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The Maternity Care Classification System – A validated system for classifying models of care
Abstracts / Women and Birth 30(S1) (2017) 1–47
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The current relevant evidence has been integrated with the knowledge, experiences and views of midwives across Australia who practice in various jurisdictions, sectors and models of care as well as in clinical and non-clinical roles as well as consumers and individuals who represent professional, government and regulatory authorities. Results: Midwifery practice in this project is apparent as the promotion of health and wellbeing in relation to childbearing, with inherent responsibilities and accountabilities for safety and quality that occurs in the context of respectful collaborative relationships. The current draft Standards acknowledge the involvement of others while clearly positioning midwifery practice as focused on the needs of the woman. Conclusion and implications: The final project phase will test these draft standards through a second round of observations of midwives practicing in clinical and non-clinical settings to ensure that the standards reflect current (not aspirational) evidence-based midwifery practice, are up-to-date, meet legislative requirements and align with the other NMBA standards for practice.
on all available measures of validity–accuracy, reproducibility and repeatability–the MaCCS is a valid system for classifying models of maternity care based on their characteristics. Conclusion and implications: Defining and classifying models of care accurately requires a system that recognises and accounts for the heterogeneity of models of care of the same type. The MaCCS defines models of care accurately, enabling evaluation of the influence that different models of maternity care have on outcomes for women and babies to be embedded within the healthcare system–‘the truth is out there’!
http://dx.doi.org/10.1016/j.wombi.2017.08.028
“Midwives value the diversity of people” Australian College of Midwives, Code of Ethics. One of the attributes of a great midwife is to be non-judgmental, respectful & understanding of cultural diversity. Culturally sensitive care is important if women are to feel well supported. To be able to be culturally sensitive it’s important for midwives to educate and familiarise themselves with differences of culture and practices that exist in today’s society in order achieve culturally safe outcomes. Australia has one of the most culturally and linguistically diverse populations in the world with its Islamic population growing yearly. As a Muslim midwife, I want to help raise awareness and educate other midwives and health professionals about Islam and the spiritual aspects of birth including practices that is seen throughout a woman’s childbearing experience. In my presentation, I will discuss the basics of Islam including its 5 pillars, the difference between religion and cultural norms and most importantly, the Islamic practices in childbirth according to the Quran (the Holy Book) and the practices of the final messenger of Allah (God), peace and blessings be upon him. These include, Maryam’s (Mary) birth to Issa (Jesus), the spiritual connection to Allah (God) in labour and birth, call to prayers in the ears of the newborn at birth, rubbing date on newborn tongue, the importance of breastfeeding, perinatal loss & more. Some midwives may come across hundreds of Muslim women in their career depending where they are working, so to be able to provide the best care to a Muslim woman or any woman for that matter, it is important to understand their religious and cultural background.
O17 The Maternity Care Classification System – A validated system for classifying models of care Natasha Donnolley 1,∗ , Georgina Chambers 1 , Kerryn Butler-Henderson 2 , Michael Chapman 3 , Elizabeth Sullivan 4 1 National Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Women’s and Children’s Health, University of New South Wales, Sydney, Australia 2 Australian Institute of Health Service Management, University of Tasmania, Launceston, Australia 3 School of Women’s and Children’s Health, University of New South Wales, Sydney, Australia 4 Faculty of Health, University of Technology Sydney, Sydney, Australia
Introduction: Evidence has shown differences in outcomes under midwife-led continuity of care models, however populationlevel studies are inhibited without a standardised system to classify models of maternity care. The Australian Department of Health funded the development of the Maternity Care Classification System (MaCCS); a world-first system to facilitate meaningful analysis of maternal and perinatal outcomes under different models of care. Aim: An independent validation study of the MaCCS was undertaken in public maternity services in New South Wales. The study’s aims included to: – examine the variation in maternity models of care, to demonstrate the need for a classification system based on model characteristics rather than model names; and – assess the repeatability and reproducibility of the MaCCS for classifying models of care. Methods: All public maternity services in NSW were invited to classify two models of care at their facility using the MaCCS and classify three randomly allocated case studies, the latter being repeated again 2–4 weeks later. Ethical approval was received from South Eastern Sydney Local Health District Human Research Ethics Committee. Results: The study demonstrated significant variation in how models of care are structured. The MaCCS identified the heterogeneity within model categories including variation in characteristics known to influence outcomes. The results showed that
http://dx.doi.org/10.1016/j.wombi.2017.08.029 O18 Understanding Islam and childbearing practices Reem Najjar Centenary Hospital for Women and Children, Canberra, Australia
http://dx.doi.org/10.1016/j.wombi.2017.08.030
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The current relevant evidence has been integrated with the knowledge, experiences and views of midwives across Australia who practice in various jurisdictions, sectors and models of care as well as in clinical and non-clinical roles as well as consumers and individuals who represent professional, government and regulatory authorities. Results: Midwifery practice in this project is apparent as the promotion of health and wellbeing in relation to childbearing, with inherent responsibilities and accountabilities for safety and quality that occurs in the context of respectful collaborative relationships. The current draft Standards acknowledge the involvement of others while clearly positioning midwifery practice as focused on the needs of the woman. Conclusion and implications: The final project phase will test these draft standards through a second round of observations of midwives practicing in clinical and non-clinical settings to ensure that the standards reflect current (not aspirational) evidence-based midwifery practice, are up-to-date, meet legislative requirements and align with the other NMBA standards for practice.
on all available measures of validity–accuracy, reproducibility and repeatability–the MaCCS is a valid system for classifying models of maternity care based on their characteristics. Conclusion and implications: Defining and classifying models of care accurately requires a system that recognises and accounts for the heterogeneity of models of care of the same type. The MaCCS defines models of care accurately, enabling evaluation of the influence that different models of maternity care have on outcomes for women and babies to be embedded within the healthcare system–‘the truth is out there’!
http://dx.doi.org/10.1016/j.wombi.2017.08.028
“Midwives value the diversity of people” Australian College of Midwives, Code of Ethics. One of the attributes of a great midwife is to be non-judgmental, respectful & understanding of cultural diversity. Culturally sensitive care is important if women are to feel well supported. To be able to be culturally sensitive it’s important for midwives to educate and familiarise themselves with differences of culture and practices that exist in today’s society in order achieve culturally safe outcomes. Australia has one of the most culturally and linguistically diverse populations in the world with its Islamic population growing yearly. As a Muslim midwife, I want to help raise awareness and educate other midwives and health professionals about Islam and the spiritual aspects of birth including practices that is seen throughout a woman’s childbearing experience. In my presentation, I will discuss the basics of Islam including its 5 pillars, the difference between religion and cultural norms and most importantly, the Islamic practices in childbirth according to the Quran (the Holy Book) and the practices of the final messenger of Allah (God), peace and blessings be upon him. These include, Maryam’s (Mary) birth to Issa (Jesus), the spiritual connection to Allah (God) in labour and birth, call to prayers in the ears of the newborn at birth, rubbing date on newborn tongue, the importance of breastfeeding, perinatal loss & more. Some midwives may come across hundreds of Muslim women in their career depending where they are working, so to be able to provide the best care to a Muslim woman or any woman for that matter, it is important to understand their religious and cultural background.
O17 The Maternity Care Classification System – A validated system for classifying models of care Natasha Donnolley 1,∗ , Georgina Chambers 1 , Kerryn Butler-Henderson 2 , Michael Chapman 3 , Elizabeth Sullivan 4 1 National Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Women’s and Children’s Health, University of New South Wales, Sydney, Australia 2 Australian Institute of Health Service Management, University of Tasmania, Launceston, Australia 3 School of Women’s and Children’s Health, University of New South Wales, Sydney, Australia 4 Faculty of Health, University of Technology Sydney, Sydney, Australia
Introduction: Evidence has shown differences in outcomes under midwife-led continuity of care models, however populationlevel studies are inhibited without a standardised system to classify models of maternity care. The Australian Department of Health funded the development of the Maternity Care Classification System (MaCCS); a world-first system to facilitate meaningful analysis of maternal and perinatal outcomes under different models of care. Aim: An independent validation study of the MaCCS was undertaken in public maternity services in New South Wales. The study’s aims included to: – examine the variation in maternity models of care, to demonstrate the need for a classification system based on model characteristics rather than model names; and – assess the repeatability and reproducibility of the MaCCS for classifying models of care. Methods: All public maternity services in NSW were invited to classify two models of care at their facility using the MaCCS and classify three randomly allocated case studies, the latter being repeated again 2–4 weeks later. Ethical approval was received from South Eastern Sydney Local Health District Human Research Ethics Committee. Results: The study demonstrated significant variation in how models of care are structured. The MaCCS identified the heterogeneity within model categories including variation in characteristics known to influence outcomes. The results showed that
http://dx.doi.org/10.1016/j.wombi.2017.08.029 O18 Understanding Islam and childbearing practices Reem Najjar Centenary Hospital for Women and Children, Canberra, Australia
http://dx.doi.org/10.1016/j.wombi.2017.08.030