Homer Caroline S E
Centre for Midwifery and Family Health, Faculty of Nursing, Midwifery and Health, University of Technology Sydney, P.O. Box 123, Broadway, NSW 2007, Australia.
Women Birth. 2006 Sep;19(3):79-83. doi: 10.1016/j.wombi.2006.07.002. Epub 2006 Sep 1.
The purpose of this paper is to generate debate and discussion about the state of midwifery services in Australia today. While numerous reports have been published that highlight what women want in maternity care, widespread change has not occurred. This paper presents the story of Alice (a real woman with a fictitious name). Alice's story highlights the challenges that women face in dealing with a system that is often inflexible. While the health systems, and those who work within them, usually have the best intentions to try to provide the type of care that women want, they are not always successful. The paper summarises the evidence and support for models of continuity of midwifery care and outlines a series of strategies to ensure that change can occur. Finally, the paper challenges all midwives to work towards widespread, system-level change in Australian maternity services.
本文的目的是引发关于当今澳大利亚助产服务状况的辩论和讨论。尽管已经发表了大量报告，强调了女性在孕产护理方面的需求，但广泛的变革尚未发生。本文讲述了爱丽丝（化名的真实女性）的故事。爱丽丝的故事凸显了女性在应对一个往往缺乏灵活性的系统时所面临的挑战。虽然卫生系统以及其中的工作人员通常怀着最美好的意愿，试图提供女性想要的护理类型，但他们并非总能成功。本文总结了助产护理连续性模式的证据和支持，并概述了一系列确保变革能够发生的策略。最后，本文向所有助产士提出挑战，要求他们努力推动澳大利亚孕产服务在系统层面的广泛变革。
