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The feasibility of caseload midwifery in rural Australia: A literature review
Authors:Melanie Brown  Elaine Dietsch
Affiliation:1. Midwifery and Women''s Health Research Unit, University of Sydney, Royal Hospital for Women, Randwick, NSW, Australia;2. Neonatal Intensive Care Unit, University of Sydney, Westmead Hospital, Westmead, NSW, Australia;3. Midwifery Research Unit, Australian Catholic University, Mater Research and the Mater Mothers Hospital, Brisbane, QLD, Australia;4. Women''s Health and Newborn Services, Mater Research and the Mater Mothers Hospital, Brisbane, QLD, Australia;5. Royal Hospital for Women, Sydney, NSW, Australia;6. Department of Obstetrics and Maternal Fetal Medicine, Royal Hospital for Women, University of New South Wales, Kensington, NSW, Australia;7. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology, Sydney, Sydney, NSW, Australia;1. Florence Nightingale School of Nursing and Midwifery, King''s College London, 57 Waterloo Road, London SE1 8WA, UK;2. University of West London, Paragon House, Boston Manor Road, Brentford TW8 9GA, UK;3. Imperial College Healthcare NHS Trust, St. Mary''s Hospital, Praed Street, London W2 1NY, UK;4. City University London, Alexandra Building, Philpot Street, London E1 2EA, UK;1. School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Mater Research Institute - University of Queensland and School of Nursing and Midwifery University of Queensland, Level 2, Aubigny Place, Mater Health Services, Raymond Terrace, South Brisbane, QLD 4101, Australia;2. Mater Research Institute - University of Queensland and School of Nursing and Midwifery University of Queensland, Level 1, Aubigny Place, Mater Health Services, South Brisbane, QLD 4101, Australia;3. Mater Research Institute - University of Queensland and School of Nursing and Midwifery University of Queensland, Level 2, Aubigny Place, Mater Health Services, South Brisbane, QLD 4101, Australia;1. School of Nursing, Midwifery and Social Work, University of Queensland, Level 3, Chamberlain Building, Brisbane, Queensland 4072, Australia;2. Institute for Urban Indigenous Health, PO Box 5638, West End, Queensland 4101, Australia;3. Mater Research Institute, University of Queensland, Aubigny Place, Raymond Terrace, South Brisbane, Queensland 4101, Australia;4. University Centre for Rural Health, University of Sydney, PO Box 3074, Lismore, NSW 2480, Australia;5. Centre for Rural Health Research, University of British Columbia, 3rd floor David Strangway Building, 5950 University Boulevard, Vancouver, Canada V6T 1Z3;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;1. University College of Northern Denmark, Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark;2. Clinical Nursing Research, Aalborg University Hospital, Sdr. Skovvej 15, 9000 Aalborg, Denmark;3. Department of Clinical Medicine, Aalborg University, Sdr. Skovvej 15, 9000 Aalborg, Denmark;4. Section for Epidemiology, Department of Public Health, Bartholins Alle 2, Aarhus University, 8000 Aarhus C, Denmark;5. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Australia;6. Research Unit for Gynaecology and Obstetrics, Institute of Clinical Research, University of Southern Denmark, Sdr Boulevard 29, 5000 Odense C, Denmark
Abstract:BackgroundCaseload midwifery is a continuity of care(r) model being implemented in an increasing number of Australian maternity settings. Question for review: is caseload midwifery a feasible model for introducing into the rural Australian context?MethodIntegrative literature review.FindingsFour main categories were identified and these include the evidence for caseload midwifery; applicability to the rural context; experiences of registered and student midwives and implementation of caseload midwifery models.ConclusionThere is evidence to support caseload midwifery and its implementation in the rural setting. However, literature to date is limited by small participant size and possible selection bias. Further research, including rural midwives’ expectations and experience of caseload midwifery may lead to improved sustainability of midwifery care for rural Australian women.
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