Proserpine Hospital - Queensland Centre for Mothers & Babies
Proserpine Hospital - Queensland Centre for Mothers & Babies
Proserpine Hospital - Queensland Centre for Mothers & Babies
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Part B: Access to Care<br />
Access to care focuses specifically on the availability and provision of antenatal and postnatal care. Access to care per<strong>for</strong>mance<br />
indicators were derived from <strong>Queensland</strong> Health targets <strong>for</strong> best practice including targets <strong>for</strong> early initiation of antenatal care and<br />
establishing Universal Postnatal Contact following hospital discharge.<br />
We have reported on two indicators of access to care.<br />
Indicator 3: Do women have a booking appointment by 18 weeks’ gestation<br />
Earlier initiation of contact with health care professionals during pregnancy has been shown to affect maternal and infant<br />
postnatal outcomes (Villar et al., 2001). According to the <strong>Queensland</strong> Health Recommended Minimum Antenatal Schedule, a<br />
midwife booking-in visit should occur between 12 and 18 weeks’ gestation (<strong>Queensland</strong> Government, 2010a). The Royal<br />
Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) also advocates <strong>for</strong> early initiation of<br />
maternity care and proposes that booking appointments should ideally occur by 12 weeks gestation (RANZCOG, 2011).<br />
Indicator 4: Do women receive a home visit or telephone call within 10 days of discharge<br />
The Universal Postnatal Contact Initiative identified goals <strong>for</strong> ensuring all maternity care consumers receive follow-up contact<br />
(either by telephone or by home visit) after hospital discharge (<strong>Queensland</strong> Government, 2010b). This initiative aims to improve<br />
integration of maternity care between hospital and community health services <strong>for</strong> women and their babies.<br />
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