Gold Coast Birth Centre - Queensland Centre for Mothers & Babies

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Indicator 10: Do care providers respect women’s decisions Gold standard care is defined as women feeling that their care providers respected their decisions all of the time. We asked women how frequently the following statement was reflective of their care: “When I saw care providers during my labour and birth, they respected my decisions.” Women could indicate ‘all of the time’, ‘some of the time’ or ‘not at all’. The graph displays the percentages of women who said their care providers respected their decisions ‘all of the time’, ‘some of the time’ and ‘not at all’. All of the time Some of the time None of the time STATEWIDE PUBLIC 80 17 3 Gold Coast Hospital (n=335) 77 19 4 Gold Coast Birth Centre (n=28) 96 4 STATEWIDE PRIVATE 89 10 1 John Flynn Private Hospital (n=107) 89 10 1 Pindara Private Hospital (n=238) 92 8 0 10 20 30 40 50 60 70 80 90 100 Best public hospitals in Queensland: Biloela Hospital 100% Mareeba Hospital 100% Best public birth centres in Queensland: Mackay Birth Centre 100% Townsville Birth Centre 100% Best private hospital in Queensland: Mater Mothers’ Private Redland 97% What do women say about their care “The medical staff were great about presenting us with options and respecting our decision. I was made to feel welcome, safe, respected and well cared for throughout the process.” “The emergency doctors didn't care so much for my decisions. I really wanted a natural birth and I feel they didn't exhaust all options before going to caesarean.” “I felt confident that the midwives would assist me with birthing the way I had planned and that if there were any complications they would discuss them with me openly.” 24
Part E: Support for Consumer Preferences Women have the right to have their preferences supported and accommodated. Depending on their background, values, culture or religion, women may have different values and beliefs which may result in different preferences for their care during labour and birth. It is important that care providers be attentive to women’s preferences and use effective communication to ensure that these needs are respected. We have reported on five indicators of support for women’s preferences. Indicator 11: Are women’s support people made to feel welcome during labour and birth Having continuous support during labour has been shown to be associated with less frequent use of analgesia, shorter duration of labour, increased satisfaction with the birthing experience and less frequent use of instrumental or surgical delivery (Hodnett et al., 2007). Support people can assist women in a number of ways including the provision of emotional support, pain relief (e.g. massage, visualisation), and food and drink, and can also act as an advocate for women’s preferences for birth. Women’s preferences pertaining to the involvement of their support people should be responded to by care providers. Indicator 12: Are women’s support people made to feel welcome after birth Whether their support people will be made to feel welcome is an important consideration for women when they are choosing a birth facility (Thompson & Wojcieszek, under review). The birth of a baby may be a major life event, not only for women, but also for their support people. It is important that care providers acknowledge this and ensure that support people are welcomed after birth, according to women’s preferences, to support bonding and attachment. Support people can also play a valuable role after birth in assisting women to care for both themselves and their babies. Indicator 13: Can women choose the gender of their care provider(s) for labour and birth Some women, including women from particular cultural backgrounds, may prefer health care providers of the same gender (Queensland Government, 2007a). Based on the Australian Charter of Healthcare Rights, women in receipt of maternity care services have a right to have their culture, beliefs, values and characteristics respected and acknowledged by care providers (ACSQHC, 2009). It is important to try to meet these needs as this may help to reduce fear and embarrassment, along with improving women’s experience of care. Indicator 14: Do care providers allow women to take their time during labour To demonstrate truly woman-centred care, women’s individual needs and preferences must be prioritised over the preferences or agendas of institutions and care providers (ANMC, 2006). Genuine efforts must to be made to ensure that women receive high quality of care during labour and birth, regardless of how busy a facility may be at any given point. Interventions aimed at augmenting the speed of labour should not be performed unless a woman makes a decision to accept such interventions after being fully informed of the associated outcomes (NICE, 2007). Indicator 15: Do women feel that their medical procedures were necessary Use of effective communication is essential for ensuring patient preferences are supported and accommodated. According to the Australian Medical Council, part of communicating effectively with patients is providing adequate information about the nature of, and need for, any form of examination or intervention, along with the provision of sufficient time to ask questions or refuse care (AMC, 2009). Women have a right to make decisions about the treatment they receive (ACSQHC, 2009). As such, instances where women receive medical procedures that they feel are unnecessary highlight serious deficiencies in the communication between the care provider and the woman. 25
Page 1 and 2: Consumer Evaluation of Maternity Ca
Page 3 and 4: Contents Acknowledgements .........
Page 5 and 6: Acknowledgements Women who particip
Page 7 and 8: Where the total number of responden
Page 9 and 10: Private Hospitals The number and pe
Page 11 and 12: Part A: Quality of Interpersonal Ca
Page 13 and 14: Indicator 2: Would women recommend
Page 15 and 16: Indicator 3: Do women have a bookin
Page 17 and 18: Part C: Attention from Care Provide
Page 19 and 20: Indicator 6: Are women satisfied wi
Page 21 and 22: Indicator 7: Do care providers trea
Page 23: Indicator 9: Do care providers genu
Page 27 and 28: Indicator 12: Are women’s support
Page 29 and 30: Indicator 14: Do care providers all
Page 31 and 32: Part F: Informed Decision-Making by
Page 33 and 34: Indicator 16.2: Caesarean section n
Page 35 and 36: Indicator 18: Do women make informe
Page 37 and 38: Indicator 20: Do women make informe
Page 39 and 40: Indicator 21: Was the cleanliness o
Page 41 and 42: References Australian Commission on

Gold Coast Birth Centre - Queensland Centre for Mothers & Babies

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