Everyone should have their own midwife: Women's and staff experiences during the implementation of two midwifery continuity of care models in regional Australia

Abstract

Problem: Midwifery Continuity of Care (MCoC) remains inaccessible for most Australian women; this is especially true in rural and regional areas.

Background: Strong evidence demonstrates MCoC models improve experiences for women and their babies and are also shown to improve midwifery workforce wellbeing. However, implementation and upscale remains limited.

Aim: To explore the views and experiences of implementing MCoC for both staff and women, understanding their experiences, concerns and solutions in a regional context.

Methods: Qualitative data was collected via focus groups with women and healthcare staff, at six and twelve month post implementation. Data was thematically analysed using Braun and Clarke six step process.

Findings: The findings support that 'women love it' and midwives working in the new MCoC model 'loved their job'. The major concern was that not all women could access the model and disconnected communication was problematic during implementation. 'Sharing stories' was a solution to overcoming these issues and promoting the positive impact of MCoC - in particular ways of working and adaption to an all-risk midwifery group practice.

Discussion: This study supports widespread evidence that MCoC is valued by both women and staff. In a regional context it is important to recognise challenges faced during implementation and identifying solutions that other maternity services could consider when implementing MCoC.

Conclusion: The study offers strong recommendation for regional areas to consider MGP to maintain safe, quality local maternity services.