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    An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care

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    Fulltext not available
    Authors
    Lewis, Lucy
    Hauck, Yvonne
    Crichton, C.
    Pemberton, A.
    Spence, M.
    Kelly, G.
    Date
    2015
    Type
    Journal Article
    
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    Citation
    Lewis, L. and Hauck, Y. and Crichton, C. and Pemberton, A. and Spence, M. and Kelly, G. 2015. An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: outcomes, satisfaction and perceptions of care. Women and Birth. [In Press].
    Source Title
    Women and Birth
    DOI
    10.1016/j.wombi.2016.04.009
    ISSN
    1871-5192
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/20402
    Collection
    • Curtin Research Publications
    Abstract

    © 2016 Australian College of Midwives. Background: Midwifery group practice (MGP) is a care model offered by a primary midwife in a small team. Evidence confirms MGP is acceptable to women, safe and cost effective. Methods: We aimed to provide a systematic overview of the first 'no exit' MGP in a Western Australian (WA) tertiary maternity hospital, using a mixed methods approach, involving four phases. Between July 2013 and June 2014: phase one assessed MGP characteristics, obstetric and neonatal outcomes by parity; phase two examined women's satisfaction by mode of delivery; and phase three qualitatively explored perceptions of care. Phase four compared the proportion of MGP women and the 2012 WA birthing population. Findings: Phase one included 232 MGP women; 87% achieved a vaginal birth. Phase two included 97% (226 of 232) women, finding 98% would recommend the service. Phase three analysis of 62 interviews revealed an overarching theme 'Continuity with Midwives' encompassing six sub-themes: only a phone call away; home away from home; knowing me; a shared view; there for me; and letting it happen. Phase four compared the MGP cohort to 33,393 WA women. Intrapartum MGP women were more likely than the WA population to have a vaginal birth (87% vs 65%, P =. 0.001) and intact perineum (49% vs 36%, P =. 0.001) and less likely to use epidural/spinal analgesia (34% vs 59%, P =. 0.001), or have a caesarean (13% vs 35%, P =. 0.001). Conclusions: Mixed methods enabled systematic examination of this new 'no exit' MGP confirming safety and acceptability. Findings contribute to our knowledge of MGP models.

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