Table 3.
Characteristics of included studies.
| Country | Study, Year | Region | Circumpolar Region | Published | Study Design | Data source | Population | Comparison Groups | Population |
Outcome Assessed |
Quality | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rural-Dwelling | Rural Delivery | Sample Size | Incidence | Maternal Outcomes | Risk Factors | ||||||||||
| Australia | Kildea 2016 | Northern Queensland | Y | Ambi-directional cohort | Medical records | Remote-dwelling Aboriginal women with deliveries > 20 weeks or 400 g | New model of care vs. old model of care | 100% | 10% | 695 deliveries | Y | Good | |||
| Humphrey 2003 | Northern Queensland | Y | Retrospective cohort | Medical records | Women with singleton deliveries | Indigenous women vs. non-Indigenous women | 80%* | 0% | 4823 aboriginal women | Y | Fair | ||||
| Canada | Tarlier 2013 | Unspecified | Y | Retrospective Cohort/ Ethnographic | Medical records | Women with deliveries over 2 years | First Nations women with deliveries vs. Optimal health outcomes in maternal and infant health | 100% | No data | 63 deliveries | Y | Y | Poor | ||
| Van Wagner 2012 | Nunavik (Northern Quebec) | Y | Y | Retrospective cohort | Medical records | Women with deliveries between 2000 and 2007 from Hudson Coast of Nunavik | None | 100% | 86.60% | 1168 deliveries | Y | Y | Poor | ||
| Carignan 1993 | Nunavik (Northern Quebec) | Y | Hybrid (cohort and cross-sectional | Medical records & Questionnaire | Women with deliveries in 1989 from Hudson Coast of Nunavik delivering | None | 100% | 84.80% | 347 deliveries | Y | Y | Poor | |||
| Murdoch 1979 | Nunavut | Y | Y | Retrospective cohort | Medical records | Inuit women with deliveries in 1 region over 23 months and in a 2nd region over 12 months | Risk factors for Baffin zoned women between 1976–1977 | 100% | 88.20% | 414 deliveries | Y | Poor | |||
| Basket 1978 | Nunavut | Y | Y | Retrospective cohort | Medical records | Inuit women with deliveries | Keewatin Inuit women vs. North-West Territories Inuit Women vs. Canadian Women | 100% | 89.30% | 622 deliveries | Y | Y | Poor | ||
| Thomas 1968 | British Columbia | Y | Case series | Vital statistics/ medical records | Maternal deaths among native BC Indians from 1955–1965 | Indian women vs. non-Indian women | Unspecified | Unspecified | 26 maternal deaths | Y | Y | Poor | |||
| Carpenter 1965 | British Columbia | Y | Case Series | Provincial vital statistics | Maternal deaths from 1955–1962 | Native Indian women vs. Population at large | Unspecified | Unspecified | 145 maternal deaths | Y | Y | Poor | |||
| USA | Chalouhi, 2015 | New Mexico | Y | Retrospective cohort | Medical records | Women with singleton term deliveries | Native American women vs. non-Native American women (Hispanic, White, Middle Eastern, Asian, Black) | Unspecified | Unclear – Hospital in Galluq (population 20,000) | 1062 women | Y | Y | Y | Good | |
| Fenton, 2005 | Southwest | Y | Retrospective cohort | Medical records | Rural American Indian women with deliveries | American Indian women who received AMTSL vs. American Indian women who received routine management of the third stage of labour | 100% | 100% | 176 women | Y | Y | Y | Good | ||
Y:Yes; Blank:No