Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10807
Title: Narrowing the Gap? Describing women's outcomes in Midwifery Group Practice in remote Australia.
Authors: Lack, Bernadette M
Smith, Rachel M
Arundell, Michael J
Homer, Caroline S E
Affiliation: Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney (UTS), PO Box 123, Broadway, NSW 2007, Australia. Electronic address: bernadettelack@hotmail.com..
Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney (UTS), PO Box 123, Broadway, NSW 2007, Australia..
Northern Territory Department of Health, Alice Springs Hospital (ASH), 33 Gap Road, Alice Springs, NT 0870, Australia..
Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney (UTS), PO Box 123, Broadway, NSW 2007, Australia..
Issue Date: Oct-2016
Citation: Women and birth : journal of the Australian College of Midwives 2016-10; 29(5): 465-470
Abstract: In Australia, Aboriginal women and babies experience higher maternal and perinatal morbidity and mortality rates than their non-Aboriginal counterparts. Whilst midwifery led continuity of care has been shown to be safe for women and their babies, with benefits including reducing the preterm birth rate, access to this model of care in remote areas remains limited. A Midwifery Group Practice was established in 2009 in a remote city of the Northern Territory, Australia, with the aim of improving outcomes and access to midwifery continuity of care. The aim of this paper is to describe the maternal and newborn outcomes for women accessing midwifery continuity of care in a remote context in Australia. A retrospective descriptive design using data from two existing electronic databases was undertaken and analysed descriptively. In total, 763 women (40% of whom were Aboriginal) gave birth to 769 babies over a four year period. There were no maternal deaths and the rate of perinatal mortality was lower than that across the Northern Territory. Lower rates of preterm birth (6%) and low birth weight babies (5%) were found in comparison to population based data. Continuity of Midwifery Care can be effectively provided to remote dwelling Aboriginal women and appears to improve outcomes for women and their infants.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10807
DOI: 10.1016/j.wombi.2016.03.003
Type: Journal Article
Subjects: Aboriginal
Clinical outcomes
Continuity of care
Midwifery
Pregnancy
Adult
Australia
Delivery, Obstetric
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Medically Underserved Area
Northern Territory
Obstetric Labor Complications
Outcome and Process Assessment (Health Care)
Pregnancy
Pregnancy Complications
Pregnancy Outcome
Premature Birth
Retrospective Studies
Group Practice
Maternal Health Services
Midwifery
Oceanic Ancestry Group
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