Collaborative practice in Australian maternity settings

Collaborative practice in Australian maternity settings: Focus on rural and remote practice

Collaborative practice is particularly important in Australian rural and remote maternity settings, which are characterised by fragmented, discontinuous care provision (Downe et al., 2010). As such, both the Code of Ethics for Midwives in Australia (for midwives and obstetric nurses) and the Collaborative Maternity Care Statement (for obstetricians and other doctors) require that a collaborative model of care be adopted in Australian maternity settings.

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However, inconsistencies between and among midwives and doctors about the definition of ‘collaboration’, and subsequent ineffective collaborative practice, remain key causes of adverse outcomes in maternity settings in Australia (Hastie & Fahy, 2011; Heatley & Kruske, 2011). This paper provides a critical analysis of collaborative practice in Australian rural and remote maternity settings………….

It is estimated that one-third of birthing women in Australia live outside of major metropolitan centres – defined for the purpose of this paper as ‘rural and remote regions’ (National Health & Medical Research Council, 2010). However, the number of facilities offering maternity care to women in these regions is just 156 and declining (2007 estimate) (Australian Government Department of Health, 2011).

Australian research suggests that the decreasing number of rural and remote maternity services is resulting in more women having high-risk, unplanned and unassisted births outside of medicalised maternity services (Francis et al., 2012; McLelland et al.,…….

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