Mackay Base Hospital - Queensland Centre for Mothers & Babies

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Indicator 15: Do women feel that their medical procedures were necessary? 7Gold 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 PUBLIC80Mackay Base Hospital (n=67)81Mackay Birth Centre (n=4)Insufficient dataProserpine Hospital (n=30)77STATEWIDE PRIVATE89Mater Misericordiae Hospital Mackay (n=94)950 10 20 30 40 50 60 70 80 90 100Best 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. Choiceswere made that I felt unnecessary and now have to livewith.”“The centre is such a homely environment, themidwives are lovely and make you feel relaxed. Thereare no unnecessary examinations and tests.”“I had an emergency c-section but was not seen byan OB/GYN who was present for it in the daysfollowing while I was in hospital. It was…frustratingto not have been able to speak to someone whowas actually there to explain fully what happenedand why the c-section was necessary.”7Insufficient data for Gold Coast Birth Centre, Goondiwindi Hospital, Mackay Birth Centre, Mareeba Hospital and Townsville Birth Centre.30
Part F: Informed Decision-Making by ConsumersAn 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 thattreatment 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 andconsumers to participate in decisions and choices about their care and health needs” (ACSQHC, 2009). Health care providersshould “(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 oftheir 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 makingdecisions about their labour and birth care (Brown & Lumley, 1998). Better supporting women and families to make informeddecisions during pregnancy, labour, and birth was identified as a key priority in Re-birthing: The Review of Maternity Services inQueensland (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 acaesarean section or feel that they were not given enough information about their available options (Turnbull et al., 1999). InQueensland, 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 informeddecision 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 moreinformation about intrapartum vaginal examinations and that they did not feel able to refuse the procedure (Lewin et al., 2005). Itis important that women are provided with sufficient, evidence-based information about vaginal examinations and offer theirconsent 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 anddisadvantages 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 informeddecision to have an epidural for pain relief for labour (Queensland Government, 2007b). As part of this process, women need tobe 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: ContentsAcknowledgements ..........
Page 5 and 6: AcknowledgementsWomen who participa
Page 7 and 8: Where the total number of responden
Page 9 and 10: Private HospitalsThe number and per
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: ReferencesAustralian Commission on

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