A comparison of the Woman-centred care: strategic directions for Australian maternity services (2019) national strategy with other international maternity plans

Dahlen, Hannah; Ormsby, Simone; Staines, Alecia; Kirk, Mary; Johnson, Lynne L.; Small, Kirsten; Hazard, Bashi; Schmied, Virginia

doi:10.1016/j.wombi.2022.04.003

Cited by 15 publications

(15 citation statements)

References 21 publications

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“…giving insight into what they consider women view as important including birth location, mode of birth and continuity of carer. At face value, these findings may indicate GP alignment with the key intents of the national maternity strategy [15]. The reluctance demonstrated by some participants to refer to privately practising midwives in this research has been explored in previous studies [12,44,45].…”

Section: Discussionmentioning

confidence: 64%

“…Improving maternity care access for rural and remote women is a key objective within the national maternity strategy. Strategies such as optimising all health workforce scope, service innovations such as telehealth and outreach care as well as national pathways are critical to achieving improved access for rural and remote women [15]. The interviewed GPs also described how characteristics like maternal fetal risk profile, the financial status of the woman, and convenience, may mean that current model of care options do not meet the needs of women.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing referral to maternity models of care in Australian general practice

Thomas,

Kuliukas,

Frayne

et al. 2023

Preprint

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BackgroundIn the Australian maternity system, general practitioners play a vital role in advising and directing prospective parents to maternity models of care. Optimising model of care discussions and the decision-making process avoids misaligning women with over or under specialised care, reduces the potential for disruptive care transitions and unnecessary healthcare costs, and is critical in ensuring consumer satisfaction. Current literature overwhelmingly focusses on women’s decision-making around model of care discussions and neglects the gatekeeping role of the General Practitioner (GP). This study aimed to explore and describe the factors influencing Australian GPs decision-making when referring pregnant women to maternity models of care.MethodsThis study used a qualitative descriptive approach. General practitioners (N=12) with experience referring women to maternity models of care in Australia participated in a semi-structured interview. Interviews occurred between October and November 2021 by telephone or videoconference. Reflexive thematic analysis was facilitated by NVivo-12 data management software to codify and interpret themes from the data.FindingsTwo broad themes were interpreted from the data. The first theme entitled ‘GP Factors’, incorporated three associated sub-themes including ‘GPs Previous Model of Care Experience’, ‘Gaps in GP Knowledge’ and ‘GP Perception of Models of Care’. The second theme, entitled ‘Woman’s Factors’, encapsulated two associated sub-themes including the ‘Woman’s Preferences’ and ‘Access to Models’.ConclusionsThis study provides novel evidence regarding general practitioner perspectives of the factors influencing model of care decision-making and referral. The exploration and description of factors influencing model of care decisions provide unique insight into the ways that all stakeholders can experience access to a broader range of models of care including midwifery-led continuity of care models aligned with consumer-demand. In addition, the role of national primary health networks is outlined as a means to achieving this.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Factors influencing referral to maternity models of care in Australian general practice

Thomas,

Kuliukas,

Frayne

et al. 2023

Preprint

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“…The International Confederation of Midwives in Australia in 2019 has described WCC in four specialized areas, including safety, respect, right to choose and access, all of which have an equal value (Dahlen et al, 2022). Midwives are the main providers of care before pregnancy, during pregnancy, childbirth, and after childbirth, reflecting their key role in WCC.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

Mashayekh‐Amiri

Nourizadeh

Mohammad‐Alizadeh‐Charandabi

et al. 2023

Nursing Open

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AimThe present study aimed to evaluate the status of WCC provided by Iranian midwives.DesignA sequential explanatory mixed method study protocol.MethodsThe present study was conducted in three phases: quantitative, qualitative and mixed. The first phase is a cross‐sectional study that will be performed on midwives working in health centres, public and private hospitals in Iranian. The second phase is a qualitative study, in which purposeful sampling will be used, meaning that the midwives who are part of the extreme cases according to the results of quantitative phase and are willing and able to express their own experiences regarding WCC will be selected. Also, pregnant and parturient women under their cover will also be interviewed. Finally, in the mixed phase, we will use a combination of two quantitative and qualitative studies, a literature review and expert opinion using a Delphi method to provide strategies to improve and promote WCC in midwives.ResultsAchieving this goal is expected to provide positive outcomes such as strengthening the midwives professional relationship with women and reducing health care costs.No Patient or Public Contribution.

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“…4,5 In the most recent national strategy, 'Woman-centred care: Strategic directions for Australian Maternity Services' (WCC Strategy) released in 2019, there is no mention of the importance of mothers' ability to choose the setting in which they will give birth. 5,6 This omission may disproportionately impact rural mothers, whose choices are already significantly limited. 1 Findings of this research document the experiences of rural mothers who were required to travel and/or temporarily relocate for birth: what it is like to relocate for birth, and how this impacts mothers' well-being.…”

Section: Introductionmentioning

confidence: 99%

“…Priorities outlined in the 2010 and 2019 maternity health strategies are analogous and yet to be realised 4,5 . In the most recent national strategy, ‘Woman‐centred care: Strategic directions for Australian Maternity Services’ (WCC Strategy) released in 2019, there is no mention of the importance of mothers' ability to choose the setting in which they will give birth 5,6 . This omission may disproportionately impact rural mothers, whose choices are already significantly limited 1…”

Section: Introductionmentioning

confidence: 99%

‘We country women need advocacy’: Birthing narratives from the Western Australian Wheatbelt region

Shackleton,

Fisher,

Bosco

et al. 2023

Australian J Rural Health

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IntroductionThis study describes the experiences of eight mothers from the Wheatbelt region of Western Australia who shared their stories of travelling and/or temporarily relocating for birth.ObjectiveThe aim of this study was to describe rural and remote Western Australian mothers’ experiences of travelling long distances and/or relocating to give birth.DesignThis study was based on Crotty's four elements of qualitative research. This study was underpinned by a constructivist epistemology, a feminist theoretical lens and a narrative approach using semistructured, story‐based interviews. Participants narrated their stories of birthing away from home by telephone interview.FindingsFive major themes were identified utilising thematic analysis. These were (1) feeling forgotten in the system, (2) accessibility and choice, (3) compounded social isolation, (4) doing it hard: financial and logistical challenges and (5) building strength: advocating for myself and baby.DiscussionMothers’ stories were reflective of current and historical failures of rural maternal health policy, including widespread closures of rural birthing hospitals. Mothers described the logistical barriers they faced with little support and suggested multiple solutions that would improve their experiences.ConclusionMothers faced significant obstacles which impeded their access to equitable maternal healthcare. This study highlights the complexities of birthing as a rural mother and the need to address maternal health inequities between rural and metropolitan women.

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A comparison of the Woman-centred care: strategic directions for Australian maternity services (2019) national strategy with other international maternity plans

Cited by 15 publications

References 21 publications

Factors influencing referral to maternity models of care in Australian general practice

Factors influencing referral to maternity models of care in Australian general practice

Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

‘We country women need advocacy’: Birthing narratives from the Western Australian Wheatbelt region

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