Page 2982 - Week 09 - Thursday, 18 August 2005

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This objective is met through work culture and practices based on the evidence that continuity of midwifery from a primary midwife provides improved outcomes for women. The program recognises that women who are particularly vulnerable are likely to have improved outcomes for themselves and their babies in this type of program.

CMP midwives promote this aspect of the program and women themselves know whether they feel particularly vulnerable or not.

They may or may not choose to disclose the reason for their feelings of vulnerability at the opportunities provided during information sessions and antenatal visits. When women do disclose feelings of vulnerability they are supported and prioritised for participation in the program if they meet the criteria outlined in response to question seven above.

(10) Specific data about each issue is not collected.

(11) a) Specific data is not kept on this issue. This information is recorded on an individual basis in medical records, and women are provided with appropriate support and referral.

b) Specific data is not kept on this issue. This information is recorded on an individual basis in medical records, and women are provided with appropriate support and referral.

(12) a) The number of women birthed in the Delivery Suite rather than the Birth Centre because of a lack of capacity were:

2003

26 due to staffing resources (ie midwives birthing other women in the delivery suite and women being required to birth in the delivery suite as well in order to receive the care of their midwife), only one women needed to birth in the delivery suite due to the birth centre being full to capacity

2004

The formal data is not yet available however the number is expected to be under 10 women.

b) Approximately 50% of women on the CMP do not birth in the Birth Centre for clinical reasons, however not all of these are the result of birthing complications. It is important to note that while their place of birth changes, these women remain in the care of their CMP midwife.

The following table outlines the common clinical reasons women move to the delivery suite.

Reason for Delivery Suite Birth

% of women in 2004

Epidural

21.5*

Induction

16

Assisted birth (eg forceps)

12.5

Caesarian

13.5

* This figure includes women who had epidurals in conjunction with one or more of the other categories


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