| Intervention | Control |
---|---|---|
Model of maternity care | Young women’s Midwifery Group Practice (YMGP) | Young Women’s Clinic (YWC) |
GP shared care | ||
Antenatal clinic in the hospital or community outreach clinics | ||
Booking appointment | YMGP midwife conducts a home visit | Rostered midwife conducts the booking visit in hospital or a community outreach clinic |
Antenatal care | YMGP midwives provide group antenatal care in the community venue. | Rostered midwife or doctor in the hospital antenatal clinic or community outreach clinics |
Individual visits with the obstetrician or social worker at the community venue as part of routine care | Referral to social worker if indicated | |
Antenatal education | Education is incorporated into the group antenatal care sessions; no separate classes | YWC clients can access specific ‘active birth’ classes for young women at community venue |
Young women in all other models of care can access standard classes at the hospital | ||
After hours contact | YMGP midwife via mobile telephone; diverted to a back-up YMGP midwife when required | Rostered midwife via hospital telephone number |
Intrapartum care | YMGP midwife in the hospital assessment unit or birth suite | Rostered midwife or doctor in the hospital assessment unit or birth suite |
Inpatient postnatal care | Rostered midwife or doctor in the public postnatal ward | |
Outpatient postnatal care | YMGP midwife home visits for 4–6 weeks following birth | Rostered midwives provide two to three home visits until 10–14 days after birth for women in the hospital catchment area |
Young women invited to the community clinic venue for a Postnatal Group |