The cost of the proposed model had not been established but was imagined by participants to be higher than both the current model of care and comparative midwifery group practices. Cretchley J, Rooney D, Gallois C. Mapping a 40-year history with Leximancer: Themes and concepts in the Journal of Cross-Cultural Psychology. Flinders University . Canberra: Australian Government; 2021. to field all those phone calls and constantly support that person would be really challenging (Nurse/Midwife Leader, Interview 3). The benefits of continuity of care and carer are well documented [10] and are likely to be seen in vulnerable women. Midwifery. Why shouldnt they have an MGP, they shouldnt be excluded just because theyve had drug and alcohol or mental health issues in the past (Nurse, Interview 15). "The benefits of this type of midwifery model lie in the continuity of care which enables the development of a relationship between a woman and her midwife throughout the pregnancy journey.. See your GP for referral to. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Continuity of care through midwifery group practice is mostly restricted to women with low-risk pregnancies and is not universally available to vulnerable women, despite evidence supporting benefits of this model of care for all women. ISLHD-TWHAntenatalServices@health.nsw.gov.au. 76024 Suite 1/118 Main Street Murwillumbah | 6672 1698. Article The CFIR has demonstrated applicability to data collection, analysis and implementation within maternity settings [34, 35] and provided a practical framework to assess the multiple factors involved in planning for a new midwifery group practice for vulnerable women. Below is the link to the electronic supplementary material. The results also demonstrated a moderate level of self-efficacy there were mixed beliefs amongst individuals in their own capabilities to deliver the model of care, while also identifying that the proposed model of care would provide an opportunity for midwives to build their self-efficacy through gaining new skills and expanding their scope of practice. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Gilkison A, McAra-Couper J, Gunn J, Crowther S, Hunter M, Macgregor D, et al. 2015;10(1):21. A retrospective cohort study. Midwifery Group Practice | South Eastern Sydney Local Health District An interdisciplinary team structure is also an essential component of the service design. When mapping the themes to the CFIR domains, the implications of local results to Australian maternity services became evident. Key words and phrases which were repeated amongst participants were tabulated. California Privacy Statement, A qualitative context analysis using the Consolidated Framework for Implementation Research was conducted at a single-site tertiary health facility in Queensland, Australia. Smith, P.A., Kilgour, C., Rice, D. et al. Kilgour C, Bogossian FE, Callaway L, Gallois C. Postnatal gestational diabetes mellitus follow-up: Australian womens experiences. 2019;322(2):14552. Followed categories will be added to My News. Such antenatal care may facilitate equitable access, high quality health care and the best possible health outcomes during pregnancy, birth and the postpartum period [12]. Australias mothers and babies. Not all stakeholders may be supportive and there may be less-visible aspects of the health service that may make sustained implementation of a midwifery group practice for vulnerable women difficult. To do this, we conducted a qualitative context assessment using the Consolidated Framework for Implementation Research (CFIR) [31,32,33]. Vulnerable pregnant women in antenatal practice: Caregivers perception of workload, associated burden and agreement with objective caseload, and the influence of a structured organisation of antenatal risk management. Marsh CA, Browne J, Taylor J, Davis D. Making the hidden seen: A narrative analysis of the experiences of Assumption of Care at birth. While midwifery group practice for vulnerable women is recommended based on evidence from small international studies, it is not known how widespread or effective the model is in Australia. 9:00am-6:00pm on Mondays, Wollongong Hospital Whilst some MGPs are already established there is no ability to be engaged concomitantly with the antenatal model of care available to vulnerable women [36]. In this study we have identified, with an interdisciplinary stakeholder perspective, both the potential barriers and enablers that will need to be considered in the next phases of planning and implementing a midwifery group practice for vulnerable women. Caseload midwifery compared to standard or private obstetric - PubMed Part of Background: Although there is high-level evidence supporting positive perinatal outcomes for midwifery group practice (MGP) care, not all women can access this model due to a failure to implement or sustain it. Review submission. Healthy with an uncomplicated pregnancy There were a number of different terms used to define the model of care, and the level of continuity provided across the continuum of care varied with no single term used. Morris M, Seibold C, Webber R. Drugs and having babies: an exploration of how a specialist clinic meets the needs of chemically dependent pregnant women. The second analysis was compared with themes from first round analysis thus establishing findings across three researchers using two methods, and substantiating trustworthiness in the study [44]. All methods were performed in accordance with the Declaration of Helsinki, in particular the respect for individuals, the right to make informed decisions and the recognition of vulnerable groups. The MGP model of care provides continuity of maternity care by a known midwife throughout pregnancy, labour and birth, and the early weeks following the birth of your baby. Tweed Midwifery Group Practice provides assistance to new mums. Well mums & babies will be discharged home 4 to 6 hours after birth and followed up with a postnatal visit at home within 12 to 24 hours of birth. This may include when you are in labour. However, more people aged 41 and over participated in the research, whereas the comparable Australian workforce is mostly aged 20 to 34 years. 2014;17(2):21834. 2002;109(3):26573. We aimed to identify the potential barriers and enablers for implementing a midwifery group practice for vulnerable women. Choosing a qualitative data analysis tool: A comparison of NVivo and Leximancer. Midwife, Registered Nurse, Medical Officer and more on Indeed.com Midwifery Group Practice $75,200 Jobs in New South Wales (with Salaries) 2022 | Indeed.com Australia