die” I personally disagree with statement because I know many friends and family who live in the rural areas but still go out to the local rural hospitals for their checkups; I know many of my friends and cousins who were born in rural areas. I also believe that this article is encountering the rural culture and believes, because I know that in rural areas people have different approaches to life, lifestyle, perceptions, family involvement etc (Grant, 2016). For example, in the news article it was stated that “It takes away the balance; it takes away a lot of the vitality of a community if one goes out from the community to deliver a baby, the establishment of new families, out of the community”. According to me, in rural areas there is a lot of competition for having babies; as people, who live in rural areas have larger family and more children, compared to urban areas. At the end of this news article was written in a way that was stated that more than 40 delivery units have closed down in rural areas and small towns in the last decade. The reason of the closure was the lack of health care staffs, specialists and financial resources. Other units completed few deliveries, which made the workers afraid of maintaining patient safety at the given condition (Chai, 2013). This created a significant problem in the rural areas because many people and mothers cannot come to urban regions for their checkups or even in delivery. If the author really wanted to make a statement that living in rural areas for expecting mothers or new born puts them at risk the article should have provided more information on facts from health officials, like doctors, nurses or caretakers, and most importantly the residents who have given birth in rural areas (Chai, 2013). The article could have given facts from the health organization itself relating to pregnancy, complications, miscarriage and the delivery procedure as well as data about newborns, if they are likely to have a disease or health issues. At this point, the article showed preferences to urban areas versus the rural areas, though author should be neutral. Another issue I noted in this article while reading is, it only sated rural areas facts and lacks urban areas facts about pregnancy success and failure rates. Also in some parts, it included some facts, without justifying those statements (Grant, 2016). Readers nowadays look for evidence, facts which, they can relate and rely on. The news article has a study time frame, from when the research data were collected to test differences in maternal outcomes between urban and remote areas’ expecting mothers in British Columbia. Also the facts and research were only based on British Columbia city and rural areas of BC and not the rest of the provinces, major cities and rural. The author should have provided at least one to two examples from different areas in Canada like it did for British Columbia (Chai, 2013). 

The overall opinion regarding this article is that it is easy to read and follow up with the issue, the facts that are represented, clearly states what the issue is and why it is a concern for Canada’s health care system; it provides the readers awareness on the issue. The accuracy is that when information is given, the resources are also provided, for resolving further queries of readers, which has been done in this article. The article did not analyze the issue from depth, but focuses on the main points and issues. This article aimed to spread awareness of rural areas pregnancy in terms of what are the risks involved in rural areas and how it can be better managed. In conclusion, after it lists all the possible outcomes at the end of the article, it tells the audience how complications in pregnancy can be prevented regardless if you are living in urban or rural area, which summaries all the issues for the reader or anyone, who is experiencing or will be experiencing pregnancy in future.  

References 

Canadian Institute for Health Information,. (2013). Hospital Births in Canada: A Focus on Women Living in Rural and Remote Areas. secure.cihi.ca. Retrieved 30 March 2017, from https://secure.cihi.ca/free_products/Hospital%20Births%20in%20Canada.pdf

Chai, C. (2013). Moms in rural Canada face challenges in access, resources for delivering babies: report. Global News. Retrieved 30 March 2017, from https://globalnews.ca/news/693426/moms-in-rural-canada-face-challenges-in-access-resources-for-delivering-babies-report/

Grant, K. (2016). Expecting mothers in rural areas more likely to suffer complications: study. The Globe and Mail. Retrieved 30 March 2017, from https://www.theglobeandmail.com/news/national/expecting-mothers-in-rural-areas-more-likely-to-suffer-complications-study/article32051292/

ontariomidwives.ca,. (2015). Rural and Remote Maternity Care in Ontario: Analysis and Recommendations. Association Of Ontario Midwives.