Hapū Ora (pregnancy wellness): Māori research responses from conception, through pregnancy and 'the first 1000 days' - a call to action for us all

doi:10.1080/03036758.2022.2075401

. 2022 Jun 13;52(4):318-334.

doi: 10.1080/03036758.2022.2075401. eCollection 2022.

Hapū Ora (pregnancy wellness): Māori research responses from conception, through pregnancy and 'the first 1000 days' - a call to action for us all

Liza K Edmonds^{1

2}, Fiona Cram³, Matthew Bennett⁴, Charlie Lambert⁴, Anna Adcock⁴, Kendall Stevenson⁴, Stacie Geller⁵, Evelyn Jane MacDonald⁴, Tina Bennett⁴, Francesca Storey⁴, Melanie Gibson-Helm⁴, Sidney Ropitini⁴, Brittany Taylor⁴, Victoria Bell⁴, Caitlin Hoskin⁴, Beverly Lawton⁴

Affiliations

¹ Kōhatu Centre for Hauora Māori, Division of Health Sciences, University of Otago, Dunedin, Aotearoa New Zealand.
² Department of Women's and Children's, Otago School of Medicine, University of Otago, Dunedin, Aotearoa New Zealand.
³ Katoa Limited, Auckland, Aotearoa New Zealand.
⁴ Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Te Herenga Waka Victoria University of Wellington, Aotearoa New Zealand.
⁵ Department of Obstetrics and Gynaecology, University of Illinois, Chicago, IL, USA.

PMID: 39440319
PMCID: PMC11486213
DOI: 10.1080/03036758.2022.2075401

Hapū Ora (pregnancy wellness): Māori research responses from conception, through pregnancy and 'the first 1000 days' - a call to action for us all

Liza K Edmonds et al. J R Soc N Z. 2022.

. 2022 Jun 13;52(4):318-334.

doi: 10.1080/03036758.2022.2075401. eCollection 2022.

Authors

Affiliations

¹ Kōhatu Centre for Hauora Māori, Division of Health Sciences, University of Otago, Dunedin, Aotearoa New Zealand.
² Department of Women's and Children's, Otago School of Medicine, University of Otago, Dunedin, Aotearoa New Zealand.
³ Katoa Limited, Auckland, Aotearoa New Zealand.
⁴ Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Te Herenga Waka Victoria University of Wellington, Aotearoa New Zealand.
⁵ Department of Obstetrics and Gynaecology, University of Illinois, Chicago, IL, USA.

PMID: 39440319
PMCID: PMC11486213
DOI: 10.1080/03036758.2022.2075401

Abstract

Aims: To describe a body of Māori translational research responses that challenge colonialised systems.

Methods: To delineate and link ongoing Kaupapa Māori and Māori-led translational research.

Results: He Tapu Te Whare Tangata explores human papilloma virus (HPV) screening. Te Hā o Whānau presents a culturally responsive framework of maternity care. E Hine describes young Māori mothers' experiences of Hapū Ora. Severe Acute Maternal Morbidity (SAMM) and SAMM Kids identify opportunities to improve avoidable morbidity. He Tamariki Kokoti Tau - Babies born prematurely, is a qualitative study of Māori experiences of preterm birth. He Tamariki Kokoti Tau - Tackling Preterm, is a quantitative analysis. He Korowai Manaaki is a wraparound maternity pathway. Whānau Manaaki - Methamphetamine aims to reduce the impact of methamphetamine. Calls for action reflect shared desires for system transformation.

Conclusion: We lay the wero (challenge) down to all to transform our current systems. Action is needed!Abbreviations: HPV: human papilloma virus, SAMM: severe acute maternal morbidity, ICU: intensive care unit, HDU: high dependency unit, RCT: randomised controlled trial, HQSC: Health Quality and Safety Commission.

Keywords: Hapū Ora; Kaupapa Māori; Māori; equity; indigenous; infant; perinatal; pregnancy.

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Conflict of interest statement

The authors report there are no conflicts of interest to declare.

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References

1. Adcock A, Stevenson K, Cram F, MacDonald EJ, Geller S, Hermens J, Lawton B.. 2021a. He Tapu Te Whare Tangata (sacred house of humanity): under-screened Maori women talk about HPV self-testing cervical screening clinical pathways. International Journal of Gynaecology and Obstetrics. 155(2):275–281. - PubMed
1. Adcock A, Cram F, Lawton B.. 2021b. “It feels real good having my own space” – Young Māori mothers in the E Hine study talk about housing. New Zealand Population Review. 47:171–197.
1. Adcock A, Cram F, Lawton EL.. 2021c. He Tamariki Kokoti Tau: families of indigenous infants talk about their experiences of preterm birth and neonatal intensive care. International Journal of Environmental Research and Public Health. 18(18):9835, 1–20. - PMC - PubMed
1. Adcock A, Cram F, Lawton B, Geller S, Hibma M, Sykes P, MacDonald EJ, Dallas-Katoa W, Rendell B, Cornell T, et al. . 2019a. Acceptability of self-taken vaginal HPV sample for cervical screening among an under-screened indigenous population. Australian and New Zealand Journal of Obstetrics and Gynaecology. 59:301–307. - PubMed
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[1] Adcock A, Stevenson K, Cram F, MacDonald EJ, Geller S, Hermens J, Lawton B.. 2021a. He Tapu Te Whare Tangata (sacred house of humanity): under-screened Maori women talk about HPV self-testing cervical screening clinical pathways. International Journal of Gynaecology and Obstetrics. 155(2):275–281. - PubMed

[2] Adcock A, Stevenson K, Cram F, MacDonald EJ, Geller S, Hermens J, Lawton B.. 2021a. He Tapu Te Whare Tangata (sacred house of humanity): under-screened Maori women talk about HPV self-testing cervical screening clinical pathways. International Journal of Gynaecology and Obstetrics. 155(2):275–281. - PubMed

[3] Adcock A, Cram F, Lawton B.. 2021b. “It feels real good having my own space” – Young Māori mothers in the E Hine study talk about housing. New Zealand Population Review. 47:171–197.

[4] Adcock A, Cram F, Lawton B.. 2021b. “It feels real good having my own space” – Young Māori mothers in the E Hine study talk about housing. New Zealand Population Review. 47:171–197.

[5] Adcock A, Cram F, Lawton EL.. 2021c. He Tamariki Kokoti Tau: families of indigenous infants talk about their experiences of preterm birth and neonatal intensive care. International Journal of Environmental Research and Public Health. 18(18):9835, 1–20. - PMC - PubMed

[6] Adcock A, Cram F, Lawton EL.. 2021c. He Tamariki Kokoti Tau: families of indigenous infants talk about their experiences of preterm birth and neonatal intensive care. International Journal of Environmental Research and Public Health. 18(18):9835, 1–20. - PMC - PubMed

[7] Adcock A, Cram F, Lawton B, Geller S, Hibma M, Sykes P, MacDonald EJ, Dallas-Katoa W, Rendell B, Cornell T, et al. . 2019a. Acceptability of self-taken vaginal HPV sample for cervical screening among an under-screened indigenous population. Australian and New Zealand Journal of Obstetrics and Gynaecology. 59:301–307. - PubMed

[8] Adcock A, Cram F, Lawton B, Geller S, Hibma M, Sykes P, MacDonald EJ, Dallas-Katoa W, Rendell B, Cornell T, et al. . 2019a. Acceptability of self-taken vaginal HPV sample for cervical screening among an under-screened indigenous population. Australian and New Zealand Journal of Obstetrics and Gynaecology. 59:301–307. - PubMed

[9] Adcock A, Cram F, Lawton B.. 2019b. E Hine: Young Māori women's journeys through pregnancy, birth, and motherhood. In Akella Devi (Ed.), Socio-cultural influences on teenage pregnancy and contemporary prevention measures; p. 250–272.

[10] Adcock A, Cram F, Lawton B.. 2019b. E Hine: Young Māori women's journeys through pregnancy, birth, and motherhood. In Akella Devi (Ed.), Socio-cultural influences on teenage pregnancy and contemporary prevention measures; p. 250–272.

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Hapū Ora (pregnancy wellness): Māori research responses from conception, through pregnancy and 'the first 1000 days' - a call to action for us all

Affiliations

Hapū Ora (pregnancy wellness): Māori research responses from conception, through pregnancy and 'the first 1000 days' - a call to action for us all

Authors

Affiliations

Abstract

Conflict of interest statement

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