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Postnatal Maternity Outpatient Clinic: An innovation in postnatal care
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Abstracts / Women and Birth 30(S1) (2017) 1–47
O69 Postnatal Maternity Outpatient Clinic: An innovation in postnatal care Olivia Tierney 1,2,3,∗ , Shanna Fealy 1,2 1 Mid North Coast Local Health District, NSW Health, New South Wales, Australia 2 University of Newcastle, New South Wales, Australia 3 Flinders University, South Australia, Australia
Introduction: The provision of postnatal care has changed over time with the length of stay for women decreasing. Women have expressed dissatisfaction with the provision of postnatal care services with literature recommending research be undertaken into the provision of postnatal care in the hospital system. Within our community and area of maternity services, there existed a need to address the gap in services for families from the time of hospital discharge to community follow up. Funding was achieved through a research grant and a new initiative of a postnatal service was established. Aim: This presentation aims to detail the establishment of our innovative service of the Postnatal Maternity Outpatient Clinic (PMOC) at the Post Macquarie Base Hospital. The barriers, needs and operational considerations will be discussed. The PMOC opened in September 2015. Data collection concerned with the functioning and service delivery of the PMOC will be identified during the presentation. Innovation: The PMOC service is conducted as a drop in clinic for women and their families following discharge from hospital until 6 weeks postnatal. The clinic is staffed by midwives from the maternity unit and also has involvement from midwifery students. The PMOC offers postnatal maternal and infant health assessments, referral as required, education, care and support for women and their families. The clinic additionally accommodates learning experiences for undergraduate midwifery students, in particular facilitating learning experiences in the area of postnatal care and facilitating longer periods of postnatal care for continuity of care experiences. Conclusions and implications for practice: The grant funding that was obtained has supported both the establishment and functioning of the PMOC as well as associated research. The research has both qualitative and quantitative elements in its design. Initial results derived from this currently active research will also be included during the presentation, and discussion concerned with the implications for further practice development. http://dx.doi.org/10.1016/j.wombi.2017.08.081 ACM2017 WORKSHOPS W1 Writing for publication skills for midwives Linda Sweet 1,2 1
Flinders University of South Australia, Australia Women and Birth: The Journal of the Australian College of Midwives, Australia 2
Introduction: Writing for publication is essential for the dissemination of knowledge and practice, but many midwives are inhibited from writing by a lack of confidence, fear of scrutiny or even failure, or simply from a lack of knowledge of what the process involves. Writing for publication is an essential method of sharing innovative ideas and best practice and many elements of clinical
practice are worthy of publication. It is also expected that research is only complete with findings are disseminated through publication. Writing for publication is a skill that can be learned and so, with this in mind, this writing for publication workshop aims to demystify the process and provide strategies and resources to motivate midwives to engage publishing. Aim: At the conclusion of the workshop participants will be able to: • • • •
Describe the writing for publication process, Identify journals to which they could submit their work, Locate the author guidelines for selected journals, Critique the wording and grammar of a title and abstract.
Method: A participatory workshop will be conducted. The session will commence with group work on the importance of publication for the advancement of the midwifery profession and midwifery knowledge. Following this, a brief presentation on the key requirements of writing for publication will be given. Handouts with the publication steps will be provided. The requirements of professional journals will be discussed, including the importance of identifying a suitable journal to which a finished article might be submitted. A demonstration and discussion of journal selection and locating author guidelines will be provided. Workshop participants are then guided through the writing process, starting with producing a working title and writing an abstract. Implications for practice: A strong profession is one that engages in publishing critiques of knowledge and practice, debating ideas and presenting new and emerging knowledge. It is important to the recognition and advancement of midwifery as profession that writing for publication is supported and promoted. http://dx.doi.org/10.1016/j.wombi.2017.08.082 W2 Monitoring fetal wellbeing in Labour – CTG pathophysiology, interpretation and management Cate Fanning Women’s and Children’s Hospital, Adelaide, South Australia, Australia Introduction: Electronic Fetal Monitoring in labour is used daily across the country but do we really know how to interpret it? Since it’s introduction in the late 60s, there has been little change in the rate of intrapartum related deaths, but a rapid rise in intervention and caesarean section rates. Why are putting our trust in a machine that we don’t really understand? As primary care givers, Midwives need to equip themselves with the terminology, pathophysiology and CTG interpretation to ensure the best care for the women and babies who put their trust in us. Aim or rationale: To improve midwives CTG knowledge, interpretation and management of the fetus at risk in labour. Method or approach: Key Learning Points will include: – – – – – –
Electronic fetal monitoring Normal CTG Reporting a CTG Classification of CTG Definitions of Hypoxia:Evolving Hypoxia, Sub Acute Hypoxia, Acute Hypoxia, Chronic Hypoxia, Asphyxia – Intrauterine Infection – CTG case review of intrapartum monitoring. Implications for practice: By understanding the pathophysiology of the fetus in labour, midwives can more confidently and
Abstracts / Women and Birth 30(S1) (2017) 1–47
O69 Postnatal Maternity Outpatient Clinic: An innovation in postnatal care Olivia Tierney 1,2,3,∗ , Shanna Fealy 1,2 1 Mid North Coast Local Health District, NSW Health, New South Wales, Australia 2 University of Newcastle, New South Wales, Australia 3 Flinders University, South Australia, Australia
Introduction: The provision of postnatal care has changed over time with the length of stay for women decreasing. Women have expressed dissatisfaction with the provision of postnatal care services with literature recommending research be undertaken into the provision of postnatal care in the hospital system. Within our community and area of maternity services, there existed a need to address the gap in services for families from the time of hospital discharge to community follow up. Funding was achieved through a research grant and a new initiative of a postnatal service was established. Aim: This presentation aims to detail the establishment of our innovative service of the Postnatal Maternity Outpatient Clinic (PMOC) at the Post Macquarie Base Hospital. The barriers, needs and operational considerations will be discussed. The PMOC opened in September 2015. Data collection concerned with the functioning and service delivery of the PMOC will be identified during the presentation. Innovation: The PMOC service is conducted as a drop in clinic for women and their families following discharge from hospital until 6 weeks postnatal. The clinic is staffed by midwives from the maternity unit and also has involvement from midwifery students. The PMOC offers postnatal maternal and infant health assessments, referral as required, education, care and support for women and their families. The clinic additionally accommodates learning experiences for undergraduate midwifery students, in particular facilitating learning experiences in the area of postnatal care and facilitating longer periods of postnatal care for continuity of care experiences. Conclusions and implications for practice: The grant funding that was obtained has supported both the establishment and functioning of the PMOC as well as associated research. The research has both qualitative and quantitative elements in its design. Initial results derived from this currently active research will also be included during the presentation, and discussion concerned with the implications for further practice development. http://dx.doi.org/10.1016/j.wombi.2017.08.081 ACM2017 WORKSHOPS W1 Writing for publication skills for midwives Linda Sweet 1,2 1
Flinders University of South Australia, Australia Women and Birth: The Journal of the Australian College of Midwives, Australia 2
Introduction: Writing for publication is essential for the dissemination of knowledge and practice, but many midwives are inhibited from writing by a lack of confidence, fear of scrutiny or even failure, or simply from a lack of knowledge of what the process involves. Writing for publication is an essential method of sharing innovative ideas and best practice and many elements of clinical
practice are worthy of publication. It is also expected that research is only complete with findings are disseminated through publication. Writing for publication is a skill that can be learned and so, with this in mind, this writing for publication workshop aims to demystify the process and provide strategies and resources to motivate midwives to engage publishing. Aim: At the conclusion of the workshop participants will be able to: • • • •
Describe the writing for publication process, Identify journals to which they could submit their work, Locate the author guidelines for selected journals, Critique the wording and grammar of a title and abstract.
Method: A participatory workshop will be conducted. The session will commence with group work on the importance of publication for the advancement of the midwifery profession and midwifery knowledge. Following this, a brief presentation on the key requirements of writing for publication will be given. Handouts with the publication steps will be provided. The requirements of professional journals will be discussed, including the importance of identifying a suitable journal to which a finished article might be submitted. A demonstration and discussion of journal selection and locating author guidelines will be provided. Workshop participants are then guided through the writing process, starting with producing a working title and writing an abstract. Implications for practice: A strong profession is one that engages in publishing critiques of knowledge and practice, debating ideas and presenting new and emerging knowledge. It is important to the recognition and advancement of midwifery as profession that writing for publication is supported and promoted. http://dx.doi.org/10.1016/j.wombi.2017.08.082 W2 Monitoring fetal wellbeing in Labour – CTG pathophysiology, interpretation and management Cate Fanning Women’s and Children’s Hospital, Adelaide, South Australia, Australia Introduction: Electronic Fetal Monitoring in labour is used daily across the country but do we really know how to interpret it? Since it’s introduction in the late 60s, there has been little change in the rate of intrapartum related deaths, but a rapid rise in intervention and caesarean section rates. Why are putting our trust in a machine that we don’t really understand? As primary care givers, Midwives need to equip themselves with the terminology, pathophysiology and CTG interpretation to ensure the best care for the women and babies who put their trust in us. Aim or rationale: To improve midwives CTG knowledge, interpretation and management of the fetus at risk in labour. Method or approach: Key Learning Points will include: – – – – – –
Electronic fetal monitoring Normal CTG Reporting a CTG Classification of CTG Definitions of Hypoxia:Evolving Hypoxia, Sub Acute Hypoxia, Acute Hypoxia, Chronic Hypoxia, Asphyxia – Intrauterine Infection – CTG case review of intrapartum monitoring. Implications for practice: By understanding the pathophysiology of the fetus in labour, midwives can more confidently and