Page 2498 - Week 08 - Thursday, 5 August 2021

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(b)

(c) While specific data for this question is not collected all births at CHS and CPHB involve midwifery support. It is possible that women could birth unexpectedly outside the Maternity Department before the midwife is in attendance. It is important to note that midwives will endeavour to attend as soon as possible.

(4) Both Calvary Public Hospital Bruce and Centenary Hospital for Women and Children offer Midwifery Led Continuity of Care. Around 30% of women are in this model in the ACT public system. The remainder of women are cared for through the maternity system where they see a different care provider (including midwives) during their antenatal, labour/birth and postnatal care. Other options of care include:

a. GP Shared Care – pregnancy care is shared between the hospital and a GP. Through this model, most appointments will be with the GP, with some appointments with a midwife at the hospital.

b. The Fetal Medicine Unit – care is provided for women with complex or high-risk pregnancies who require specialised care either for themselves or their baby. Care is provided by specialised doctors, sonographers and a designated midwife.

c. Specialist Team Care – care is provided by a team of midwives, medical staff and allied health professionals in a hospital. For example, this may include Diabetes Clinic, Twins Clinic, Young Mums, Pregnancy Enhancement Program (PEP) for Vulnerable Women and the Bump Clinic (High BMI).

d. Private maternity services – people can choose to see a private obstetrician for their pregnancy care. Private midwifery services are also available across the ACT, noting that the Private Indemnity Insurance (PII) ends in December this year with no suitable PII product yet identified by the Commonwealth. Midwives or doctors may consult obstetricians in the event of complications.

e. Winnunga Nimmityjah Aboriginal Health and Community services – Aboriginal and/or Torres Strait Islander people, or those who are pregnant with an Aboriginal or Torres Strait Islander child, can choose to receive care through this service, or Canberra’s public or private maternity system.

All women who access CHS and CPHB maternity services will have access to midwifery input. Women who access private care with an Obstetrician would not necessarily involve midwifery support.

Youth—education alternatives for at-risk youth
(Question No 336)

Mrs Kikkert asked the Minister for Police and Emergency Services, upon notice, on 25 June 2021:

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