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Deniliquin Collaborative Midwifery Group Practice

Murrumbidgee Local Health District
Project Added:
10 September 2014
Last updated:
1 October 2014

Deniliquin Collaborative Midwifery Group Practice

Murrumbidgee Local Health District

Summary

Deniliquin Collaborative Midwifery Group Practice (DCMGP) offers midwife-led services and General Practitioner (GP) shared care to women who chose to be cared for locally and birth locally if they have a low-risk pregnancy. Women with no identified risks are supported by a Midwife and share care arrangements with the GP, Obstetrician and Specialist Obstetrician. Women with an identified pregnancy risk, labour or postnatal period are linked with additional specialist services provided from Victoria.

Aim

To offer midwifery, GP shared-care and specialist services to local women throughout the antenatal, intrapartum and postnatal periods and to also offer low-risk pregnant women the option of birthing locally.

Benefits

  • Access to local midwives, GPs and specialist obstetric care services locally increases options for local women and improves quality and continuity of care.
  • Costs to the healthcare provider and the patient associated with transfer and travel beyond the local area for care are reduced.
  • Delivery of antenatal, intrapartum and postnatal care from midwives known to the prospective mothers.
  • A purpose built unit allows for women to have the opportunity to use water immersion during labour.
  • Retention of clinically skilled staff.

Note: The service is yet to be fully evaluated so benefits are to be confirmed.

Project status

Project started:  13 July 2013 

Project status: Sustained. The project has been implemented and is sustained in standard business. 

The project is currently under review.

Background

  • The decline in the numbers of General Practitioners and Midwives in regional and remote areas of NSW and the need to use skills more efficiently to retain staff provided the motivation for the DCMGP development.
  • Deniliquin maternity service is a role delineated level three maternity unit as per NSW Health Role Delineation (2002) enabling the service to provide care to women, in consultation with a specialist Obstetrician, with moderate risk pregnancies (>36 weeks gestation). 
  • To continue to provide this level of service to the community, it was important for the Local Health District to implement a model to enable women with identified risks to safely birth within their community.
  • The model has been designed using a Risk Matrix. 

Solutions implemented

  • This project had executive support from the Murrumbidgee Local Health District. A multidisciplinary risk assessment process guided planning and implementing of the service. An action plan was used for the implementation of the model. 
  • The DCMGP offers women with no identified risks the choice to have care provided by midwives or continue to have share care with their GP.
  • Women with identified risks are offered antenatal shared care with the midwives, the GP Obstetrician and a specialist Obstetrician. These women deliver in a Victorian Regional Health Service and are then offered community postnatal care in their local town.
  • A new purpose built birthing unit has been built within the Deniliquin Hospital. 

Partnerships

Consultations were undertaken with:

  • Deniliquin Midwives
  • GPs
  • Community service groups
  • Health Services including Kyabram & District Health Service Maternity Services, Goulburn Valley Health (Shepparton) and Echuca Regional Health
  • Cross border collaboration and consultation occurred with members of Goulburn Valley Health and Echuca Regional Health joining as members of the Operational Working Party. 

Results

The service has community support with the number of women choosing to have care locally and birth locally continuing to increase. Eighty women have birthed with the DCMGP since it commenced, providing a projected annual birthing number of 160 births.

References

Contact


Clinical Midwifery Consultant
Murrumbidgee Local Health District
Phone: 02 6933 9179

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