Building On Our Strengths (BOOSt): Developing And Evaluating Birthing On Country Primary Maternity Units
Funder
National Health and Medical Research Council
Funding Amount
$1,090,701.00
Summary
Optimal healthcare during the year before and after birth can provide benefits for a lifetime. Our project will deliver this optimal care by implementing and evaluating Birthing on Country Service Delivery Models in urban, regional and remote sites. Birthing on Country combines Indigenous knowledge and governance, culturally safe care, continuity of midwifery carer, birth in an Indigenous birth centre and development of the Indigenous maternal and infant workforce.
Improving Maternal And Infant Outcomes: A Multicentre Randomised Controlled Trial Of Midwifery And Dental Intervention
Funder
National Health and Medical Research Council
Funding Amount
$457,724.00
Summary
Poor oral health during pregnancy can impact the health of the mother and baby. Yet, many expectant mothers are unaware of the implications of poor oral health. In Australia there is a lack of importance being placed on maternal oral health. The aim of this study is to determine the effectiveness of a new service which will promote maternal oral health through collaboration between midwives and dentists. We expect the new service will improve women's oral health, uptake of dental services and po ....Poor oral health during pregnancy can impact the health of the mother and baby. Yet, many expectant mothers are unaware of the implications of poor oral health. In Australia there is a lack of importance being placed on maternal oral health. The aim of this study is to determine the effectiveness of a new service which will promote maternal oral health through collaboration between midwives and dentists. We expect the new service will improve women's oral health, uptake of dental services and potentially improve pregnancy outcomes.Read moreRead less
Therapeutic pluralism in pregnancy, labour and birthing: Decision-making, communication and inter-professional dynamics. Women are frequent users of practices outside 'mainstream' medicine. Pregnancy, labour and birthing (PLB) is a key area of integration, but no research has examined how women perceive obstetrics, midwifery and complementary medicine, or the impact on their health and wellbeing. This study systematically document Australian women's experiences of PLB with a nationally-represe ....Therapeutic pluralism in pregnancy, labour and birthing: Decision-making, communication and inter-professional dynamics. Women are frequent users of practices outside 'mainstream' medicine. Pregnancy, labour and birthing (PLB) is a key area of integration, but no research has examined how women perceive obstetrics, midwifery and complementary medicine, or the impact on their health and wellbeing. This study systematically document Australian women's experiences of PLB with a nationally-representative sample of women of child-bearing age to document decision making, lay-professional communication, and inter-professional dynamics.Read moreRead less
The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and ....The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and early childhood nursing services. Most importantly, skillful early identification of women in distress or 'at risk' is the first step in providing appropriate services and support to ensure better child outcomes. The research will be at the cutting edge internationally and directly addresses National Research Priorities.Read moreRead less
Establishing Breastfeeding: an analysis of the language and practices used by midwives and lactation consultants when interacting with new mothers. Breastfeeding confers extensive health benefits for infants and women, and social and economic benefits for Australian society. Studies indicate that although 80 to 90 percent of women initiate breastfeeding, approximately 25% cease within the first six weeks. It is estimated that if the prevalence of breastfeeding at three months post-birth increase ....Establishing Breastfeeding: an analysis of the language and practices used by midwives and lactation consultants when interacting with new mothers. Breastfeeding confers extensive health benefits for infants and women, and social and economic benefits for Australian society. Studies indicate that although 80 to 90 percent of women initiate breastfeeding, approximately 25% cease within the first six weeks. It is estimated that if the prevalence of breastfeeding at three months post-birth increased from 60% to 80%, a saving of at least $11.5 million would be made to the Australian health system. This study will provide knowledge about the impact of health professionals' practices on women's infant-feeding decisions, identifying effective components of professional support to inform interventions that increase breastfeeding durationRead moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less
Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between ri ....Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between rich and poor and urban and rural populations evident in maternal morbidity and mortality. Results will inform facilitative policies and models of service to optimise safety and increase effectiveness in deployment of human and monetary resources.Read moreRead less
Theorising the relationship between birth unit design and the communication patterns of labouring women and their maternity care providers. The architectural design of hospital birth spaces has a major influence on the quality of communication between women and their care providers and the ability to experience a safe, satisfying birth. This project aims to identify the key features of optimal birth unit design that will enhance communication and thereby improve women's experiences.