- Email: [email protected]
Bleeper to Endorsement: Do you hear me
44
Abstracts / Women and Birth 30(S1) (2017) 1–47
is culturally appropriate, community-accessible, woman-centred, and with continuity of carer. Issue: Mapping this relationship onto midwives and medical professionals, I will argue that a similar framework would enable autonomy for midwifery, to be governed by our own professional body, and be recognised by medical professionals and patients as leading providers of cost effective, high quality care in Australia. Further, under an autonomous collaborative model, midwives would refer women for obstetric care where complications arise and facilitate multidisciplinary cooperation. Implications: The establishment of autonomous midwifery in Australia has implications not only for individual women and their families, but also for midwifery practitioners, and for society. It would promote the independent agency midwifery seeks to foster in patients, and across our professional spectrum. It will raise the profile and value of midwifery in Australia and promote high quality maternity care that empowers women to make informed choices about their care and improve their experience of pregnancy, labour and birth. http://dx.doi.org/10.1016/j.wombi.2017.08.115 P19 Accuracy, reliability and usability of a bladder scanner (UScan) during the childbirth continuum
relibaility phase for postnatal and antenatal women and progress of the accuracy phase at conference. There is potential for a positive impact on midwifery care for women and midwives with this innovative technology. http://dx.doi.org/10.1016/j.wombi.2017.08.116 P20 Bleeper to Endorsement: Do you hear me Marijke Eastaugh Introduction: Over 30 years of doing homebirth in the Adelaide Hills has given me some insight into a very narrow band of existence. For the most part it’s been my livelihood and passion. Perceived difficult to do and difficult to leave so I have not. Aim: To impart hope, tools and wisdom that you can be the midwife you want to be. Content to be included: The story of working for women in my own community by providing a choice that is 1% or less of the population. I hope to impart courage and demonstrate resilience. Implications: As more women have the experience of continuity of care I believe that more will seek the private endorsed midwife option. Most students don’t even come into contact with a PPM because we are fairly rare. Sharing is a way of gaining immortality.
Belinda Lovell ∗ , Mary Steen
http://dx.doi.org/10.1016/j.wombi.2017.08.117
School of Nursing and Midwifery, University of South Australia, South Australia, Australia
P21
Introduction: Research is currently being conducted, supported by a Commonwealth Grant investigating a new bladder scanner with real time imaging and editing function. Testing new technology for bladder scanners is necessary, as current evidence is inconclusive. Aim: To assesss accuracy, reliability and usability of a Uscan bladder scanner during the childbirth continuum. Methods: Following ethical approval (WCHN HREC and Uni SA) phase one, involved two midwives scanning pregnant and newly birthed women, to compare urine volumes measured. Phase two, will involve educating midwives at the Women’s and Children’s Hospital, Adelaide to use the bladder scanner. These midwives will recruit women who require catheterisation during labour or after vaginal birth, in a third phase. Focus groups will be conducted to gain feedback from midwives about the usability of the scanner. Results: Phase one was conducted on n = 12 pregnant women, results demonstrated that the scanner was not accurate. Engineers changed algorythms and editing function to combat problems identified. The bladder scanner will be re-tested on pregnant women and the results will be avialable by October. The bladder scanner has been tested on n = 12 newly birthed mothers and results demonstrated that the scanner is reliable to use postnatally. Intraclass correlation between two raters for absolute agreement, single measures was found to be 0.97 (95% confidenvce interval 0.833-1.00). If repeat reliability phase for antenatal women demonstrates an intraclass correlation above 0.70, educational workshops for midwives will be undertaken. Midwives will then use the bladder scanner in practice. Results will be assessed and focus groups will explore midwives views and experiences. Conclusion and implications: A high inter-rater reliability score was achieved postnatally after learning from practice and amendments made to the device. We will report results of the
Sara Davis ∗ , Wendy Hoey
Publicly funded homebirth in Western Australia
Community Midwifery Program, King Edward Memorial Hospital, Perth, Western Australia, Australia Introduction: The Community Midwifery Program (CMP) was established in 1996 and has an excellent reputation for supporting normal birth, particularly in the home birth setting and has built a solid base in providing excellent midwifery led continuity of care to healthy, low risk women within the community setting. In 2014 CMP was the first publicly funded homebirth program to be accredited. Aim: To discuss the success of a publicly funded home birth model affiliated with several public hospitals within a metropolitan area. Innovation: The majority of our homebirth clients give birth in water. In 2015-2016, we cared for 374 women with 172 booked for homebirth. Of these women, 122 gave birth at home. A special and welcomed feature of the program is that is women who have no pre-existing risk factors can decide to homebirth during the course of their labour regardless of intended place of birth at booking. The service offers seamless continuity of care in the event of a transfer. Discussion: CMP offers the option of birthing at home, birth centre, stand-alone birthing rooms or public hospital with a known midwife. A team of 12 midwives carry a caseload of 3-4 women per month within a geographical area of 50 km from CBD. The CMP operates under the governance of the state’s primary tertiary hospital yet continues to maintain successful collaborative relationships with clinicians across the Perth metropolitan area and promote normal physiological birth in the woman’s place of choice under a continuity of care model. Conclusions and implications for practice: Publicly funded homebirth is a viable option and a reality for women living within
Abstracts / Women and Birth 30(S1) (2017) 1–47
is culturally appropriate, community-accessible, woman-centred, and with continuity of carer. Issue: Mapping this relationship onto midwives and medical professionals, I will argue that a similar framework would enable autonomy for midwifery, to be governed by our own professional body, and be recognised by medical professionals and patients as leading providers of cost effective, high quality care in Australia. Further, under an autonomous collaborative model, midwives would refer women for obstetric care where complications arise and facilitate multidisciplinary cooperation. Implications: The establishment of autonomous midwifery in Australia has implications not only for individual women and their families, but also for midwifery practitioners, and for society. It would promote the independent agency midwifery seeks to foster in patients, and across our professional spectrum. It will raise the profile and value of midwifery in Australia and promote high quality maternity care that empowers women to make informed choices about their care and improve their experience of pregnancy, labour and birth. http://dx.doi.org/10.1016/j.wombi.2017.08.115 P19 Accuracy, reliability and usability of a bladder scanner (UScan) during the childbirth continuum
relibaility phase for postnatal and antenatal women and progress of the accuracy phase at conference. There is potential for a positive impact on midwifery care for women and midwives with this innovative technology. http://dx.doi.org/10.1016/j.wombi.2017.08.116 P20 Bleeper to Endorsement: Do you hear me Marijke Eastaugh Introduction: Over 30 years of doing homebirth in the Adelaide Hills has given me some insight into a very narrow band of existence. For the most part it’s been my livelihood and passion. Perceived difficult to do and difficult to leave so I have not. Aim: To impart hope, tools and wisdom that you can be the midwife you want to be. Content to be included: The story of working for women in my own community by providing a choice that is 1% or less of the population. I hope to impart courage and demonstrate resilience. Implications: As more women have the experience of continuity of care I believe that more will seek the private endorsed midwife option. Most students don’t even come into contact with a PPM because we are fairly rare. Sharing is a way of gaining immortality.
Belinda Lovell ∗ , Mary Steen
http://dx.doi.org/10.1016/j.wombi.2017.08.117
School of Nursing and Midwifery, University of South Australia, South Australia, Australia
P21
Introduction: Research is currently being conducted, supported by a Commonwealth Grant investigating a new bladder scanner with real time imaging and editing function. Testing new technology for bladder scanners is necessary, as current evidence is inconclusive. Aim: To assesss accuracy, reliability and usability of a Uscan bladder scanner during the childbirth continuum. Methods: Following ethical approval (WCHN HREC and Uni SA) phase one, involved two midwives scanning pregnant and newly birthed women, to compare urine volumes measured. Phase two, will involve educating midwives at the Women’s and Children’s Hospital, Adelaide to use the bladder scanner. These midwives will recruit women who require catheterisation during labour or after vaginal birth, in a third phase. Focus groups will be conducted to gain feedback from midwives about the usability of the scanner. Results: Phase one was conducted on n = 12 pregnant women, results demonstrated that the scanner was not accurate. Engineers changed algorythms and editing function to combat problems identified. The bladder scanner will be re-tested on pregnant women and the results will be avialable by October. The bladder scanner has been tested on n = 12 newly birthed mothers and results demonstrated that the scanner is reliable to use postnatally. Intraclass correlation between two raters for absolute agreement, single measures was found to be 0.97 (95% confidenvce interval 0.833-1.00). If repeat reliability phase for antenatal women demonstrates an intraclass correlation above 0.70, educational workshops for midwives will be undertaken. Midwives will then use the bladder scanner in practice. Results will be assessed and focus groups will explore midwives views and experiences. Conclusion and implications: A high inter-rater reliability score was achieved postnatally after learning from practice and amendments made to the device. We will report results of the
Sara Davis ∗ , Wendy Hoey
Publicly funded homebirth in Western Australia
Community Midwifery Program, King Edward Memorial Hospital, Perth, Western Australia, Australia Introduction: The Community Midwifery Program (CMP) was established in 1996 and has an excellent reputation for supporting normal birth, particularly in the home birth setting and has built a solid base in providing excellent midwifery led continuity of care to healthy, low risk women within the community setting. In 2014 CMP was the first publicly funded homebirth program to be accredited. Aim: To discuss the success of a publicly funded home birth model affiliated with several public hospitals within a metropolitan area. Innovation: The majority of our homebirth clients give birth in water. In 2015-2016, we cared for 374 women with 172 booked for homebirth. Of these women, 122 gave birth at home. A special and welcomed feature of the program is that is women who have no pre-existing risk factors can decide to homebirth during the course of their labour regardless of intended place of birth at booking. The service offers seamless continuity of care in the event of a transfer. Discussion: CMP offers the option of birthing at home, birth centre, stand-alone birthing rooms or public hospital with a known midwife. A team of 12 midwives carry a caseload of 3-4 women per month within a geographical area of 50 km from CBD. The CMP operates under the governance of the state’s primary tertiary hospital yet continues to maintain successful collaborative relationships with clinicians across the Perth metropolitan area and promote normal physiological birth in the woman’s place of choice under a continuity of care model. Conclusions and implications for practice: Publicly funded homebirth is a viable option and a reality for women living within