| Case 1 | Case 2 | Case 3 | Case 4 | Case 5 |
---|---|---|---|---|---|
Prevalence of prenatal smoking and alcohol use | Rates of maternal smoking/alcohol use are high among the jurisdiction’s aboriginal population | Rates of maternal smoking/alcohol use are lower than in other jurisdictions, but PRC feels this may be due to under-reporting | Large aboriginal population with high rates of maternal smoking/alcohol use | Rates of maternal smoking are high | Rates of maternal smoking/alcohol use are high among the jurisdiction’s aboriginal population; increase in aboriginal birth rate has led to increased population rates of FASD |
PRC assumes rates of maternal alcohol use are lower than in other jurisdictions | |||||
Key public health features related to maternal smoking and alcohol use | Jurisdiction has a strong tobacco control lobby | Recent local public health awareness campaigns related to maternal smoking, alcohol use and FASD | Social drinking in pregnancy is common and culturally accepted among some groups | Jurisdiction has a strong tobacco control lobby | Active local public health awareness campaigns related to maternal smoking, alcohol use and FASD |
Strong cultural values against drinking alcohol during pregnancy | |||||
Tobacco use and FASD prevention are priority public health issues | |||||
Prenatal health service | Prenatal care delivered by GPs and obstetricians, with growing trend towards shared/collaborative maternity care with allied health professionals (midwives, nurses) | Prenatal care delivered primarily by obstetricians (midwifery not legislated) | Prenatal care delivered primarily by nurses, midwives | Prenatal care providers vary in skill levels, particularly in rural areas | Prenatal care delivered primarily by physicians, but nurses increasingly becoming the first point of entry of pregnant patients |
Jurisdiction is developing electronic prenatal health records | Jurisdiction has a perinatal database | Large turn-over of health care provider workforce | Midwifery in the process of being legislated | Midwifery in the process of being legislated | |
Jurisdiction has a perinatal database | Prenatal record is integrated into electronic health records | Jurisdiction has a perinatal database | |||
Jurisdiction in process of developing a perinatal database |