News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Choice Of Care Provider The Number One Issue

Choice Of Care Provider The Number One Issue For Woman In Maternity Care

Seventy people representing consumers and providers of maternity services gathered in South Auckland today for the final major consultation exercise in the National Health Committee's review of maternity care.

National Health Committee member and chair of the review Maggie Barry opened proceedings saying she saw the day-long forum as an opportunity for those present to help create a new vision for maternity care services in New Zealand.

"The overall goal we're aiming for is to ensure that all woman and their babies have fair access to quality maternity services of their choice," Maggie Barry said.

"We want to move the debate from the past into the future," she said acknowledging the many changes the maternity system has seen in the past decade and the huge range of experience and opinion held about maternity services.

Being able to choose the kind of care that most suits their needs is what woman attending the forum told the Committee is the number one issue for them in maternity care. This mirrors the findings of a telephone survey the NHC has just completed among 1000 New Zealand woman which shows that being able to have their first choice of 'lead maternity carer' is important for 88% of woman.

The same survey showed that 44% of woman had an independent midwife as their lead maternity carer, 12% had a hospital midwife, 10% an obstetric specialist, 10% an arrangement where their care was shared between a GP and a midwife and 9% had their own doctor as their lead maternity carer.

However this was not always their first choice. 35% of woman wanted an independent midwife as their lead maternity carer, 20% wanted their own family doctor and 16% wanted shared care between a GP and a midwife.

Besides preferred choice of lead maternity carer, post natal care, maternal mental health, services in rural areas, services that are culturally appropriate for Maori, Pacific Islands and woman from other cultures were all significant issues. Information about how the lead maternity carer system works and the choices woman have of providers, their training and experience in different areas of the country was also clearly called for. As well there were numerous calls for a comprehensive perinatal database to collect better information on clinical outcomes of care. Such information would provide a tool for comprehensively monitoring of the effects of changes in maternity care service arrangements and tracking trends in practice.

Where dissatisfaction with maternity services exists many of the groups represented at the forum felt that the funding arrangements for maternity services are the root cause.

Since the terms of reference for the review were issued by the Minister of Health, Wyatt Creech, in March, the NHC has received a wide variety of views on the future of maternity services from organisations and individuals, providers and consumers of services. The Committee has also gathered extensive information on the provision of maternity services in New Zealand and internationally from surveys, analysis of service data and a literature review.

"While it was an ambitious undertaking to bring so many people together to discuss the multitude of issues that exist in maternity care the forum was an extremely valuable event from the Committee's point of view.

"There was certainly heat but there was also light cast on some of the more divisive issues in maternity care," says Maggie Barry. The forum ended the four month information gathering process the NHC has undertaken for the review. It now has two months to formulate its advice on the future of maternity services in New Zealand which is due with the Minister of Health on 31 August 1999.

ENDS....

MEDIA RELEASE FROM NATIONAL HEALTH COMMITTEE

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

NZ On Air TV Funding: More Comedy Comes Out Of The Shadows

Paranormal Event Response Unit is a series conceived by Jemaine Clement and Taika Waititi as a TV spin-off from their highly acclaimed feature film What We Do In The Shadows. More>>

ALSO:

Mars News: Winners Announced For The 2016 Apra Silver Scroll Awards

Wellington singer-songwriter and internationally acclaimed musician Thomas Oliver has won the 2016 APRA Silver Scroll Award with his captivating love song ‘If I Move To Mars’. More>>

ALSO:

Scoop Review Of Books: Salt River Songs by Sam Hunt

Colin Hogg, a longtime comrade of Sam, writes in his Introduction that, ‘There is a lot of death in this collection of new poems by my friend Sam Hunt. It’s easier to count the poems here that don’t deal with the great destroyer than it is to point to the ones that do.’ More>>

Electronica: Restoring The World’s First Recorded Computer Music

University of Canterbury Distinguished Professor Jack Copeland and UC alumni and composer Jason Long have restored the earliest known recording of computer-generated music, created more than 65 years ago using programming techniques devised by Alan Turing. More>>

ALSO:

Scoop Review Of Books: Almost Getting Away With Murder

The Black Widow by Lee-Anne Cartier: Lee-Anne Cartier is the sister of the Christchurch man found to have been murdered by his wife, Helen Milner, after an initial assumption by police that his death, in 2009, was suicide. More>>

Howard Davis: Triple Echo - The Malevich/Reinhardt/Hotere Nexus

Howard Davis: The current juxtaposition of works by Ralph Hotere and Ad Reinhardt at Te Papa perfectly exemplifies Jean Michel Massing's preoccupation with the transmigration of imagery in a remarkable triple echo effect... More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news