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Gold Coast Birth Centre - Queensland Centre for Mothers & Babies

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Indicator 18: Do women make in<strong>for</strong>med decisions about vaginal examinations 11<br />

<strong>Gold</strong> standard care is defined as women feeling that they made an in<strong>for</strong>med decision to have vaginal examinations (that is, the<br />

pros and cons were discussed and they decided from all their available options).<br />

We asked women who had at least one vaginal examination: “Did your maternity care provider(s) discuss with you the pros and<br />

cons (benefits and risks) of having and not having vaginal examinations” and “Who made the decision to have or not have<br />

vaginal examinations”<br />

The graph displays the percentage of women who said they made an in<strong>for</strong>med decision to have vaginal examinations during<br />

labour.<br />

STATEWIDE PUBLIC<br />

13<br />

<strong>Gold</strong> <strong>Coast</strong> Hospital (n=115)<br />

8<br />

<strong>Gold</strong> <strong>Coast</strong> <strong>Birth</strong> <strong>Centre</strong> (n=2)<br />

Insufficient data<br />

STATEWIDE PRIVATE<br />

10<br />

John Flynn Private Hospital (n=29)<br />

21<br />

Pindara Private Hospital (n=77)<br />

8<br />

0 10 20 30 40 50 60 70 80 90 100<br />

Best public hospital in <strong>Queensland</strong>:<br />

Caboolture Hospital 25%<br />

Best public birth centre in <strong>Queensland</strong>:<br />

Royal Brisbane and Women’s <strong>Birth</strong> <strong>Centre</strong> 40%<br />

Best private hospital in <strong>Queensland</strong>:<br />

John Flynn Private Hospital 21%<br />

What do women say about their care<br />

“After I gave birth…the midwife completely violated my<br />

personal space prodding the entrance to my vagina<br />

with her finger apparently to see whether I had torn or<br />

not, causing me extreme pain since I just gave birth<br />

out of there, also minor grazing. She told me what she<br />

was doing just as she touched me so I couldn't say<br />

no.”<br />

“Women should be more in<strong>for</strong>med of their choices by<br />

medical care providers. Once women make an in<strong>for</strong>med<br />

decision this should be respected and encouraged.”<br />

11<br />

Insufficient data <strong>for</strong> Atherton Hospital, Biloela Hospital, Emerald Hospital, <strong>Gold</strong> <strong>Coast</strong> <strong>Birth</strong> <strong>Centre</strong>, Goondiwindi Hospital, Gympie Hospital,<br />

Innisfail Hospital, Longreach Hospital, Mackay <strong>Birth</strong> <strong>Centre</strong>, Mareeba Hospital, Stanthorpe Hospital, Townsville <strong>Birth</strong> <strong>Centre</strong> and Warwick<br />

Hospital.<br />

35

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