HLST 200 Health Studies


To become an expert in this topic, you will conduct research on the health issue mentioned in the article.

Look over Hales and Lauzon (2015) and Foster & Davison (2015) course materials. You can also refer to other resources such as government reports and journal articles.

The following areas should be reviewed: the history of the issue; recent trends; people most affected by the issue; and how the issue affects the Canadian health system and/or the social services.


The article is targeted at rural mothers, who are more susceptible to complications (Grant 2016,).

This news article illustrates the reason rural mothers have a higher risk of complications during pregnancy and childbirth.

This article was published in the Globe and Mail last September 26, 2016.

The paper looked at the birth rates between 2005-2010.

The study revealed that 10% of approximately 256,220 British Columbian females lived in rural areas. These women had two-fold higher rates for serious complications like eclampsia and uterine rupture than urban or suburban women (Canadian Institute for Health Information 2013).

Sarka Lisonkova, an instructor in the Department of Obstetrics and Gynecology, University of British Columbia, revealed that there was a substantial gap between the occurrence of life-threatening disease among rural and urban pregnant women (Grant 2016,).

Because they have to travel long distances to access health care, she hypothesized that Provincial women may have a harder job getting prepared for USG.

Another reason is the higher rate of teenager pregnancy, addiction to drugs and smoking, as well as endless restorative conditions.

The study did not find a way to control these variables. However, it was found that country moms were more likely to suffer from miscarriages.

Dr. Lisonkova stressed that the general rate for extreme complications during pregnancy and delivery is low.

Ontariomidwives.ca 2015, she stated that they have a number of life-threatening conditions for their mothers.

A further revelation was that rural women are more at risk.

Given these risks, females may be exposed to environmental or other problems. Accordingly, Grant, 2016,

George Carson, leader of the Society of Obstetricians and Gynecologists of Canada, agrees that the human services framework must be more attentive to how it minimizes risks for pregnant females in remote BC areas (Grant, 2016,).

A Canadian Institute for Health Information examination found that 17% of women hailing from provinces, i.e.

NWT women traveled more than two hours to reach the clinic where they gave birth. This is in contrast to urban women who only 1% of their journeys took them two hours.

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Canadian Institute for Health Information (CIHI), released a second report that looked at rural areas for infant growth and preterm birth rates. She found significant gaps between urban and rural women accessing doctors’ facilities.

Canada has shown that distance from rural women’s homes and the physician’s practice is a major factor in determining how often they visit the clinic.

In 2016, Grant found that more than 80% rural women traveled for two hours to get to a clinic in order to have their child delivered (Grant).

Anne McFarlane, CIHI Vice President, Western Office and Developmental Initiatives stated that “there are special differences in urban and provincial birth encounters.”

They can be understood by health and wellbeing professionals who will analyze the care plans to ensure that every mother and child across Canada has the best possible health outcomes. Grant 2016, Grant.

We also observed differences in Cesarean providers for rural women.

The likelihood of rural women having their Caesarean deliveries performed by a general or family physician was 13 times higher.

Contrary, Caesarean delivery was performed by an OB/GYN for urban women.

A similar exploration revealed that infants from urban moms and rural moms have comparable results.

According to CIHI’S report, it was found that rural children are more likely to be larger for gestational size. This could lead to longer working hours and higher chances of requiring a Cesar ontariomidwives.ca (2015, 2015).

In some cases, this can lead to developmental problems for children in rural areas.

Preterm births in urban and rural areas were comparable before 37 weeks.

Preterm babies were three times more common in rural women who had their babies in an urban healing center than in rural women who had their babies in a rural doctor’s facility.

The news article and research link the course content in terms of wellbeing and legitimate guidance from a specialist.

The article from the globe and mail stated, for example, that rural areas are more likely than urban ones to smoke, abuse drugs, or be strong enough to resist temptations. This can lead to a poor labor force.

The course reading material also states that even if you are having problems with your delivery or nourishment, it is essential to receive adequate care.

Ontariomidwives.ca (2015). Being overweight or having a poorly controlled condition such as diabetes or hyperthyroidism may increase the chance of an unnatural pregnancy.

These topics were addressed in the course content, which included nutrition and weight.

The Canadian Institute for Health Information (2013) states that some diseases may cause unsuccessful labor.

Listeriotic and Toxoplasmosis, as well as sexually transmitted infections, such syphilis, and conditions which promote hormone secretion, leading to disorders such, polycystic Ovaries, can all lead to miscarriage in late pregnancy.

Additionally, miscarriage can be caused by smoking, overdosing, or consuming cocaine.

Excessive consumption of caffeine can also increase the risk (Grant 2016, 2016).

These issues also concern the course unit regenerative decision and pregnancy.

These topics also include difficulties in pregnancy and unnatural birth cycles.

It also provides information on how a mother can learn about her own health, determine what to do and what steps to take to ensure the well-being of their child (Grant 2016,).

The Globe and Mail article states that women living in rural areas do not have USG to check for unnatural signs of growth.

USG data can help care providers create a plan for a healthy delivery.

The strengths and weaknesses of the article were its simplicity and logic. It presented some evidence from previous literatures and insight from existing literatures. The article also brought up direct data on urban and rural mothers and their pregnancy measurements. Finally, it analysed and differentiated why women in rural areas are more susceptible to complications during pregnancy as well as in terms of delivery time.

The article also clarifies how socioeconomic factors can affect rural residents who are unable to access urban areas clinics for standard checkups.

Grant, 2016, explained how mothers can have a successful delivery and pregnancy.

It was only limited to British Columbia Canada. There were no data showing the causes behind the widening gap in society.

It worked on the basis only of information from specialists or experts in social insurance, and not the victims (Canadian Institute for Health Information 2013).

The article kept focusing on how cities have better health facilities.

It is therefore more likely to be a paper that focuses on urban areas.

It was stated in the article that “if women don’t have babies in the community the only reason anybody goes hospital is to death”; however, I disagree with the statement. I know many people who live in rural areas but still travel to rural hospitals for checkups. I also know many cousins and friends who were born in rural regions.

This article does not reflect the rural culture or beliefs. I know rural people have different lifestyles, views, and involvements.

The news article stated that it “takes away the balance, it takes away a lot the vitality of communities if one leaves the community to have a baby or establish new families outside of the community.”

My experience is that there is more competition to have babies in rural areas than in urban areas. Rural residents tend to have a larger family and more children than people who live in cities.

The news article ended with the statement that 40 delivery units in rural areas had closed down over the past decade.

The closures were caused by a lack of specialist and financial health care personnel.

Others units made fewer deliveries than the ones that were needed, making it difficult for workers to maintain patient safety. (Chai 2013).

Because many rural mothers couldn’t come to urban areas for their checksups, or even delivery, this created a problem.

If the author truly wanted to say that rural living places put pregnant women and newborns at risk, the article should have more information about facts from health officials like nurses, doctors, and those who have given birth in rural locations (Chai 2013, 2013).

The article could have provided information directly from the health organization about the pregnancy, miscarriage and delivery process as well data about newborns if they are susceptible to developing a disease or other health problems.

Although the article favored urban areas over rural ones, it should not have been biased.

The article only mentioned facts about rural areas, but it did not mention urban areas information about success and failure in pregnancy.

Grant, 2016, also noted that some parts contained facts without supporting them.

Nowadays, readers are looking for evidence and facts that they can trust.

The article includes a time period that covers the time from which research data was collected to determine differences in maternal outcomes among urban and rural mothers in British Columbia.

Research and facts only focused on British Columbia cities and rural areas, and not other provinces or major cities.

Like it did for British Columbia, the author should have provided at most one to two examples from various areas of Canada (Chai 2013).

This article’s overall impression is that it is simple to read and follows up on the issue. The facts that are presented clearly state the issue and explain why it is important for Canada’s health care system.

When information is provided, resources are also included to help readers resolve any further questions.

The article doesn’t go into great detail on the subject, but rather focuses on the most important points and issues.

This article was intended to increase awareness about pregnancy in rural areas.

It concludes with a list of possible outcomes. The article then explains how complications in pregnancy can all be avoided, regardless if the reader lives in a rural or urban area.


Canadian Institute for Health Information.

Hospital Births in Canada: A Focus On Women Living in Remote and Rural Areas.

Report on rural Canadian mothers’ access to resources and challenges when delivering babies.

Global News.

Study shows that rural mothers who are expecting children are more likely than urban ones to have complications.

The Globe and Mail.