PMID: 18205580Jan 22, 2008Paper

The first year of a midwifery-led model of care in Far North Queensland

The Medical Journal of Australia
Samantha SchermanMegan Davidson

Abstract

To describe a midwifery-led model of care in Far North Queensland and the outcomes obtained in its first year of operation. Prospective analysis of data for all women who were booked for antenatal care with the midwifery-led unit at Mareeba District Hospital (MDH) and who gave birth during its first year of operation, from 27 June 2005 to 30 June 2006. Number of women giving birth at MDH; antenatal, intrapartum and postpartum transfers to a higher-level referral centre (Cairns Base Hospital [CBH]); and labour and delivery outcomes. Of the 203 women who were booked for antenatal care at MDH and gave birth in the 12-month period, 170 were categorised as low risk and suitable to give birth at MDH. Of these, 147 (86%) did give birth at MDH, while 17 women (10%) had their care transferred antenatally to CBH, and six (4%) were transferred intrapartum. Of the 33 women categorised as high risk, 22 (67%) gave birth at CBH as planned, seven (21%) had elective caesarean sections performed by a general practitioner at MDH, and four (12%) presented to MDH in labour and gave birth there with no complications. Of the 158 women who gave birth at MDH, 146 (92%) had a spontaneous vertex delivery. Outcomes for the first year of operation of the m...Continue Reading

References

Feb 1, 1994·The Australian & New Zealand Journal of Obstetrics & Gynaecology·M Rowley, C Kostrzewa
Apr 1, 1998·The Australian & New Zealand Journal of Obstetrics & Gynaecology·U Waldenström, J Lawson
Nov 7, 2000·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J P ByrneJ R Moss

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Citations

Jan 22, 2008·The Medical Journal of Australia·Andrew F Pesce
Apr 9, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Erin BrockHeather Yeatman
Aug 19, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Susan A NancarrowVahid Saberi
Dec 20, 2015·The Australian Journal of Rural Health·Helen M HainesDiana Marshall
May 26, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Meredith J McIntyre
May 26, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Donna L HartzSally K Tracy

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