Mother, Daughter and Childs Daughter

Women and Newborn Health Service

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King Edward Memorial Hospital

Statewide Obstetric Support Unit

Midwest

Midwest

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The Midwest covers an area of more than 470,000 square kilometres, nearly a fifth of the State. The population is concentrated along the coast with more than 70% living around Geraldton-Greenough. The area has a high Aboriginal population and an increasing proportion of aged people. While the population is growing along the coast, the inland population has been declining slightly.

The Midwest includes the coastal towns of Dongara and Kalbarri, Northampton which are relatively close to Geraldton and a number of inland agricultural towns including Mullewa, Three Springs, Morawa, Perenjori, Enneabba, Mingenew and as far inland as Yalgoo.

The Murchison is situated inland and is clearly remote. It has one hospital based in Meekatharra, which also serves as the regional base for the Royal Flying Doctor Service (RFDS). Nursing posts are located at Mt Magnet, Cue and Sandstone.

Regional Director: Margaret Denton
45 Cathedral Avenue
Geraldton WA 6530
Telephone 08 9956 2210

In 2007, Improving Maternity Services: 'Working Together Across Western Australia a Policy framework' was to expand options for maternity care in WA, enabling more choice and greater continuity of care for a woman and her family.

The MANSmap questionnaire identified the models of maternity care operating at each unit. Standardised classification were used when describing maternity models of care as per the National Maternity Care Classification System (MaCCS). Descriptions of these models are included below. NB: "No formal care' is not strictly a model of care however, this category includesd women who have received no formal antenatal care and present to the hospital late in pregnancy or in labour. For detailed descriptions of each of the models of care please scroll to the bottom of the page.


MODELS OF CARE
PRIVATE OBSTETRICIAN SPECIALIST CARE: Antenantal care provided by a private specialist obstetrician. Intrapartum care is provided in either a private or public hospital by the private specialist obstetrician and hospital midwives in collaboration. Postnatal care is usually provided in the hospital by the private specialist obstetrician and hospital midwives and may continue in the home hotel or hostel.
PRIVATE MIDWIFERY CARE; Antenatal, intrapartum and postnatal care is provided by a private midwife or group of midwives in collaboration with doctors in the event of identified risk factors. Antenatal, intrapartum and postnatal care could be provided in a range of locations including the home.
GENERAL PRACTITIONER OBSTETRICIAN CARE: Antenatal care provided by a GP Obstetrician. Intrapartum care is provided in either a private or public hospital by the GP Obstetrician and hospital midwives in collaboration. Postnatal care is usally provided in the hospital by the GP Obstetrician and hospital midwives and may continue in the home or community.
SHARED CARE ANTENATAL: care is provided by a community maternity service provider (doctor and/or midwife)in collaboration with hospital medical and/or midwifery staff under an established agreement and can occur both in the community and in hospital outpatient clinics. Intrapartum and early postnatal care usually takes place in the hospital by hospital midwives and doctors often in conjunction with the community doctor or midwife (particularly in rural settings.
COMBINED CARE ANTENATAL: care provided by a private maternity service provider (doctor and/or midwife). in the community. Intrapartum and early postnatal care provided in the public hospital by hospital midwives and doctors. Postnatal care may continue in the home or community by hospital midwives.
PUBLIC HOSPITAL MATERNITY CARE: Antenatal care provided in hospital outpatient clinics (either onsite or outreach) by midwives and/or doctors. Care could also be provided by a multidisciplinary team. Intrapartum and postnatal care is provided in the hospital by midwives and doctors in collaboration. Postnatal care may continue in the home or community by hospital midwives.
COMPLEX PUBLIC HOSPITAL MATERNITY CARE: Antenatal care is porvided to women with medical high risk/complex pregnancies by naternity care providers (specialist obstetricians and/or maternal fetal medicine subspecialist in collaboration with midwives) with an interest in high risk maternity care in a public hospital. Intrapartum and postnatal care is provided by hospital doctors and midwives. Postnatal care may continue in the home or community by hospital midwives.
TEAM MIDWIFERY CARE: Antenatal intrapartum and postnatal care is provided by a small team of rostered midwives (no more than 8) in collaboration with doctors in the event of identified risk factors. Intrpartum care is usually provided in a hospital or birth centre. postnatal care may continue in the home or community by the team midwives.
MIDWIFERY GROUP PRACTICE CASELOAD CARE: Antenatal, intrpartum and postnatal care is provided within a publicly funded caseload model by a known primary midwife with secondary backup midwife/midwives providing cover and assistance with collaboration with doctors in the event of identified risk factors. Antenatal Care and postnatal care isusually provided in the hospital, community or home with intrapartum care in a hospital, birth centre or home.
REMOTE AREA MATERNITY CARE: Antenatal and postnatal care is provided in remote communities by a remote area midwife (or a remote area nurse) or group of midwives sometimes in collaboration with a remote area nurse and/or doctor. Antenatal care may also be provided via Telehealth or flyinflyout clinicians in a outreach setting. Intrpartum and early postnatal care is porvided in a regional or metropolitan hospital (involving temporary relocation prior to labour) by hospital midwives and doctors.
NO FORMAL CARE: Not strictly a "model" of care, but this category includes women who have received no formal antenatal care an dpresent to hospital late in pregnancy or in labour.

Obstetric Units


Contact Us

Phone 08 9956 2211
Fax 08 9956 2421
Person in Charge Ms Marie Norris, Regional Director Nursing & Midwifery Servcies
Email Marie.Norris@health.wa.gov.au
Location 45 Cathedral Avenue
Geraldton WA 6530
Postal Address PO Box 22
Geraldton WA 6531


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