Mater Misericordiae Hospital Mackay - Queensland Centre for ...

Indicator 19: Do women make informed decisions about fetal monitoring? 12Gold standard care is defined as women feeling that they made an informed decision about how their baby would be monitoredduring labour (that is, the pros and cons were discussed and they decided from all their available options).We asked women who had fetal monitoring during labour: “Did your maternity care provider(s) discuss with you the pros andcons (benefits and risks) of monitoring and not monitoring your baby?” and “Who made the decision if/how your baby wasmonitored?”The graph displays the percentage of women who said they made an informed decision to have fetal monitoring during labour.STATEWIDE PUBLIC9Mackay Base Hospital (n=40)13Mackay Birth Centre (n=7)Insufficient dataProserpine Hospital (n=19)5STATEWIDE PRIVATE8Mater Misericordiae Hospital Mackay (n=43)50 10 20 30 40 50 60 70 80 90 100Best public hospital in Queensland:Caboolture Hospital 18%Best public birth centre in Queensland:Royal Brisbane and Women’s Birth Centre 32%Best private hospital in Queensland:Nambour Selangor Private Hospital 17%What do women say about their care?“I was extremely well supported and fully informed. Mydecisions were always respected even when they were inconflict with hospital policies (i.e. continual monitoring wasrejected in early labour).”“Was very disappointed with the lack of information duringlabour…On arrival I was given a room put onto a bed andstrapped up to monitors around my belly and was left likethis for my whole time in labour at hospital. I was never toldwhy I was strapped up as there were no complications andI didn't even know why I wasn't allowed to move as thismade my labour my painful having to stay on the bed.”12Insufficient data for Atherton Hospital, Biloela Hospital, Dalby Hospital, Gold Coast Birth Centre, Goondiwindi Hospital, Innisfail Hospital,Mackay Birth Centre, Mareeba Hospital, Stanthorpe Hospital, Townsville Birth Centre and Warwick Hospital.36