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Abstract：
BACKGROUND: Research into the effectiveness of antenatal education classes is crucial for Indigenous Peoples from Aotearoa New Zealand, Australia, Canada and the United States who experience poorer maternal and infant health outcomes compared to non-Indigenous populations. Our systematic review questions were intended to determine the extent of Indigenous Peoples prioritisation and involvement in antenatal education classes, and to understand the experience of Indigenous Peoples from these countries in antenatal education classes.
METHODS: Using a standardised protocol, we systematically searched five electronic databases for primary research papers on antenatal education classes within the four countries noted and identified 17 papers that met the criteria. We undertook a qualitative meta-synthesis using a socio-critical lens.
RESULTS: Systematic review of the academic literature demonstrates that Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States are not prioritised in antenatal education classes with only two of 17 studies identifying Indigenous participants. Within these two studies, Indigenous Peoples were underrepresented. As a result of poor engagement and low participation numbers of Indigenous Peoples in these antenatal education classes, it was not possible to understand the experiences of Indigenous Peoples.
CONCLUSIONS: Given that Indigenous Peoples were absent from the majority of studies examined in this review, it is clear little consideration is afforded to the antenatal health needs and aspirations of Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States. To address the stark antenatal health inequities of Indigenous Peoples, targeted Indigenous interventions that consider culture, language, and wider aspects of holistic health must be privileged.
BACKGROUND: PROSPERO Registration ID: CRD4202017658.
METHODS: Using a standardised protocol, we systematically searched five electronic databases for primary research papers on antenatal education classes within the four countries noted and identified 17 papers that met the criteria. We undertook a qualitative meta-synthesis using a socio-critical lens.
RESULTS: Systematic review of the academic literature demonstrates that Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States are not prioritised in antenatal education classes with only two of 17 studies identifying Indigenous participants. Within these two studies, Indigenous Peoples were underrepresented. As a result of poor engagement and low participation numbers of Indigenous Peoples in these antenatal education classes, it was not possible to understand the experiences of Indigenous Peoples.
CONCLUSIONS: Given that Indigenous Peoples were absent from the majority of studies examined in this review, it is clear little consideration is afforded to the antenatal health needs and aspirations of Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States. To address the stark antenatal health inequities of Indigenous Peoples, targeted Indigenous interventions that consider culture, language, and wider aspects of holistic health must be privileged.
BACKGROUND: PROSPERO Registration ID: CRD4202017658.
摘要：
背景：对产前教育课程的有效性进行研究对于新西兰奥特罗阿的土著人民至关重要，澳大利亚,与非土著居民相比，加拿大和美国的母婴健康状况较差。我们的系统审查问题旨在确定土著人民优先考虑和参与产前教育课程的程度，并了解这些国家土著人民在产前教育课程中的经验。
方法：使用标准化协议，我们系统地检索了5个电子数据库中有关上述4个国家产前教育课程的主要研究论文,并确定了17篇符合标准的论文.我们使用社会批判透镜进行了定性元合成。
结果：对学术文献的系统回顾表明，新西兰奥特罗阿的土著人民，澳大利亚,加拿大和美国在产前教育课程中没有被优先考虑，只有17项研究中的两项确定了土著参与者。在这两个研究中，土著人民的代表性不足。由于土著人民在这些产前教育课程中参与度低，参与人数少，不可能了解土著人民的经历。
结论：鉴于本次审查的大多数研究中没有土著人民，很明显，很少考虑新西兰奥特罗阿土著人民的产前健康需求和愿望，澳大利亚,加拿大和美国。为了解决土著人民严重的产前健康不平等问题，考虑文化的有针对性的土著干预措施，语言,整体健康的更广泛方面必须享有特权。
背景：PROSPERO注册ID：CRD4202017658。
方法：使用标准化协议，我们系统地检索了5个电子数据库中有关上述4个国家产前教育课程的主要研究论文,并确定了17篇符合标准的论文.我们使用社会批判透镜进行了定性元合成。
结果：对学术文献的系统回顾表明，新西兰奥特罗阿的土著人民，澳大利亚,加拿大和美国在产前教育课程中没有被优先考虑，只有17项研究中的两项确定了土著参与者。在这两个研究中，土著人民的代表性不足。由于土著人民在这些产前教育课程中参与度低，参与人数少，不可能了解土著人民的经历。
结论：鉴于本次审查的大多数研究中没有土著人民，很明显，很少考虑新西兰奥特罗阿土著人民的产前健康需求和愿望，澳大利亚,加拿大和美国。为了解决土著人民严重的产前健康不平等问题，考虑文化的有针对性的土著干预措施，语言,整体健康的更广泛方面必须享有特权。
背景：PROSPERO注册ID：CRD4202017658。
