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Table 1 Differences between YMGP and other types of maternity care

From: Is a randomised controlled trial of a maternity care intervention for pregnant adolescents possible? An Australian feasibility study

 

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