The profile of women who consult midwives in Australia |
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| Authors: | David W. Sibbritt Christine J. Catling-Paull Vanessa L. Scarf Caroline S.E. Homer |
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| Affiliation: | 1. Faculty of Health, University of Technology Sydney, Australia;2. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Australia;1. Department of Women''s and Children''s Health, Division of Reproductive Health, Karolinska Institutet, Stockholm SE-171 76, Sweden;2. Department of Obstetrics and Gynaecology, Floor 2, Helsingborg Hospital, Helsingborg SE-25187, Sweden;3. Department of Health Sciences, Mid Sweden University, Holmgatan 10, Sundsvall SE-85170, Sweden;4. Department of Health Sciences, Lund University, Sweden;1. Center for Integrative Medicine, Henry Ford Health System, 40000 W. 8 Mile Road, Northville, MI, 48167, USA;2. Conrad Neuromuscular Therapy Center, LLC, 5600 W. Maple D-408, West Bloomfield, MI 48322, USA;3. Center for Integrative Medicine, Henry Ford Health System, 40000 W. 8 Mile Road, Northville, MI, 48167, USA;4. Otologic/Neurotologic Surgery, Center for Integrative Medicine, Henry Ford West Bloomfield Hospital, 6777 W. Maple Road, West Bloomfield, MI, 48322, USA;1. Faculty of Nursing, Midwifery and Health, Australia;2. Centre for Midwifery, Family and Child Health, University of Technology, Sydney, NSW, Australia;1. The Robinson Institute, Discipline of Obstetrics & Gynaecology, The University of Adelaide, Women''s and Children''s Hospital, 72 King William Road, North Adelaide, South Australia 5006, Australia;2. School of Psychology, Faculty of Health Sciences, The University of Adelaide, North Terrace, South Australia 5000, Australia;3. Women''s and Children''s Hospital, Women''s and Babies Division, Department of Perinatal Medicine, Adelaide, Australia |
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| Abstract: | BackgroundThere is no Australian data on the characteristics of women who consult with midwives.AimTo determine the profile of women who consult midwives in Australia.MethodsThis cross-sectional research was conducted as part of the Australian Longitudinal Study on Women's Health (ALSWH). Participants were the younger (31–36 years) cohort of the ALSWH who completed a survey in 2009, and indicated that they were currently pregnant (n = 801). The main outcome measure was consultation with a midwife.FindingsOf the 801 women who indicated that they were currently pregnant at the time of the survey, 19%, 42%, and 70% of women in the first, second and third trimesters respectively had consulted with a midwife. Women were more likely to consult a midwife if they: also consulted with a hospital doctor (OR = 2.70, 95% CI: 1.66, 4.40); also consulted with a complementary and alternative medicine practitioner (OR = 1.94, 95% CI: 1.25, 3.03); were depressed (OR = 1.84, 95% CI: 1.03, 3.28); constipated (OR = 1.80, 95% CI: 1.04, 3.13); or had been diagnosed or treated for hypertension during pregnancy (OR = 2.78, 95% CI: 1.27, 6.09). Women were less likely (OR = 0.34, 95% CI: 0.21, 0.56) to consult with a midwife if they had private health insurance.ConclusionWomen were more likely to consult with midwives in conjunction with consultations with hospital doctors or complementary and alternative medicine practitioners. Women with private health insurance were less likely to consult midwives. More research is necessary to determine the implications of the lack of midwifery care for these women. |
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| Keywords: | Midwives Midwifery Consultation Pregnancy Women |
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