An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care
© 2016 Australian College of Midwives. Background: Midwifery group practice (MGP) is a care model offered by a primary midwife in a small team. Evidence confirms MGP is acceptable to women, safe and cost effective. Methods: We aimed to provide a systematic overview of the first 'no exit' M...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Published: |
Elsevier BV
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/20402 |
| _version_ | 1848750295458250752 |
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| author | Lewis, Lucy Hauck, Yvonne Crichton, C. Pemberton, A. Spence, M. Kelly, G. |
| author_facet | Lewis, Lucy Hauck, Yvonne Crichton, C. Pemberton, A. Spence, M. Kelly, G. |
| author_sort | Lewis, Lucy |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2016 Australian College of Midwives. Background: Midwifery group practice (MGP) is a care model offered by a primary midwife in a small team. Evidence confirms MGP is acceptable to women, safe and cost effective. Methods: We aimed to provide a systematic overview of the first 'no exit' MGP in a Western Australian (WA) tertiary maternity hospital, using a mixed methods approach, involving four phases. Between July 2013 and June 2014: phase one assessed MGP characteristics, obstetric and neonatal outcomes by parity; phase two examined women's satisfaction by mode of delivery; and phase three qualitatively explored perceptions of care. Phase four compared the proportion of MGP women and the 2012 WA birthing population. Findings: Phase one included 232 MGP women; 87% achieved a vaginal birth. Phase two included 97% (226 of 232) women, finding 98% would recommend the service. Phase three analysis of 62 interviews revealed an overarching theme 'Continuity with Midwives' encompassing six sub-themes: only a phone call away; home away from home; knowing me; a shared view; there for me; and letting it happen. Phase four compared the MGP cohort to 33,393 WA women. Intrapartum MGP women were more likely than the WA population to have a vaginal birth (87% vs 65%, P =. 0.001) and intact perineum (49% vs 36%, P =. 0.001) and less likely to use epidural/spinal analgesia (34% vs 59%, P =. 0.001), or have a caesarean (13% vs 35%, P =. 0.001). Conclusions: Mixed methods enabled systematic examination of this new 'no exit' MGP confirming safety and acceptability. Findings contribute to our knowledge of MGP models. |
| first_indexed | 2025-11-14T07:34:34Z |
| format | Journal Article |
| id | curtin-20.500.11937-20402 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:34:34Z |
| publishDate | 2015 |
| publisher | Elsevier BV |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-204022017-09-13T13:51:03Z An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care Lewis, Lucy Hauck, Yvonne Crichton, C. Pemberton, A. Spence, M. Kelly, G. © 2016 Australian College of Midwives. Background: Midwifery group practice (MGP) is a care model offered by a primary midwife in a small team. Evidence confirms MGP is acceptable to women, safe and cost effective. Methods: We aimed to provide a systematic overview of the first 'no exit' MGP in a Western Australian (WA) tertiary maternity hospital, using a mixed methods approach, involving four phases. Between July 2013 and June 2014: phase one assessed MGP characteristics, obstetric and neonatal outcomes by parity; phase two examined women's satisfaction by mode of delivery; and phase three qualitatively explored perceptions of care. Phase four compared the proportion of MGP women and the 2012 WA birthing population. Findings: Phase one included 232 MGP women; 87% achieved a vaginal birth. Phase two included 97% (226 of 232) women, finding 98% would recommend the service. Phase three analysis of 62 interviews revealed an overarching theme 'Continuity with Midwives' encompassing six sub-themes: only a phone call away; home away from home; knowing me; a shared view; there for me; and letting it happen. Phase four compared the MGP cohort to 33,393 WA women. Intrapartum MGP women were more likely than the WA population to have a vaginal birth (87% vs 65%, P =. 0.001) and intact perineum (49% vs 36%, P =. 0.001) and less likely to use epidural/spinal analgesia (34% vs 59%, P =. 0.001), or have a caesarean (13% vs 35%, P =. 0.001). Conclusions: Mixed methods enabled systematic examination of this new 'no exit' MGP confirming safety and acceptability. Findings contribute to our knowledge of MGP models. 2015 Journal Article http://hdl.handle.net/20.500.11937/20402 10.1016/j.wombi.2016.04.009 Elsevier BV restricted |
| spellingShingle | Lewis, Lucy Hauck, Yvonne Crichton, C. Pemberton, A. Spence, M. Kelly, G. An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title | An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title_full | An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title_fullStr | An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title_full_unstemmed | An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title_short | An overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in Western Australia: Outcomes, satisfaction and perceptions of care |
| title_sort | overview of the first 'no exit' midwifery group practice in a tertiary maternity hospital in western australia: outcomes, satisfaction and perceptions of care |
| url | http://hdl.handle.net/20.500.11937/20402 |