Models of maternity care: Evidence for midwifery continuity of care

Homer, CSE

Models of maternity care: Evidence for midwifery continuity of care

Homer, CSE

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Publication Type:: Journal Article
Citation:: Medical Journal of Australia, 2016, 205 (8), pp. 370 - 374
Issue Date:: 2016-10-17

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Field	Value	Language
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.date.available	2016-08-16	en_US
dc.date.issued	2016-10-17	en_US
dc.identifier.citation	Medical Journal of Australia, 2016, 205 (8), pp. 370 - 374	en_US
dc.identifier.issn	0025-729X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/64883
dc.description.abstract	© 2016 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved. • There has been substantial reform in the past decade in the provision of maternal and child health services, and specifically regarding models of maternity care. Increasingly, midwives are working together in small groups to provide midwifeled continuity of care.• This article reviews the current evidence for models of maternity care that provide midwifery continuity of care, in terms of their impact on clinical outcomes, the views of midwives and childbearing women, and health service costs.• A systematic review of midwife-led continuity of care models identified benefits for women and babies, with no adverse effects.• Non-randomised studies have shown benefits of midwifery continuity of care for specific groups, such as Aboriginal and Torres Strait Islander women. There are also benefits for midwives, including high levels of job satisfaction and less occupational burnout.• Implementing midwifery continuity of care in public and private settings in Australia has been challenging, despite the evidence in its favour and government policy documents that support it.• A reorganisation of the way maternity services are provided in Australia is required to ensure that women across the country can access this model of care. Critical to such reform is collaboration with obstetricians, general practitioners, paediatricians and other medical professionals involved in the care of pregnant women, as well as professional respect for the central role of midwives in the provision of maternity care.• More research is needed into ways to ensure that all childbearing women can access midwifery continuity of care.	en_US
dc.relation.ispartof	Medical Journal of Australia	en_US
dc.relation.isbasedon	10.5694/mja16.00844	en_US
dc.subject.classification	General & Internal Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Maternal Health Services	en_US
dc.subject.mesh	Continuity of Patient Care	en_US
dc.subject.mesh	Patient Care Team	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.title	Models of maternity care: Evidence for midwifery continuity of care	en_US
dc.type	Journal Article
utslib.citation.volume	8	en_US
utslib.citation.volume	205	en_US
utslib.for	1110 Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access
pubs.issue	8	en_US
pubs.publication-status	Published	en_US
pubs.volume	205	en_US

Abstract:

© 2016 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved. • There has been substantial reform in the past decade in the provision of maternal and child health services, and specifically regarding models of maternity care. Increasingly, midwives are working together in small groups to provide midwifeled continuity of care.• This article reviews the current evidence for models of maternity care that provide midwifery continuity of care, in terms of their impact on clinical outcomes, the views of midwives and childbearing women, and health service costs.• A systematic review of midwife-led continuity of care models identified benefits for women and babies, with no adverse effects.• Non-randomised studies have shown benefits of midwifery continuity of care for specific groups, such as Aboriginal and Torres Strait Islander women. There are also benefits for midwives, including high levels of job satisfaction and less occupational burnout.• Implementing midwifery continuity of care in public and private settings in Australia has been challenging, despite the evidence in its favour and government policy documents that support it.• A reorganisation of the way maternity services are provided in Australia is required to ensure that women across the country can access this model of care. Critical to such reform is collaboration with obstetricians, general practitioners, paediatricians and other medical professionals involved in the care of pregnant women, as well as professional respect for the central role of midwives in the provision of maternity care.• More research is needed into ways to ensure that all childbearing women can access midwifery continuity of care.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/64883