2018;28(5):82431. Clinics are available on specific weekdays and appointments can be negotiated for aconvenient time: Shellharbour Hospital Data were analysed using manual and then Leximancer computer assisted methods. Pregnant women with a history of substance use, mental health challenges and complex social issues have unique care needs during pregnancy, birth and the postpartum period [1] and are estimated to represent over 5% of the approximately 295,000 women who give birth each year in Australia [2]. In an emergency, please contact the Mater Mothers' Hospital Birthing Suites on telephone 07 3163 7000 (all hours). JAMA. https://doi.org/10.1186/s12913-022-08633-8, DOI: https://doi.org/10.1186/s12913-022-08633-8. In Australia, most available and publicly funded models of maternity care are fragmented with limited continuity of carer across the whole pregnancy and post-partum period [11]. Overall, the most common terms were caseload midwifery (n = 63, 36%), midwifery-led continuity (n = 60, 34%), or team/midwifery group practice (n = 40, 23%). J Manage Control. Midwife, Fellow, Counselor and more on Indeed.com Part Time Midwifery Group Practice Jobs (with Salaries) 2022 | Indeed.com Australia While womens disengagement from the proposed model might be identified as a risk, in discussions around this barrier solutions were identified. Allen J, Gibbons K, Beckmann M, Tracy M, Stapleton H, Kildea S. Does model of maternity care make a difference to birth outcomes for young women? Gilbert P, Herzig K, Thakar D, Viloria J, Bogetz A, Danley DW, et al. Women using the Midwifery Group Practice (MGP) model of care will have a known midwife who works with one or more backup midwives to provide care from early in pregnancy, throughout labour and birth, and for up to six weeks after birth. Article Our staff can also ask for an interpreter. Leximancer 4 generated themes from stakeholder interviews. BMC Health Serv Res. 2019;14(1):42. If material is not included in the articles Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To do this, we conducted a qualitative context assessment using the Consolidated Framework for Implementation Research (CFIR) [31,32,33]. Midwifery Group Practice Ward Clerk (08) 8161 8406 (Monday - Friday, 9.00am - 3.30pm) Fax (08) 8161 7829 Email Health.WCHNMidwiferyGroupPracticeWdClrk@sa.gov.au Mailing Address Midwifery Group Practice Women's and Children's Hospital 72 King William Road North Adelaide South Australia 5006 Pregnancy Services at the WCH Faculty of Medicine, Nursing and Health Sciences . Qualitative semi-structured interviews (individual and small group) were designed using questions from the CFIR toolkit that explored each CFIR domain [32]. As this study was carried out in a facility with established and supported midwifery group practices, caution should be applied in generalising the specific local results to other services for which midwifery group practice is a new concept. This is supported by comments from participants: vulnerable or disadvantaged groups would benefit (Other role, Interview 1). Copyright 2019NSW Health - Illawarra Shoalhaven Local Health District. The Midwifery Group provides: Prenatal care. The theme Gold standard care mapped to five constructs indicates that either a perception, or knowledge of evidence supporting midwifery group practice for vulnerable women would be critical to its success. Midwives support the woman during the antenatal, labour and birth of the baby and the immediate post-natal period. View 48 Registered Midwife jobs in Ewingsdale NSW at Jora, create free email alerts and never miss another career opportunity again. The group is expected to have about 250 women each year use the program to help with their birth plan and post-birth care. Midwifery Group Practice (MGP) allows women and families having a baby to be cared for by a known midwife throughout their pregnancy, during labour and birth, and postnatally. PER 101. Yelland J, Brown SJJB. Discuss this option with your midwife at the first visit if you are interested. May 7 - May 8. To access a hospital-based midwife, your GP will refer you, or you may check with your local hospital and self-refer. 2013;382(9906):172332. Midwifery Group Practice (MGP) is the common name given in Australia to an evidence based model of care in which women are allocated a primary midwife who provides their care throughout their pregnancy, labour, birth and postnatal period. To do this, we conducted a qualitative context assessment using the Consolidated Framework for Implementation Research (CFIR) [31,32,33].The CFIR was chosen to guide the context assessment because the process required engagement with individuals and groups across multiple . The authors declare no conflicts of interest are held in relation to this study. Sometimes known as Caseload Midwifery, Midwifery Group Practice (MGP) is the work unit of caseload midwives enabling women to be cared for by the samemidwife(primary midwife) supported by a small group of midwives throughout their pregnancy, during childbirth and in the early weeks at home with a new baby. Nationwide News Pty Ltd 2023. As the interviews were guided by the CFIR, questions were not pilot tested. Existing maternity services may not meet the needs of vulnerable women during pregnancy, resulting in non-attendance of scheduled antenatal care and raising the risk of poor maternal and neonatal outcomes [5]. Flinders University . LC: Writing Original Draft, Supervision. The Midwifery Group Practice (MGP) works within the Family Birthing Centre and is for women who choose to be cared for by the same group of midwives throughout their pregnancy and after the birth. Am J Perinatol. Most participants were female (87%) and between 41 and 50 years of age (35.5%). Review submission. The implementation climate of the inner setting was generally supportive, and there were some important reflections from the interdisciplinary team that would need to be acknowledged when preparing a business case for the proposed model. Women, Children and Families Stream Metro North Health, Butterfield Street, 4029, Herston, Brisbane, QLD, Australia, Womens and Newborn Services, Royal Brisbane and Womens Hospital, Butterfield St, 4029, Herston, Brisbane, QLD, Australia, Catherine Kilgour,Deann Rice&Leonie K Callaway, School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, 4072, Brisbane, QLD, Australia, Faculty of Medicine, The University of Queensland, Herston Road, 4006, Herston, Brisbane, QLD, Australia, Mater Research Institute, Faculty of Medicine, University of Queensland, Raymond Terrace, 4101, South Brisbane, Brisbane, QLD, Australia, You can also search for this author in Midwifery. Poser C, Guenther E, Orlitzky M. Shades of green: Using computer-aided qualitative data analysis to explore different aspects of corporate environmental performance. Consequently, there may have been fewer inner setting barriers to establishing the proposed model of care compared to Australian maternity services in which midwifery group practice is new or not yet established. The group is expected to have about 250 women each year use the program to help with their birth plan and post-birth care. 2018;90:918. Bayrampour H, McNeil DA, Benzies K, Salmon C, Gelb K, Tough S. A qualitative inquiry on pregnant womens preferences for mental health screening. To identify these potential barriers and enablers, a context assessment was undertaken for a proposed midwifery group practice for vulnerable women at a single site tertiary maternity service in Queensland, Australia. These views become potential enablers when preparing detailed business cases that demonstrate strategic and strong stakeholder support as well as alignment with evidence and policy advocating woman-centred care. Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. BMC Pregnancy Childbirth. 2018;298(3):487503. The team of six midwives working with the professor of obstetrics, the consultant obstetrician and a physician cares for a caseload of 200 high-risk women a year. Google Scholar. BMC Pregnancy Childbirth. Australian maternity services can use our results to compare how the perceptions of local stakeholders might be similar or different to the results presented in this paper. Barriers and facilitators of accessing perinatal mental health services: the perspectives of women receiving continuity of care midwifery. continuing to have the multi-disciplinary input and multi-disciplinary team meeting is going to be beneficial (Medical Officer, Interview 20). BMC Health Serv Res 22, 1265 (2022). Midwifery Group Practice (MGP) Overview Our MGP program offers you one midwife (who works in a team) who will care for you through your pregnancy, through your birth and at home for 2 weeks after your baby is born. Continuity of care by a primary midwife (caseload midwifery) increases womens satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. There are benefits in the areas of child protection interventions [17], mental illness [18, 19], substance-use [15, 20, 21] and infant neurodevelopment problems [22]. This aims to provide continuity of carer . Some questions were adapted for local contextualisation and conversation style. This was particularly evident for participants who had undertaken reading prior to the interview with participants expressing: I have looked online to have a look at the research shows the best outcome for babies and mothers across the board in terms of continuity of care models (Other role, Interview 1). Below is the link to the electronic supplementary material. Of the 40 people invited to an interview, 31 consented to participate (77.5%) with no response received from 9 others. The perspectives of consumers, and staff who were less experienced and/or from culturally and socially diverse backgrounds were not given, nor was there discussion in the interviews about the impact of the proposed model on these women. Participants (n=9) in management / leadership roles were invited to respond to an additional question in relation to costs. There were a number of different terms used to define the model of care, and the level of continuity provided across the continuum of care varied with no single term used. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. There is strong international evidence that these womens pregnancies are more likely to result in placental abruption, preterm birth, neonates that are small for gestational age, and neonatal admission to an intensive care unit [3, 4]. Article Doi L, Cheyne H, Jepson R. Alcohol brief interventions in Scottish antenatal care: a qualitative study of midwives attitudes and practices. Patricia A Smith. Choosing a qualitative data analysis tool: A comparison of NVivo and Leximancer. 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