Choosing a Model of Maternity Care: Decision Support Needs of Australian Women

Stevens, Gabrielle; Miller, Yvette D.; Watson, Bernadette Maria; Thompson, Rachel

doi:10.1111/birt.12212

Cited by 16 publications

(18 citation statements)

References 33 publications

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“…The most commonly reported reasons for choosing the OFW model of care were the lower financial cost and recommendations from care providers. This finding is consistent with a previously reported Australian study that found the cost was the most important factor, and care provider information was the most influential in choosing a maternity care model ( 24 ). Although the model of care, convenience, and availability of multiple services at one location was valued by women that attended OFW for their maternity care, it is not surprising that these factors were not frequently cited as reasons for choosing OFW as the service had been in operation for <12 months and was not widely known at the time of commencement of this study.…”

Section: Discussionsupporting

confidence: 92%

Maternal Evaluation of a Team-Based Maternity Care Model for Women of Low Obstetric Risk

Perrella

Miraudo

Rea

et al. 2022

Journal of Patient Experience

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In response to the need for affordable and comprehensive maternity care, a multidisciplinary team-based maternity care service led by general practitioners with obstetric training (GPOs) and midwives was established for women of low obstetric risk. We evaluated maternal satisfaction with this model of care. All women that attended the service and gave birth in 2020 were approached. Participants used an online survey to rate their satisfaction with aspects of their pregnancy, hospital stay and postpartum care and were invited to provide additional written feedback. Fifty percent (81/162) of women (33 ± 3.9 years) responded, with 59% primiparous. Proportions of participants that were very satisfied with their overall pregnancy, hospital stay, and postpartum care were 91%, <50%, and 85%, respectively. Both survey and qualitative data identified high satisfaction with emotional care and time afforded to discuss concerns during appointments. High levels of satisfaction can be achieved in women of low obstetric risk through the provision of GPO-midwife led multidisciplinary care throughout the maternity journey.

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Section: Discussionsupporting

confidence: 92%

Maternal Evaluation of a Team-Based Maternity Care Model for Women of Low Obstetric Risk

Perrella

Miraudo

Rea

et al. 2022

Journal of Patient Experience

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“…The results coincide with those mentioned by Stevens et al [43], McKinnon et al [44] or Downer [45] in relation to coping with childbirth, the possibilities of mobility, use of medical procedures or place of delivery. In this study, women have expressed a general need for information and support in decision-making regarding pregnancy or breastfeeding, which will allow them to play a more active role in the process.…”

Section: Discussionsupporting

confidence: 91%

Consensus on priorities in maternal education: results of Delphi and nominal group technique approaches

Paz-Pascual

Artieta-Pinedo

Grandes

2019

BMC Pregnancy Childbirth

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Background Maternal education is wide-ranging and covers many areas from pregnancy to the immediate postpartum period and childrearing. However, for it to be effective, more resources need to be assigned to key topics. The goal of this study was to identify and prioritize the most important issues in maternal education, so that specific objectives could subsequently be set and learning outcomes evaluated. Methods We drew up a comprehensive list of topics addressed in existing maternal education programs, based on a systematic review of information obtained from the Internet and the experience of the research team. The topics were presented to a multidisciplinary panel whose members were asked to rate them from 1 to 9, and consensus of opinion was reached using a two-round Delphi survey, with consensus defined beforehand as 80% agreement among panelists in awarding a score of 7, 8 or 9. The most highly-rated topics were then discussed and again prioritized by a multidisciplinary team of healthcare and non-healthcare experts, using a nominal group technique. Results Initially, 650 topics were identified and grouped into 80 categories which were then prioritized by 54 healthcare and non-healthcare experts using a Delphi survey with a study participation rate of around 20%. 63 topics were considered very important, so criteria were restricted and only the 24 highest-scoring selected (95% of agreement on scores ≥7 or 80% of agreement on scores ≥8). Using the nominal group technique, a group of 12 experts identified the following priorities: initiation and establishment of breastfeeding, development of a birth plan, identification of problems and self-care postpartum, nutrition and a healthy lifestyle, options for pain management in labor and birth and characteristics of a normal newborn/looking after a newborn baby. Conclusion This study, with a Delphi study and the Consensus among Experts: the nominal group technique, has succeeded in identifying priority topics in maternal education. We need to assess women’s needs in relation to these topics, design an intervention to respond to these needs and evaluate its effectiveness.

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“…Policymakers need to also be aware that changes in the quality gap for obstetrics care between public/private hospitals are likely to influence demand for PHI. Self‐reports suggest that quality factors like choice of physician and continuity of care are key considerations for women's preferences for birth settings (Stevens et al, ).…”

Section: Resultsmentioning

confidence: 99%

Family formation and the demand for health insurance

Doiron

Kettlewell

2020

Health Economics

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We study how demand for health insurance responds to family formation using a unique panel of young Australian women. Our data allow us to simultaneously control for the influence of state dependence and unobserved heterogeneity and detailed information on children and child aspirations. We find evidence that women purchase insurance in preparation for pregnancy but then transition out of insurance once they have finished family building. Children have a large, negative impact on demand for insurance, although this effect is smaller for those on higher incomes. We also find that state dependence has a large impact on insurance demand. Our results are robust to a variety of alternative modelling strategies.

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Choosing a Model of Maternity Care: Decision Support Needs of Australian Women

Cited by 16 publications

References 33 publications

Maternal Evaluation of a Team-Based Maternity Care Model for Women of Low Obstetric Risk

Maternal Evaluation of a Team-Based Maternity Care Model for Women of Low Obstetric Risk

Consensus on priorities in maternal education: results of Delphi and nominal group technique approaches

Family formation and the demand for health insurance

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