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Maternity review

By johnboy - 28 November 2013 31

Chief Minister Gallagher has made known her response to the ACT Centenary Hospital for Women and Children – Maternity Model of Care and Demand Review:

“The key finding of the review into the model of care and demand for these services is that there is a safe and effective service that exists within the Canberra Hospital maternity service and this is something the government is committed to protecting.

“The high level of demand for the new Centenary Hospital for Women and Children is also a strong vote of confidence in the facility and the government’s investment in this essential new piece of health infrastructure.

“The way the ACT is providing maternity services is a progressive approach with proven benefits for both mothers and children and is widely used in hospitals in the UK and New Zealand.

“The model focuses on having continuity of care- that is having the same midwife during pregnancy, birth and the postnatal period. The model also includes early discharge for well women and babies with follow up provided by midwives visiting the home.”

What’s Your opinion?


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31 Responses to
Maternity review
MWF 8:40 pm 29 Nov 13

poetix said :

24 hours sounds a bit brutal, but some women might prefer that. I just worry about whether there is a real choice in the public system.

I’ve birthed babies in both systems and it’s all a bit of samo samo however, I do prefer public.

I asked my Dr if he thought I should go private or public. He said the difference was that the carpet and the curtains are nicer in private, he was pretty much spot on. Oh and the food – nicer in private. Do they still give you wine in private?

After my experiences, I prefer the care provided in public.

In my experience in private hospital, when something is going weird or wrong, it took longer for the specialists to arrive. However, in public they pushed a button and made a call and I had the best private OB money could buy at my child’s birth for free. Awesome 🙂

Machines that “go ping” are also handy. In the public hospital the machines that go ping worked and there were lots of them, not so much in the private hospital.

BimboGeek 4:41 pm 29 Nov 13

EvanJames said :

Hospital care is stunningly expensive. If there’s no medical need for someone to be consuming that stunningly expensive care, then the medically trained people will make that call and send you on your way. While being waited on hand and foot is nice, it’s not an entitlement.

Having babies is a choice, not a sentence. It’s not cancer.

Actually, when my mother in law had cancer, she was sent home earlier than she wanted, too. She was enjoying the rest and was still very tired and intimidated about the idea that she had a lot more work to do when she went home, but they knew she had a supportive husband, that his sister was very close and generous, that her kids and their partners had been in and brought lots of fruit, flowers and books, and spent lots of time with her, and they knew she didn’t need 24 hour observation, just checkups, and that she could easily come in for those.

EvanJames 4:28 pm 29 Nov 13

JazzyJess said :

Ummm. You’re kidding right? Yes, some new mums are probably fine to go home after 24 hrs. but many aren’t. I was a mess, literally and figuratively, after having my son. I stayed for four days at Woden public hospital before the midwives managed to extricate me. It should be the mother’s choice when to leave.

Hospital care is stunningly expensive. If there’s no medical need for someone to be consuming that stunningly expensive care, then the medically trained people will make that call and send you on your way. While being waited on hand and foot is nice, it’s not an entitlement.

Having babies is a choice, not a sentence. It’s not cancer.

JazzyJess 4:13 pm 29 Nov 13

I’m all for mum’s and their partners having the choice. If you feel ready to leave, great, if not, then stay until you’re ready. I must say I felt pressured to go before I was ready. That said I would have stayed for a month if they’d let me.

YeahBuddy 3:59 pm 29 Nov 13

24 hour (or less) discharge is for well women, not every woman. And you can ask to stay longer, and they can’t “kick you out”. But really, if mum is well and hub is well who would want to stay in a filthy hospital, as nice as the new birthing rooms are. In canberra we are lucky to have midcall midwives who visit in the home for a week, and longer if you need it. Giving birth is the most natural thing in the world, stop medicalising it. Bring on stand alone birth centre’s Katy, and then publicly funded home birth to reduce your costs.

poetix 3:44 pm 29 Nov 13

I enjoyed the week in hospital after a totally unnatural birth.

24 hours sounds a bit brutal, but some women might prefer that. I just worry about whether there is a real choice in the public system.

Jim Jones 3:30 pm 29 Nov 13

BimboGeek said :

Watson said :

Have you ever looked after a newborn 24/7? Or given birth? I gathered not…

It took abot 3 hours and we were home about 7 hours later, after a feed, a nap and making sure we knew how to do a bunch of stuff like change her first nappy, wrap her up, and then I also hung around and had a bit of toast and some coffee.

JazzyJess said :

Ummm. You’re kidding right? Yes, some new mums are probably fine to go home after 24 hrs. but many aren’t. I was a mess, literally and figuratively, after having my son. I stayed for four days at Woden public hospital before the midwives managed to extricate me. It should be the mother’s choice when to leave.

Well then wouldn’t you rather the majority (people like me who had easy births) get out of the way so that beds remain free for people like you who are injured and unwell to recover?

Personally, I can’t see how anyone who has an uncomplicated birth needs to be hanging around wasting resources when there are people who need that care.

+2

BimboGeek 3:12 pm 29 Nov 13

Watson said :

Have you ever looked after a newborn 24/7? Or given birth? I gathered not…

It took abot 3 hours and we were home about 7 hours later, after a feed, a nap and making sure we knew how to do a bunch of stuff like change her first nappy, wrap her up, and then I also hung around and had a bit of toast and some coffee.

JazzyJess said :

Ummm. You’re kidding right? Yes, some new mums are probably fine to go home after 24 hrs. but many aren’t. I was a mess, literally and figuratively, after having my son. I stayed for four days at Woden public hospital before the midwives managed to extricate me. It should be the mother’s choice when to leave.

Well then wouldn’t you rather the majority (people like me who had easy births) get out of the way so that beds remain free for people like you who are injured and unwell to recover?

Personally, I can’t see how anyone who has an uncomplicated birth needs to be hanging around wasting resources when there are people who need that care.

Evil_Kitten 2:28 pm 29 Nov 13

I guess if they let people stay as long as they wanted, some would never leave. I’m sure if there are real issues they would let you stay. I think going home and then having a midwife visit is a great idea, and frees up the hospital space for other mothers.

Watson 1:52 pm 29 Nov 13

BimboGeek said :

housebound said :

This maternity unit was planned from the start to discharge new mums within 24 hours of giving birth. There was a lot of unhappiness with the plans at the time, but the powers that be weren’t interested. No wonder the care model is being criticised now, and no wonder Katy is defending it.

What are you planning on doing for 24 hours? Push out bub, push out placenta, feed bub, have a nap, and if everyone’s well, you’re gonna get really bored after that, sitting around like you’re sick when there’s nothing wrong with you.

Have you ever looked after a newborn 24/7? Or given birth? I gathered not…

MrLinus 1:52 pm 29 Nov 13

Having been through the hospital recently I’d say it is brilliant. The wife got fantastic care and having the same midwife made a big difference. For baby number one we had to stay at calvary for four days for no apparent reason but we were out of the centenary hospital in 24 hours with baby number two and everyone was just fine.

If the two little buggers I’ve got start behaving and let me get some sleep then I might consider having a third and it will definitely be at the centenary hospital.

PantsMan 1:43 pm 29 Nov 13

Katy touched it. It’s stuffed.

JazzyJess 1:42 pm 29 Nov 13

BimboGeek said :

housebound said :

This maternity unit was planned from the start to discharge new mums within 24 hours of giving birth. There was a lot of unhappiness with the plans at the time, but the powers that be weren’t interested. No wonder the care model is being criticised now, and no wonder Katy is defending it.

What are you planning on doing for 24 hours? Push out bub, push out placenta, feed bub, have a nap, and if everyone’s well, you’re gonna get really bored after that, sitting around like you’re sick when there’s nothing wrong with you.

Ummm. You’re kidding right? Yes, some new mums are probably fine to go home after 24 hrs. but many aren’t. I was a mess, literally and figuratively, after having my son. I stayed for four days at Woden public hospital before the midwives managed to extricate me. It should be the mother’s choice when to leave.

BimboGeek 1:27 pm 29 Nov 13

housebound said :

This maternity unit was planned from the start to discharge new mums within 24 hours of giving birth. There was a lot of unhappiness with the plans at the time, but the powers that be weren’t interested. No wonder the care model is being criticised now, and no wonder Katy is defending it.

What are you planning on doing for 24 hours? Push out bub, push out placenta, feed bub, have a nap, and if everyone’s well, you’re gonna get really bored after that, sitting around like you’re sick when there’s nothing wrong with you.

housebound 8:24 am 29 Nov 13

This maternity unit was planned from the start to discharge new mums within 24 hours of giving birth. There was a lot of unhappiness with the plans at the time, but the powers that be weren’t interested. No wonder the care model is being criticised now, and no wonder Katy is defending it.

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