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Gold Coast Birth Centre - Queensland Centre for Mothers & Babies

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Indicator 20: Do women make in<strong>for</strong>med decisions about epidural during<br />

labour 13<br />

<strong>Gold</strong> standard care is defined as women feeling that they made an in<strong>for</strong>med decision about having an epidural (that is, the pros<br />

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

Of those who had a labour, we asked women who had an epidural: “Did your maternity care provider(s) discuss with you the<br />

pros and cons (benefits and risks) of having and not having an epidural (an injection in your back <strong>for</strong> pain relief) during your<br />

labour” and “Who decided if you would or would not have an epidural during your labour”<br />

The graph displays the proportion of women who had a labour and made an in<strong>for</strong>med decision to have an epidural.<br />

STATEWIDE PUBLIC<br />

65<br />

<strong>Gold</strong> <strong>Coast</strong> Hospital (n=37)<br />

76<br />

<strong>Gold</strong> <strong>Coast</strong> <strong>Birth</strong> <strong>Centre</strong> (n=0)<br />

Insufficient data<br />

STATEWIDE PRIVATE<br />

73<br />

John Flynn Private Hospital (n=9)<br />

Insufficient data<br />

Pindara Private Hospital (n=43)<br />

79<br />

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

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

Toowoomba Hospital 77%<br />

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

Insufficient data<br />

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

Mater <strong>Mothers</strong>’ Private Redland 100%<br />

What do women say about their care<br />

“I cannot speak highly enough about the care I received in<br />

a midwife base care model where trust was developed<br />

between me and my care providers. I was fully in<strong>for</strong>med<br />

about my options at all times and all of my decisions were<br />

respected. There is a lot to be said about this model of<br />

care and it should be more readily available.”<br />

“I had decided in my birth plan I wanted an epidural. I was<br />

given one however when the midwives changed shifts the<br />

new midwife told me I was no longer allowed to use it.”<br />

13<br />

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

Goondiwindi Hospital, Gympie Hospital, Hervey Bay Hospital, Innisfail Hospital, John Flynn Private Hospital, Kingaroy Health Service, Longreach<br />

Hospital, Mackay <strong>Birth</strong> <strong>Centre</strong>, Mareeba Hospital, Mater Misericordiae Hospital Rockhampton, Mater Misericordiae Hospital Gladstone, Mt Isa<br />

Hospital, Proserpine Hospital, Stanthorpe Hospital, St Andrew’s Ipswich Private Hospital, Townsville <strong>Birth</strong> <strong>Centre</strong> and Warwick Hospital.<br />

37

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