Who can provide antenatal care? The views of obstetricians and midwives

Australian and New Zealand Journal of Public Health
M HaertschR Sanson-Fisher

Abstract

To describe the types of antenatal services in NSW maternity hospitals and examine the views of midwives and obstetricians about who can provide adequate routine antenatal care. A mail-out questionnaire to nursing unit managers (NUMs) explored the types of antenatal services available in their hospitals. The questionnaire for 196 midwives and 114 obstetricians asked whether they believed six provider/service types could provide adequate antenatal care either alone or in conjunction with an obstetrician. 80% of hospitals had GPs providing antenatal care, 53% had obstetricians and 3% had visiting midwives; 33% had a public antenatal clinic, 28% a shared care program with GPs and 26% midwives' antenatal clinics. Midwives were more likely than obstetricians to rate the following as able to provide adequate care alone: hospital antenatal clinic (4.7 times more likely); independent midwife (42.9x); and community midwives as an outreach hospital service (17x). Obstetricians were 8.2x more likely than midwives to rate private obstetricians as being able to provide adequate care. Midwives were more likely to perceive that independent midwives (24.7x more likely) and community midwives as an outreach hospital service (15.3x more likely) ...Continue Reading

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Citations

Jan 5, 2002·International Journal of Nursing Studies·Sherie HolroydDavid K Whynes
Sep 23, 2003·Health Policy·T A Wiegers
Sep 1, 2011·Family Practice·Anna Mackenzie, Lesley Roberts
Feb 24, 2001·Australian and New Zealand Journal of Public Health·C S HomerP M Brodie
Sep 21, 2007·Midwifery·Jeffrey V LazarusJerker Liljestrand

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