An integrated service network in maternity: the implementation of a midwifery-led unit

Sally K. Tracy, Donna Hartz, Michael Nicholl, Yvonne McCann, Deborah Latta

Research output: Contribution to journalArticle

Abstract

Maternity services in Australia are in urgent need of change. During the last 10 years several reviews have highlighted the need to provide more continuity of care for women in conjunction with the rationalisation of services. One solution may lie in the development of new integrated systems of care where primary-level maternity units offer midwifery-led care and women are transferred into perinatal centres to access tertiary-level obstetric technology and staff when required. This case study outlines the introduction of caseload midwifery into an Area Health Service in metropolitan Sydney. Our objective is to explore the concept of caseload midwifery and the process of implementing the first midwifery-led unit in NSW within an integrated service network. The midwife-led unit is a small but growing phenomenon in many countries. However, the provision of "continuity" and "woman-centred" midwifery care involves radical changes to conventional hospital practice.

Original languageEnglish
Pages (from-to)332-339
Number of pages8
JournalAustralian health review : a publication of the Australian Hospital Association
Volume29
Issue number3
DOIs
Publication statusPublished - 2005
Externally publishedYes

Fingerprint Dive into the research topics of 'An integrated service network in maternity: the implementation of a midwifery-led unit'. Together they form a unique fingerprint.

  • Cite this