Exploring satisfaction among women having a First Nations baby at one of three maternity hospitals offering culturally specific continuity of midwife care in Victoria, Australia: a cross-sectional survey.
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Date
2023-07-11
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Affiliation(s)
(McCalman, Forster, Springall, Newton, McLardie-Hore, McLachlan) Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
(McCalman, Newton, McLachlan) School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3052, Australia
(Forster, McLardie-Hore) The Royal Women's Hospital, Parkville, VIC 3052, Australia
(McCalman, Newton, McLachlan) School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3052, Australia
(Forster, McLardie-Hore) The Royal Women's Hospital, Parkville, VIC 3052, Australia
Year
2023
Citation
Women and Birth. Vol.36(6), 2023, pp. e641-e651.
Journal
Women and Birth
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Grant information
The authors acknowledge the NHMRC, the Beischer Foundation and the Lowitja Institute for the funding to assist with this project.
Abstract
Background: Continuity of midwife care is recommended to redress the inequitable perinatal outcomes experienced by Aboriginal and Torres Strait Islander (First Nations) mothers and babies, however more evidence is needed about First Nations women's views and experiences of their care. Aim(s): This study aimed to explore levels of satisfaction among women having a First Nations baby, who received maternity care at one of three maternity services, where new culturally specific midwife continuity models had been recently implemented. Method(s): Women having a First Nations baby who were booked for care at one of three study sites in Naarm (Melbourne), Victoria, were invited to complete one questionnaire during pregnancy and then a follow up questionnaire, 3 months after the birth. Result(s): Follow up questionnaires were completed by 213 women, of whom 186 had received continuity of midwife care. Most women rated their pregnancy (80 %) and labour and birth care (81 %) highly ('6 or '7' on a scale of 1-7). Women felt informed, that they had an active say in decisions, that their concerns were taken seriously, and that the midwives were kind, understanding and there when needed. Ratings of inpatient postnatal care were lower (62 %), than care at home (87 %). Conclusion(s): Women having a First Nations baby at one of three maternity services, where culturally specific, continuity of midwife care models were implemented reported high levels of satisfaction with care. It is recommended that these programs are upscaled, implemented and sustained.Copyright © 2023 Australian College of Midwives
PubMed ID
37336679 [https://www.ncbi.nlm.nih.gov/pubmed/?term=37336679]
Type
Article
Study type
Observational study (cohort, case-control, cross sectional, or survey)
Subjects
Maternal health
Cultural safety
Cultural safety