Providing quality care for women with vasa praevia: Challenges and barriers faced by Australian midwives

Javid, N; Hyett, JA; Homer, CS

Providing quality care for women with vasa praevia: Challenges and barriers faced by Australian midwives

Javid, N Hyett, JA Homer, CS

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Publication Type:: Journal Article
Citation:: Midwifery, 2019, 68 pp. 91 - 98
Issue Date:: 2019-01-01

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Field	Value	Language
dc.contributor.author	Javid, N	en_US
dc.contributor.author	Hyett, JA	en_US
dc.contributor.author	Homer, CS https://orcid.org/0000-0002-7454-3011	en_US
dc.date.available	2018-10-22	en_US
dc.date.issued	2019-01-01	en_US
dc.identifier.citation	Midwifery, 2019, 68 pp. 91 - 98	en_US
dc.identifier.issn	0266-6138	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135680
dc.description.abstract	© 2018 Elsevier Ltd Objective: To explore the barriers to providing quality maternity care for women with vasa praevia as identified by Australian midwives. Design: A qualitative descriptive study using semi-structured in-depth telephone interviews. Setting: Australian maternity system. Methods: Midwives were recruited from across Australia. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis. Participants: Twenty midwives from five Australian states practising in 15 different public or private hospitals who had cared for at least one woman with vasa praevia during 2010–2016 were interviewed. More than half of the participants held senior positions. Twelve were involved in a neonatal death or ‘near-miss’ due to vasa praevia. Findings: Two categories and five themes were identified in relation to barriers to the provision of quality care. Practitioner-level barriers included two themes: identifying lack of midwifery education and lack of knowledge. System-level barriers included lack of a local policy to guide practice, limited information for women, and paucity of research about vasa praevia. Conclusion: Midwives experienced a number of barriers in caring for women with vasa praevia. Offering more comprehensive pre-registration and continuing professional education to midwives, developing local protocols, and providing clear written information for women may improve the provision of quality care. Implications for practice: Midwives have a critical role in caring for and supporting women with vasa praevia. Improving midwives’ knowledge with contemporary evidence and clinical guidelines could enable them to deliver safer maternity care and improve a women's journey through this potentially catastrophic condition.	en_US
dc.relation.ispartof	Midwifery	en_US
dc.relation.isbasedon	10.1016/j.midw.2018.10.011	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Education, Nursing	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Nurse Midwives	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Vasa Previa	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Providing quality care for women with vasa praevia: Challenges and barriers faced by Australian midwives	en_US
dc.type	Journal Article
utslib.citation.volume	68	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	68	en_US

Abstract:

© 2018 Elsevier Ltd Objective: To explore the barriers to providing quality maternity care for women with vasa praevia as identified by Australian midwives. Design: A qualitative descriptive study using semi-structured in-depth telephone interviews. Setting: Australian maternity system. Methods: Midwives were recruited from across Australia. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis. Participants: Twenty midwives from five Australian states practising in 15 different public or private hospitals who had cared for at least one woman with vasa praevia during 2010–2016 were interviewed. More than half of the participants held senior positions. Twelve were involved in a neonatal death or ‘near-miss’ due to vasa praevia. Findings: Two categories and five themes were identified in relation to barriers to the provision of quality care. Practitioner-level barriers included two themes: identifying lack of midwifery education and lack of knowledge. System-level barriers included lack of a local policy to guide practice, limited information for women, and paucity of research about vasa praevia. Conclusion: Midwives experienced a number of barriers in caring for women with vasa praevia. Offering more comprehensive pre-registration and continuing professional education to midwives, developing local protocols, and providing clear written information for women may improve the provision of quality care. Implications for practice: Midwives have a critical role in caring for and supporting women with vasa praevia. Improving midwives’ knowledge with contemporary evidence and clinical guidelines could enable them to deliver safer maternity care and improve a women's journey through this potentially catastrophic condition.

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http://hdl.handle.net/10453/135680