Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes

Adelson, Pamela; Fleet, Julie-Anne; McKellar, Lois

doi:10.1016/j.wombi.2022.03.004

Cited by 5 publications

(6 citation statements)

References 30 publications

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“…Arguments to support the combination of midwifery and nursing degrees include working in rural and remote locations, limited access to university in some regional areas of the country, a rise in co-morbidities in birthing women and a potential for increased employability with dual registration. [70] However, research suggests that midwives without nursing qualifications are well placed to work across a range of contexts and models of care and are a key strategy to the development of a sustainable workforce [71,72].…”

Section: Discussionmentioning

confidence: 99%

Examining the transformation of midwifery education in Australia to inform future directions: An integrative review

et al. 2023

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Section: Discussionmentioning

confidence: 99%

Examining the transformation of midwifery education in Australia to inform future directions: An integrative review

et al. 2023

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“…While there remain some challenges, all care providers reported a strong commitment to navigate the changes. There were benefits across all stakeholders and recognition that this model represented a means to provide high quality and safe maternity service in rural SA for all women living in the region 15 . This might mean that some women with high risk factors will be referred to metropolitan services through referral arrangements but return for midwifery postnatal care.…”

Section: Discussionmentioning

confidence: 99%

“…The MMoC model was implemented as a 2-year pilot programme and an independent evaluation was undertaken by the authors to report on clinical outcomes and explore service users and care provider experiences. 14 The aim of this paper is to report the experiences of registered health care providers engaged in the MMoC. The experiences of the women and key maternity and neonatal outcomes are reported in a separate paper.…”

Section: What This Paper Addsmentioning

confidence: 99%

“…The experiences of the women and key maternity and neonatal outcomes are reported in a separate paper. 15…”

Section: What This Paper Addsmentioning

confidence: 99%

“…The aim of this paper is to report the experiences of registered health care providers engaged in the MMoC. The experiences of the women and key maternity and neonatal outcomes are reported in a separate paper 15 …”

Section: Introductionmentioning

confidence: 99%

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‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia

McKellar,

Fleet,

Adelson

2023

Australian J Rural Health

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IntroductionIn the past 30 years, 60% of South Australia’s rural maternity units have closed. Evidence demonstrates midwifery models of care offer regional Australia sustainable birthing services. Five birthing sites within the York and Northern Region of South Australia, designed in collaboration with key stakeholders, offered a new all‐risk midwifery continuity of care model (MMoC). All pregnant women in the region were allocated to a known midwife once pregnancy was confirmed. In July 2019, the pilot program was implemented and an evaluation undertaken.ObjectiveThe study aimed to evaluate the effectiveness, acceptability, and sustainability of the new midwifery model of care from the perspective of health care providers.DesignThe evaluation utilised a mixed methods design using focus groups and surveys to explore experiences of health care providers impacted by the implementation of the MMoC. This paper reports on midwives, doctors and nurses experiences at different time points, to gain insight into the model of care from the care providers impacted by the change to services.FindingsThe first round of focus groups included 14 midwives, 6 hospital nurses/midwives and 5 doctors with the overarching theme that the ‘MMoC was working well.’ The second round of focus groups were undertaken across the five sites with 10 midwives, 9 hospital nurses/midwives and 5 doctors. The overarching theme captured all participants commitment to the MMoC, with agreement that ‘there is no other option ‐ it has to work’.DiscussionAll participants reported positive outcomes and a strong commitment to navigate the changes required to implement the new model of care. Collaboration and communication was expressed as key elements for success. Specific challenges and complexities were evident including a need to clarify expectations and the workload for midwives, and for nurses who were accustomed to having midwives 24 hours a day in hospitals.ConclusionThis innovative model responds to challenges in providing rural maternity care and offers a sustainable model for maternity services and workforce. There is an overwhelming commitment and consensus that there is ‘no other option–it has to work’.

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What do women in Australia want from their maternity care: A scoping review

Faktor,

Small,

Bradfield

et al. 2024

Women and Birth

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Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes

Cited by 5 publications

References 30 publications

Examining the transformation of midwifery education in Australia to inform future directions: An integrative review

Examining the transformation of midwifery education in Australia to inform future directions: An integrative review

‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia

What do women in Australia want from their maternity care: A scoping review

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