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Outreach Midwifery Service within a GP Practice Presenter: Lyn Wardlaw Hospital: Lynx

Outreach Midwifery Service within a GP Practice Presenter: Lyn Wardlaw Hospital: Lynx. 28 May 2009- Melbourne. KEY PROBLEM. High number of women unbooked, no transport and difficult to contact in particular areas within our DHB catchments Women had either no AN Care or very little

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Outreach Midwifery Service within a GP Practice Presenter: Lyn Wardlaw Hospital: Lynx

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  1. Outreach Midwifery Servicewithin a GP PracticePresenter: Lyn WardlawHospital: Lynx 28 May 2009- Melbourne

  2. KEY PROBLEM • High number of women unbooked, no transport and difficult to contact in particular areas within our DHB catchments • Women had either no AN Care or very little • High deprivation domicile code and/or with a high Maori population • No Independent Midwives in these communities

  3. AIM OF THIS PROJECT • Improve access for all women within our DHB catchments • These communities were either urban and/or rural remote • Otangarei • Ruakaka • Kaeo including the east bays on east coast of North Island • Immediate implementation to access required for women to ensure AN care was provided • Midwifery led within a GP Practice

  4. KEY CHANGES IMPLEMENTED • Rotated an employed Midwife to conduct AN care within the GP Practice to those areas defined on a rotational basis (6-9mthly) • Previously 10-12 women per month from Otangarei received either nil or insufficient AN Care • May 2009 the Midwife books on average 5 women per month and are providing AN Care up to 10-15 per month.

  5. OUTCOMES SO FAR • Exceeded our expectations and improved the women’s access to AN Care led by a Midwife including other services' Social Worker, Maori health providers and their GP and Nurses within that practice • Underestimated the level of unmet need • Women can walk to and from Clinic • Drop in service – no appointment needed • Health Service – Maori health provider transports women for other services – eg scanning, obstetric clinics • Positive feedback form women and their whanau as they know when the clinic is on in their communities. • Word of mouth referrals very common • Underprivileged women feel valued

  6. PROJECT EVALUATION • Otangarei was our initial community to trial this initiative and we have now moved into Ruakaka and putting together this project into Kaeo • KNOW YOUR COMMUNITY AND IT’S NEEDS!

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