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Inunngorfik - connection to land, inuit culture and giving birth in Kalaallit Nunaat: pregnant women's and their families' perspectives on the centralization of delivery services.

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Τίτλος: Inunngorfik - connection to land, inuit culture and giving birth in Kalaallit Nunaat: pregnant women's and their families' perspectives on the centralization of delivery services.
Συγγραφείς: Olesen I; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland., Ingemann C; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland., Larsen CVL; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland., Ottendahl CB; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark., Rubin SE; Department of Public Health, University of Southern Denmark, Odense, Denmark., Bjerregaard P; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark., Jensen T; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland.
Πηγή: International journal of circumpolar health [Int J Circumpolar Health] 2026 Dec 31; Vol. 85 (1), pp. 2630454. Date of Electronic Publication: 2026 Feb 12.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9713056 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2242-3982 (Electronic) Linking ISSN: 12399736 NLM ISO Abbreviation: Int J Circumpolar Health Subsets: MEDLINE
Imprint Name(s): Publication: 2016- : Philadelphia, PA : Taylor & Francis
Original Publication: Oulu, Finland : International Union for Circumpolar Health and the Nordic Society of Arctic Medicine, [1997-
Ιατρικοί όροι (MeSH): Delivery, Obstetric*/adverse effects , Delivery, Obstetric*/psychology , Inuit*/psychology , Maternal Health Services*/organization & administration , Parturition*/ethnology , Parturition*/psychology , Pregnant People*/psychology , Pregnant People*/ethnology, Adult ; Female ; Humans ; Pregnancy ; Young Adult ; Greenland ; Qualitative Research
Περίληψη: In Kalaallit Nunaat (Greenland), childbirth is deeply embedded in cultural identity, community, and place. However, the centralization of maternity services increasingly requires pregnant women to travel away from their home communities to give birth, often alone and without familial support. This qualitative study explores the perspectives of 20 pregnant women and their families across the five health regions, using the Peqqissuserput model of Kalaallit Inuit health and wellbeing to understand sociocultural dimensions of health and well-being. Four key themes emerged: practicalities and birthing, being together or alone, family formation, and identity and sense of belonging. Findings reveal that centralization disrupts Kalaallit Inuit birth culture, diminishes the woman's role as the central figure, and leads to emotional distress, loss of shared family memories, and weakened community ties. In contrast, local births foster emotional support, cultural continuity, and a stronger sense of belongingness to the community for newborns. The study underscores that childbirth is deeply rooted in relational and cultural processes. Drawing on comparative Indigenous models, the findings advocate for culturally grounded, community-based maternity care that restores autonomy, strengthens family and intergenerational bonds, and preserves Inuit birthing practices in Kalaallit Nunaat.
References: Midwifery. 2000 Jun;16(2):116-22. (PMID: 11151547)
Int J Circumpolar Health. 2010 Dec;69(5):480-5. (PMID: 21073826)
J Midwifery Womens Health. 2007 Jul-Aug;52(4):384-91. (PMID: 17603961)
Int J Circumpolar Health. 2022 Dec;81(1):2071410. (PMID: 35491889)
Health Place. 2010 Jul;16(4):638-45. (PMID: 20171925)
Midwifery. 2016 Jul;38:63-70. (PMID: 27162166)
Can Fam Physician. 1993 Apr;39:781-8. (PMID: 8495136)
Women Birth. 2016 Apr;29(2):107-16. (PMID: 26363668)
Anthropol Med. 2010 Dec;17(3):301-13. (PMID: 21153964)
Women Birth. 2022 Feb;35(1):11-22. (PMID: 33714690)
Int J Circumpolar Health. 2004;63 Suppl 2:397-8. (PMID: 15736692)
Can J Rural Med. 2011 Fall;16(4):126-30. (PMID: 21955339)
Int J Circumpolar Health. 2019 Dec;78(1):1571385. (PMID: 30696379)
Health Hum Rights. 2021 Jun;23(1):213-224. (PMID: 34194214)
Women Birth. 2018 Dec;31(6):479-488. (PMID: 29439924)
Int J Circumpolar Health. 2006 Apr;65(2):117-32. (PMID: 16711464)
Midwifery. 2013 Nov;29(11):e79-88. (PMID: 23886547)
Contributed Indexing: Keywords: Health system; community-based care; cultural safety; identity; inuit; maternal health; sense of belonging
Entry Date(s): Date Created: 20260212 Date Completed: 20260707 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC12912237
DOI: 10.1080/22423982.2026.2630454
PMID: 41680968
Βάση Δεδομένων: MEDLINE
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  Data: Inunngorfik - connection to land, inuit culture and giving birth in Kalaallit Nunaat: pregnant women's and their families' perspectives on the centralization of delivery services.
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  Data: <searchLink fieldCode="AU" term="%22Olesen+I%22">Olesen I</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland.<br /><searchLink fieldCode="AU" term="%22Ingemann+C%22">Ingemann C</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland.<br /><searchLink fieldCode="AU" term="%22Larsen+CVL%22">Larsen CVL</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland.<br /><searchLink fieldCode="AU" term="%22Ottendahl+CB%22">Ottendahl CB</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Rubin+SE%22">Rubin SE</searchLink>; Department of Public Health, University of Southern Denmark, Odense, Denmark.<br /><searchLink fieldCode="AU" term="%22Bjerregaard+P%22">Bjerregaard P</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Jensen+T%22">Jensen T</searchLink>; Centre for Public Health in Greenland, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.; Greenland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik - University of Greenland, Nuuk, Greenland.
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  Data: In Kalaallit Nunaat (Greenland), childbirth is deeply embedded in cultural identity, community, and place. However, the centralization of maternity services increasingly requires pregnant women to travel away from their home communities to give birth, often alone and without familial support. This qualitative study explores the perspectives of 20 pregnant women and their families across the five health regions, using the Peqqissuserput model of Kalaallit Inuit health and wellbeing to understand sociocultural dimensions of health and well-being. Four key themes emerged: practicalities and birthing, being together or alone, family formation, and identity and sense of belonging. Findings reveal that centralization disrupts Kalaallit Inuit birth culture, diminishes the woman's role as the central figure, and leads to emotional distress, loss of shared family memories, and weakened community ties. In contrast, local births foster emotional support, cultural continuity, and a stronger sense of belongingness to the community for newborns. The study underscores that childbirth is deeply rooted in relational and cultural processes. Drawing on comparative Indigenous models, the findings advocate for culturally grounded, community-based maternity care that restores autonomy, strengthens family and intergenerational bonds, and preserves Inuit birthing practices in Kalaallit Nunaat.
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  Data: Midwifery. 2000 Jun;16(2):116-22. (PMID: <searchLink fieldCode="PM" term="%2211151547%22">11151547)</searchLink><br />Int J Circumpolar Health. 2010 Dec;69(5):480-5. (PMID: <searchLink fieldCode="PM" term="%2221073826%22">21073826)</searchLink><br />J Midwifery Womens Health. 2007 Jul-Aug;52(4):384-91. (PMID: <searchLink fieldCode="PM" term="%2217603961%22">17603961)</searchLink><br />Int J Circumpolar Health. 2022 Dec;81(1):2071410. (PMID: <searchLink fieldCode="PM" term="%2235491889%22">35491889)</searchLink><br />Health Place. 2010 Jul;16(4):638-45. (PMID: <searchLink fieldCode="PM" term="%2220171925%22">20171925)</searchLink><br />Midwifery. 2016 Jul;38:63-70. (PMID: <searchLink fieldCode="PM" term="%2227162166%22">27162166)</searchLink><br />Can Fam Physician. 1993 Apr;39:781-8. (PMID: <searchLink fieldCode="PM" term="%228495136%22">8495136)</searchLink><br />Women Birth. 2016 Apr;29(2):107-16. (PMID: <searchLink fieldCode="PM" term="%2226363668%22">26363668)</searchLink><br />Anthropol Med. 2010 Dec;17(3):301-13. (PMID: <searchLink fieldCode="PM" term="%2221153964%22">21153964)</searchLink><br />Women Birth. 2022 Feb;35(1):11-22. (PMID: <searchLink fieldCode="PM" term="%2233714690%22">33714690)</searchLink><br />Int J Circumpolar Health. 2004;63 Suppl 2:397-8. (PMID: <searchLink fieldCode="PM" term="%2215736692%22">15736692)</searchLink><br />Can J Rural Med. 2011 Fall;16(4):126-30. (PMID: <searchLink fieldCode="PM" term="%2221955339%22">21955339)</searchLink><br />Int J Circumpolar Health. 2019 Dec;78(1):1571385. (PMID: <searchLink fieldCode="PM" term="%2230696379%22">30696379)</searchLink><br />Health Hum Rights. 2021 Jun;23(1):213-224. (PMID: <searchLink fieldCode="PM" term="%2234194214%22">34194214)</searchLink><br />Women Birth. 2018 Dec;31(6):479-488. (PMID: <searchLink fieldCode="PM" term="%2229439924%22">29439924)</searchLink><br />Int J Circumpolar Health. 2006 Apr;65(2):117-32. (PMID: <searchLink fieldCode="PM" term="%2216711464%22">16711464)</searchLink><br />Midwifery. 2013 Nov;29(11):e79-88. (PMID: <searchLink fieldCode="PM" term="%2223886547%22">23886547)</searchLink>
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