The experiences of privately practising midwives in Australia who have been reported to the Australian Health Practitioner Regulation Agency: A qualitative study |
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| Affiliation: | 1. College of Nursing and Health Sciences, Flinders University, Australia;2. Department for Health and Wellbeing, Government of South Australia, Australia;3. School of Nursing & Midwifery, Deakin University and Western Health Partnership, Australia;1. School of Nursing and Midwifery, Griffith University, Australia;2. Western Health, St Albans, VIC, Australia;3. Transforming Maternity Care Collaborative, Australia;4. School of Nursing & Midwifery, Faculty of Health, Deakin University, Australia;1. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2752, Australia;2. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia;3. Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia;4. School of Nursing and Midwifery, Affiliate Ingham Institute, Liverpool, Western Sydney University, Locked Bag 1797, Penrith 2751, NSW, Australia;5. School of Nursing and Midwifery, University of Southern Queensland, 11 Salisbury Rd, Ipswich, QLD 4305, Australia;1. University of Western Sydney, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia;2. School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia |
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| Abstract: | BackgroundIn Australia the majority of homebirths are attended by privately practising midwives (PPMs). In recent years PPMs have been increasingly reported to the Australian Health Practitioner Regulation Agency (AHPRA) mostly by other health professionals.Purposeto explore the experiences of PPMs in Australia who have been reported to the AHPRA.MethodsA qualitative interpretive approach, employing in-depth interviews with eight PPMs was undertaken and analysed using thematic analysis. A feminist theoretical framework was used to underpin the research.ResultsThe majority of reports made to AHPRA occurred when midwives supported women who chose care considered outside the recommended Australian College of Midwives (ACM) Consultation and Referral Guidelines. During data analysis an overarching theme emerged, “Caught between women and the system”, which described the participants’ feelings of working as a PPM in Australia. There were six themes and several sub-themes: The suppression of midwifery, A flawed system, Lack of support, Devastation on so many levels, Making changes in the aftermath and Walking a tight rope forever. The findings from this study reveal that midwives who are under investigation suffer from emotional and psychological distress. Understanding the effects of the process of investigation is important to improve the quality of professional and personal support available to PPMs who are reported to AHPRA and to streamline processes.ConclusionIt is becoming increasingly difficult for PPMs to support the wishes and needs of individual women and also meet the requirements of the regulators, as well as the increasingly risk averse health service. |
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| Keywords: | Private midwives Regulation Homebirth Risk Women's rights Human rights |
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