Gold Coast Birth Centre - Queensland Centre for Mothers & Babies

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Indicator 15: Do women feel that their medical procedures were necessary 7 Gold standard care is defined as women feeling that all of the medical procedures during their birth were necessary. We asked women: “Did you feel the medical procedures during your birth were necessary” The graph displays the percentage of women who said that they had medical procedures during labour and birth and felt that ‘all’ of the procedures were necessary. STATEWIDE PUBLIC 80 Gold Coast Hospital (n=276) 83 Gold Coast Birth Centre (n=6) Insufficient data STATEWIDE PRIVATE 89 John Flynn Private Hospital (n=87) 86 Pindara Private Hospital (n=218) 86 0 10 20 30 40 50 60 70 80 90 100 Best public hospitals in Queensland: Atherton Hospital 100% Biloela Hospital 100% Stanthorpe Hospital 100% Best public birth centre in Queensland: Royal Brisbane and Women’s Birth Centre 73% Best private hospital in Queensland: Mater Misericordiae Hospital Mackay 95% What do women say about their care “I was treated quite badly during the birth. Choices were made that I felt unnecessary and now have to live with.” “The centre is such a homely environment, the midwives are lovely and make you feel relaxed. There are no unnecessary examinations and tests.” “I had an emergency c-section but was not seen by an OB/GYN who was present for it in the days following while I was in hospital. It was…frustrating to not have been able to speak to someone who was actually there to explain fully what happened and why the c-section was necessary.” 7 Insufficient data for Gold Coast Birth Centre, Goondiwindi Hospital, Mackay Birth Centre, Mareeba Hospital and Townsville Birth Centre. 30
Part F: Informed Decision-Making by Consumers An informed decision is one where the consumer is: • informed of the potential consequences (pros and cons) of accepting a treatment option and of not accepting that treatment option, and • provided with the opportunity to make a decision about subsequent treatment. The Australian Charter of Healthcare Rights states that “(t)o obtain good health outcomes, it is important for patients and consumers to participate in decisions and choices about their care and health needs” (ACSQHC, 2009). Health care providers should “(e)ncourage patients and consumers to make fully informed decisions by discussing treatment options available, including expected outcomes, success rates and incidence of side effects. This includes informing patients and consumers of their right to refuse treatment or withdraw consent at any time” (ACSQHC, 2009). The majority of women (>96%) want to be involved in making decisions about their labour and birth (Brown & Lumley, 1998). Furthermore, women are significantly more likely to provide positive ratings of intrapartum care when they are involved in making decisions about their labour and birth care (Brown & Lumley, 1998). Better supporting women and families to make informed decisions during pregnancy, labour, and birth was identified as a key priority in Re-birthing: The Review of Maternity Services in Queensland (Hirst, 2005). We have reported on five indicators of consumer informed decision-making. Indicator 16: Do women make informed decisions about caesarean section There is evidence from South Australian women, that a considerable proportion feel uninvolved in the decision to have a caesarean section or feel that they were not given enough information about their available options (Turnbull et al., 1999). In Queensland, as in other regions, care providers must give women detailed information about the indications for a caesarean, including the risks and benefits of having or not having the procedure, before seeking their consent (Queensland Government, 2011). Indicator 17: Do women make informed decisions about induction of labour The Queensland Maternity and Neonatal Clinical Guideline on Induction of Labour (IOL) recommends that care providers “(d)iscuss the risks and benefits of IOL as they pertain to each individual woman to enable the woman to make an informed decision in consultation with her health care provider” (QMNCGP, 2011). Indicator 18: Do women make informed decisions about vaginal examinations Vaginal examinations during labour can be a source of considerable discomfort, embarrassment and distress for some women (Lai & Levy, 2002; Lewin et al., 2005). Research findings from the UK identify that many women would have liked more information about intrapartum vaginal examinations and that they did not feel able to refuse the procedure (Lewin et al., 2005). It is important that women are provided with sufficient, evidence-based information about vaginal examinations and offer their consent for the procedure to be carried out (NICE, 2007). Indicator 19: Do women make informed decisions about fetal monitoring The Queensland Maternity and Neonatal Clinical Guideline on Intrapartum Fetal Surveillance states that “The advantages and disadvantages of intrapartum fetal surveillance as they pertain to the individual woman should be discussed during pregnancy” and that a woman should make decisions about fetal monitoring in discussion with her care providers (QMNCGP, 2010). Indicator 20: Do women make informed decisions about epidural during labour The Informed Consent for Invasive Procedures Policy, developed by Queensland Health, states women must make an informed decision to have an epidural for pain relief for labour (Queensland Government, 2007b). As part of this process, women need to be provided with unbiased information on the risks and benefits of the procedure before being asked to consent to the epidural. 31
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 and 24: Indicator 9: Do care providers genu
Page 25 and 26: Part E: Support for Consumer Prefer
Page 27 and 28: Indicator 12: Are women’s support
Page 29: Indicator 14: Do care providers all
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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