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    Maternity high-dependency care and the Australian midwife: A review of the literature

    Access Status
    Fulltext not available
    Authors
    Kingwell, E.
    Butt, J.
    Leslie, Gavin
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Kingwell, E. and Butt, J. and Leslie, G. 2016. Maternity high-dependency care and the Australian midwife: A review of the literature. Women and Birth. 29: pp. 1-5.
    Source Title
    Women and Birth
    DOI
    10.1016/j.wombi.2016.10.007
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/31949
    Collection
    • Curtin Research Publications
    Abstract

    Background: Maternity high-dependency care has emerged throughout the 21st century in Australian maternity hospitals as a distinct sub-speciality of maternity care. However, what the care involves, how and why it should be provided, and the role of midwives in the provision of such care remains highly variable. Introduction: Rising levels of maternal morbidity from non-obstetric causes have led midwives to work with women who require highly complex care, beyond the standard customary midwifery role. Whilst the nursing profession has developed and refined its expertise as a specialty in the field of high-dependency care, the midwifery profession has been less likely to pursue this as a specific area of practice. Discussion: This paper explores the literature surrounding maternity high-dependency care. From the articles reviewed, four key themes emerge which include; the need for maternity high-dependency care, maternal morbidity and maternity high-dependency care, the role of the midwife and maternity high-dependency care and midwifery education and preparation for practice. It highlights the challenges that health services are faced with in order to provide maternity high-dependency care to women. Some of these challenges include resourcing and budgeting limitations, availability of educators with the expertise to train staff, and the availability of suitably trained staff to care for the women when required. Conclusion: In order to provide maternity high-dependency care, midwives need to be suitably equipped with the knowledge and skills required to do so.

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