Where do low risk women live relative to maternity services across Victoria? Expanding access to public homebirth models across Victoria |
| |
| Institution: | 1. Faculty of Information Technology, Monash University, Australia;2. Department of Neurology, Monash Health, Australia;3. Faculty of Medicine, Monash University, Australia;4. Developmental Imaging, Murdoch Children’s Research Institute, Melbourne, Australia;5. Academic Unit, Peninsula Health, Frankston, Melbourne, Australia;6. Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia;7. Safer Care Victoria, Melbourne, Australia;8. Peninsula Health, Frankston, Melbourne, Australia;9. Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria 3168, Australia;10. The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria 3168, Australia;1. Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea;2. School of Nursing, Midwifery and Social Sciences, Higher Education Division, Central Queensland University, Brisbane, Queensland, Australia;3. Pacific Technical and Further Education (TAFE) Science, Technology & Environment, College of Foundation Studies, University of South Pacific, Honiara Campus, Solomon Islands;1. School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia;2. Rural Department of Nursing and Midwifery, La Trobe University, Bendigo, Victoria, Australia;3. Nursing and Midwifery, Federation University, Gippsland, Victoria, Australia;4. School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia;5. Nursing and Midwifery, Monash University, Frankston, Victoria, Australia;6. College of Health and Biomedicine, Victoria University, Australia;1. Rotterdam University of Applied Sciences, School of Midwifery, Rochussenstraat 198, 3015 EK Rotterdam, Netherlands;2. Artesis Plantijn University of Applied Sciences, Department of Health & Social Care, Noorderplaats 2, 2000 Antwerp, Belgium;3. Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium;1. School of Nursing and Midwifery, La Trobe University, Bundoora 3086, Australia;2. Judith Lumley Centre, La Trobe University, 215 Franklin St., Melbourne 3000, Australia;3. The Royal Women’s Hospital, 20 Flemington Road, Parkville 3052, Australia |
| |
| Abstract: | ProblemCurrently <1% of Australian women give birth at home.BackgroundIn Australia there are very few options for women to access public funded homebirth.AimWe aimed to use geo-mapping to identify the number of women eligible for homebirth in Victoria, based on the criteria of uncomplicated pregnancies and residing within 15–25 kms of suitable maternity services, to plan future maternity care options.MethodsRetrospective study of births between 2015 and 2017 in Victoria, Australia. All women who were identified as having a low risk pregnancy at the beginning of pregnancy were included. The number of women within 15 and 25 km of a suitable Victorian public maternity hospital and catchment boundaries around each hospital were determined.FindingsBetween 2015 and 2017, 126,830 low risk women gave birth in Victoria, of whom half live within 25 km of seven Victorian hospitals. Currently, 2% of suitable women who live close to the current public homebirth models accessed them.DiscussionWe present a method to inform the expansion of maternity service options using Victoria as an example. On the basis of the maximum number of low risk women living close by, we have also identified the Victorian maternity services that would be most suitable for creation of public homebirth or low risk continuity of midwifery models.ConclusionThis approach could can be used to plan other maternity care services. |
| |
| Keywords: | Geomapping Homebirth Maternity care Models of care |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
