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What do women in Australia want from their maternity care: A scoping review

Lachlan Faktor, Kirsten Small, Zoe Bradfield, Kathleen Baird, Jennifer Fenwick, Joanne Gray, Melanie Robinson, Chanelle Warton, Sally Cusack, Caroline Homer

2023Women and Birth32 citationsDOIOpen Access PDF

Abstract

BACKGROUND: Just over 300,000 women give birth in Australia each year. It is important for health care providers, managers, and policy makers know what women want from their care so services can be provided appropriately. This review is a part of the Midwifery Futures Project, which aims to prepare the midwifery workforce to best address the needs of women. The aim of this review was to describe and analyse current literature on the maternity care needs of women in Australia. METHODS: A scoping review methodology was used, guided by the Joanna Briggs Institute framework. A systematic search of the literature identified 9023 studies, and 59 met inclusion criteria: being peer-reviewed research focusing on maternity care needs, conducted in Australian populations, from 2012 to 2023. The studies were analysed using inductive content analysis. RESULTS: Four themes were developed: Continuity of care, being seen and heard, being safe, and being enabled. Continuity of care, especially a desire for midwifery continuity of care, was the central theme, as it was a tool supporting women to be seen and heard, safe, and enabled. CONCLUSION: This review highlights that women in Australia consistently want access to midwifery continuity of care as an enabler for addressing their maternity care needs. Transforming Australian maternity care policy and service provision towards continuity would better meet women's needs.

Topics & Concepts

Maternity careNursingMedicinePolitical scienceHealth careLawMaternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and PostpartumBreastfeeding Practices and Influences