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Dear Jackie
tell us more??
When and how did this
start??
Denise
----- Original Message -----
Sent: Friday, August 23, 2002 2:57
AM
Subject: Re: [ozmidwifery] Aust
Midwfery
Dear Denise,
At the Lyell McEwin Hospital in SA the midwives triage the
women so that unless the women have a reason to see a doctor they are all
automatically under midwifery care instead of the other way
around.
Jackie
----- Original Message -----
Sent: Wednesday, August 21, 2002 1:06
AM
Subject: [ozmidwifery] Aust
Midwfery
Dear All
Below my latest summary list of models of
funded midwifery care available in Australia at the moment
if you want it as an attachment email me
off list
please notify me if you know of any other
additions or deletions
Denise Hynd
FUNDED AUSTRALIAN MODELS OF MIDWIFERY CARE.
A MIDWIFERY MODEL OF CARE; is based on Primary Health Care Principles
whereby the midwife provides continuity or the majority of care as the
primary care provider through the antenatal, intrapartum and postpartum
period. The midwife aims to work in partnership with the woman and
collaboratively with other members of the health care team to provide a
pattern of care within this framework.
FUNDED; Operating costs are predominantly borne by sources other than the
consumer or individual practitioner (as per most Midwife in Private Practice
cases), either by government, private companies or health funds.
The following information was gathered from participants of the
Ozmidwifery mailing list by Denise Hynd (updated 19/8/02).
QUEENSLAND
- The Royal Women's Hospital, Brisbane Birth Centre
has a waiting
list of upto 80 clients/month.
- Selangor Private Hospital (Health Care of Aust) has no
routines, each woman is an individual.
- Cairns Base
Hospital uses a team basis for all midwifery care.
- Mackay Birth Centre and Hospital had admission rights for
MIPPs
.
- Mareeba
Hospital offers a range of models of midwifery care,
including a Birth Centre.
AUSTRALIAN CAPITAL TERRITORY
The Canberra Hospital has a Birth Centre and Community Midwives
Caseload based program.
SOUTH AUSTRALIA
There are Birth Centres attached to The Women’s & Children’s,
Flinders, Lyell McEwan, and Queen Elizabeth public hospitals each
with different criteria including/excluding water birth and physiological
third stage options.
A 'Team Midwifery Project' operates at The Queen Elizabeth
Hospital Woodville.
- The Northern Women’s Community Midwfery program
was ABS funded
since January 1989.
NEW SOUTH WALES
Team Midwifery projects operate at Westmead, King George v, Royal
Women’s, Hornsby, Gosford, Broken Hill, Canterbury, Royal North Shore and
Wyong hospitals.
- St George Hospital, (Kogarah) has a St
George Outreach Midwifery
Programme (STOMP) and a RAP (Risk Associated Pregnancy) team
providing continuity of care for women who develop problems late in
pregnancy. The women maybe seen through a Day Assessment Unit (DAU).
- John Hunter (Newcastle)
Team Midwifery project closed.
- King George V, Hospital (Sydney) has a Birth Centre which
holds
Prenatal clinics at weekends or evenings, has homeopathic and herbal
remedies on hand; they also have 100% support for their woman-focused
natural birthing policy from the staff specialist in Obstetrics. The
accredited Visiting Midwives scheme ceased, but KGv is working to
develop other means so private midwifery clients can use the birth centre
and other facilities under the care of their chosen midwife.
- Camden and Nepean birth centres have closed,
- Birth centres
operate at Blacktown, St George, John Hunter and
Royal Women's hospitals,
- Royal Women's
Birth Centre, has a 1% episiotomy rate, 70% intact
perineum rate, and has a 25% waterbirth rate and did offer
accreditation of MIPPs.
- Liverpool Hospital’s
Primary Health Midwifery Practice has
closed.
VICTORIA
Team Midwifery Programmes operate at Monash Medical Centre and
Royal Women’s (Melbourne), Williamstown, Angelis and Ballaratt hospitals.
Birth Centres operate at the Royal Women's, Angelis and
Monash hospitals.
Birralee Maternity Unit (Box Hill) has caseloading programme
with a midwives clinic.
Midwife Care Project in Wangaratta originally ABS funded, offers a
modified caseload for up to 12 women per month. Three streams - Midwife
Care Only (MCO), Shared Care with Obstetrician (SCO) and Obstetric Care
Midwife Support (OCMS). Each midwife can order pathology tests,
ultrasounds and all women are admitted to the hospital under the midwives
bedcard - Community Midwife Program (CMP) focus has outreach clinics in 2
other towns, with home based antenatal care an option for women in remote
areas.
Mitcham Private hospital (Melbourne) did offer admission rights
to MIPPs. .
Bendigo Hospital, Victoria Team Midwifery ceased in
2001.
The freestanding private Hawthorn Birthing Centre (Melbourne)
with an international reputation for its waterbirth and other midwifery
options, operating since 1998 has closed.
TASMANIA
"Know your midwife scheme" operate at the Queen Alexandra
(Hobart), Burnie/North-West Private and Queen Victoria (Launceston) and a
partial version operates at Mersey North-West hospitals.
- Freestanding Community run Birth Centre in
Launceston
WESTERN AUSTRALIA
The Fremantle now Community Midwifery WA scheme covers all
Perth metro region.
Denmark District Hospital has a Home Birth Programme operating
from the hospital since April 1995 funded by the hospital for women living
within a 25km radius. Entry criteria to the service as the nearest
hospital, which can do a LUSCS, is 50 km away.
King Edward Memorial Hospital has an initially lotteries funded
Family Birth Centre where midwives work in 2 teams of 4. Entry
criteria limit for healthy "low risk" women and active management of third
stage, proscribes waterbirths, still bookings are at/near capacity (1,000
pa).
King Edward Memorial Hospital has 2 Team Midwifery projects.
Swan District Hospital (Perth) Birth Centre has closed.
The ABS funded Mandurah Birth Centre has closed
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