Whilst participants were sent relevant information containing brief background to the proposed study in advance of the interview, some attendees advised they wanted to come well prepared. The dataset supporting the conclusions of this article are available from the corresponding author on reasonable request. A midwifery group practice for vulnerable women should be designed with flexibility in the case where a rapport is not being established between the care givers and the woman [46]. 2012;52(6):57681. Tweed Midwifery Group Practice provides assistance to new mums. Association Between Self-reported Prenatal Cannabis Use and Maternal, Perinatal, and Neonatal Outcomes. Where it is not possible to be seen by your own midwife, another midwife from MGP will see you. There was recognition that the proposed model of care is supported by research and a view that clinical benefits will outweigh costs, however supervision and support is required for midwives to manage and limit vicarious trauma. Adm Policy Ment Health. A train service is close by for women attending Wollongong Hospital and a public carparking service is available at both Wollongong and Shellharbour. Article In addition, the homogenous sample, high level of experience and mature age of participants may indicate unintended sampling bias. Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives. Conducting the context assessment instilled confidence in readiness of the maternity service to adopt the proposed change. Participant knowledge and awareness was assessed through the use of nine open-ended questions (Table1). 2014;30(4):44755. Two strategies for qualitative content analysis: An intramethod approach to triangulation. Canberra: AIHW; 2021. All methods were performed in accordance with the Declaration of Helsinki, in particular the respect for individuals, the right to make informed decisions and the recognition of vulnerable groups. Referrals to the service can be made through a general practitioner or by self-referring by calling the Tweed Hospital Women's Care Unit on (07) 5506 7490. Midwifery and midwifery group practice is recommended for all vulnerable women [12, 14,15,16] because of improved health outcomes for both mothers and babies. There was recognition that the proposed model of care is supported by research and a view that clinical benefits will outweigh costs, however supervision and support is required for midwives to manage and limit vicarious trauma. Morris M, Seibold C, Webber R. Drugs and having babies: an exploration of how a specialist clinic meets the needs of chemically dependent pregnant women. Processes that demonstrate evidence of planning and reflecting across all CFIR domains, especially regarding linkages between different health professional disciplines and costs, are also important. It was another blockbuster weekend in the NRRRL, with a physical grand final rematch and one of the comebacks of the season so far among the highlights. All interviews were conducted in-person except for two where phone interviews were used at the request of the participants. We aimed to identify the potential barriers and enablers for implementing a midwifery group practice for vulnerable women. If we can offer you a place on the program a midwife will contact you by phone. Raatikainen K, Heiskanen N, Heinonen S. Under-attending free antenatal care is associated with adverse pregnancy outcomes. May 7 - May 8. Leximancer 4 generated themes from stakeholder interviews. For many, the perception from the evidence that a midwifery group practice for vulnerable women is gold standard was the sole driver for supporting the proposed model and was seen as a strong enabler which would enhance a business case for the proposed model. 2023 BioMed Central Ltd unless otherwise stated. To promote rigor and dependability in the study findings, a second round of analysis was conducted [39,40,41]. 2) You also fill out this referral form and send to MGP team. Born on April 27, Emme Millard claimed the precious title of the first baby born with the assistance of the TMGP, which formed earlier this year. 2011;5(6):2801. Our intent is to identify and share the results of the context assessment which can be applied to other maternity services across Australia and demonstrate implementation science methods as an appropriate approach. 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. 8:30am-12:00pm on Fridays. While this second barrier is contradictory to the initial workforce enabler identified in this theme, participants became solution focussed in the interviews, which is reflected in the theme reported below The interdisciplinary team. Your MGP midwife remains on-call 24 hours for women expecting to birth and emergencies. The interdisciplinary team expressed views that to continue safe and effective care, it was important the teams role be maintained. Br J Healthc Assistants. BMC Public Health. The midwife researchers reflected on and acknowledged both the potential bias of being midwives investigating a topic they may have a self-interest in, along with the benefits of improved engagement from participants as they were known colleagues. Postpartum care. We therefore aimed to identify the barriers and enablers that might impact the implementation of a midwifery group practice for vulnerable women. Midwifery Group Practice. Primarily this related to women with involvement of child protection services or times where personal factors impacted on building rapport and a therapeutic relationship was not established between the woman and the midwife. Depla AL, Crombag NM, Franx A, Bekker MN. LC: Writing Original Draft, Supervision. A midwifery group practice was perceived to meet the needs of vulnerable women because for example, some with abuse histories dont want to go over those histories over and over (Midwife, Interview 2). its an addition to the multi-disciplinary teams, so it doesnt take anything away but theyve got some-one they can trust that follows them through all the way (Medical Officer, Interview 8). The 1000-bed health service is located in an inner suburb of an Australian capital city, with a diverse population catchment including large numbers of disadvantaged groups. Shellharbour Hospital Carpark: Access to car parking facilities via the Hospital entrance on Madigan Boulevarde. 2021;21(1):113. Active labour, normal birth, breastfeeding and early discharge home from the Birthing Unit are important to us. It is also unknown how accepted midwifery group practice is amongst key stakeholders in Australia. BMC Pregnancy Childbirth. Article Doi L, Cheyne H, Jepson R. Alcohol brief interventions in Scottish antenatal care: a qualitative study of midwives attitudes and practices. 76024 Suite 1/118 Main Street Murwillumbah | 6672 1698. NEW mothers can expect the best of care at the new Tweed Midwifery Group Practice. 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. 2007;45(2):4157. To enable such an intervention to be implemented in other Australian maternity services, stakeholders would need to have confidence in their ability to seek and interpret the evidence and have an awareness of the strengths and limitations of the workforce capabilities to execute the proposed model of care. Enjoy free WiFi, free parking, and breakfast. the people caring for them are more likely to pick up on deviations from a normal emotional state (Midwife, Interview 2). A strength of this study was the use of the CFIR to guide interviews, along with two independent forms of data analysis and comparison of study findings. Maternal, fetal and neonatal consequences associated with the use of crack cocaine during the gestational period: a systematic review and meta-analysis. Themes were compared and mapped to the Framework. Roslyn Donnellan-Fernandez . PubMed In this study, we have used the CFIR to identify potential barriers and enablers to implementing a midwifery group practice for vulnerable women, with both local and national relevance. Midwifery. statement and All your prenatal appointments will be with your own midwife, where possible. CFIR Research Team. 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]. Consolidated Framework for Implementation Research. Reid N, Gamble J, Creedy DK, Finlay-Jones A. This aims to provide continuity of carer . For maternity services seeking to implement a midwifery group practice for vulnerable women, our results can be leveraged to further investigate other local contexts, and quickly identify strategies for effective and sustained implementation of the new model of care [48]. Establishment of trusting relationships is likely to improve attendance at care and enable discussion of behaviour changes during pregnancy. Student placements situated within models of care which provide continuity of midwifery care should be proactively enabled by health services and universities . In an emergency, please contact the Mater Mothers' Hospital Birthing Suites on telephone 07 3163 7000 (all hours). An alternative to this is Midwifery Group Practice (MGP), also called continuity of midwifery or caseload midwifery which has been implemented globally and largely focusses on low-risk pregnancies [10, 13]. 2014;14(1):170. some with abuse histories dont want to go over those histories over and over. Toohill J, Turkstra E, Gamble J, Scuffham PA. A non-randomised trial investigating the cost-effectiveness of Midwifery Group Practice compared with standard maternity care arrangements in one Australian hospital. Wollongong Hospital Carpark: Access to the North and South Carpark entrances via New Dapto Road or Dudley Street. 2019;148:3242. Midwifery continuity of care statement 2019 [Available from: https://www.pretermalliance.com.au/Alliance-News/Latest-News/Midwifery-Continuity-of-Care. IT'S ALWAYS BETTER TO TALK FACE-TO-FACE Make the most of our expert insurance knowledge. However, there is no known evidence for the cost-effectiveness of such a niche model of care, only generalised costs reported for Australian midwifery group practice [10, 45]. Midwifery group practice (MGP) has consistently demonstrated optimal health and wellbeing outcomes for childbearing women and their babies. The midwife will discuss which option is more suited to the womans needs on acceptance into the program. Midwifery. This belief was a clear enabler of the proposed model: the cost would come with great reward (Nurse/Midwife Leader, Interview 3). High levels of consumer satisfaction are reported by women who experience midwifery group practice. The State of Queensland (Queensland Health) 2023, www.goldcoast.health.qld.gov.au | | _v1_, Gold Coast Health is recognised for quality patient care, nursing and midwifery excellence and innovations in professional nursing and midwifery practice under the, Aboriginal & Torres Strait Islander service, Aboriginal and Torres Strait Islander Health, Services, Emergency Contacts and Resources, Lesson 1 - Using language strategies in everyday routines, Feeding babies for women isolated and quarantined, Partner with the National Centre for Neuroimmunology and Emerging Diseases. yes, it is very important that we generate the activity to get something for the work that were doing, but at the end of the day we are looking at patient centred care, so if its easier and the best outcome for mother and baby then thats what we have to do (Other role, Interview 1). Australias mothers and babies. Midwifery Group Practice. Call our 24/7 hotline on (07) 3810 1242 or (07) 3810 1564 to speak with a midwife about your questions or concerns. All data were de-identified in preparation for data analysis. 2016;16:337. While midwifery group practice for vulnerable women is recommended based on evidence from small international studies, it is not known how widespread or effective the model is in Australia. The MGP model of care provides continuity of maternity care by a known midwife throughout pregnancy, labour and birth, and the early weeks following the birth of your baby. Referrals to the service can be made through a general practitioner or by self-referring by calling the Tweed Hospital Women's Care Unit on (07) 5506 7490.
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