Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, VIC, Australia; School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC, Australia.
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, VIC, Australia; School of Nursing and Midwifery, Griffith University, Logan, QLD, Australia.
Women Birth. 2024 Mar;37(2):278-287. doi: 10.1016/j.wombi.2023.12.003. Epub 2023 Dec 22.
Just over 300,000 women give birth in Australia each year. It is important for health care providers, managers, and policy makers know what women want from their care so services can be provided appropriately. This review is a part of the Midwifery Futures Project, which aims to prepare the midwifery workforce to best address the needs of women. The aim of this review was to describe and analyse current literature on the maternity care needs of women in Australia.
A scoping review methodology was used, guided by the Joanna Briggs Institute framework. A systematic search of the literature identified 9023 studies, and 59 met inclusion criteria: being peer-reviewed research focusing on maternity care needs, conducted in Australian populations, from 2012 to 2023. The studies were analysed using inductive content analysis.
Four themes were developed: Continuity of care, being seen and heard, being safe, and being enabled. Continuity of care, especially a desire for midwifery continuity of care, was the central theme, as it was a tool supporting women to be seen and heard, safe, and enabled.
This review highlights that women in Australia consistently want access to midwifery continuity of care as an enabler for addressing their maternity care needs. Transforming Australian maternity care policy and service provision towards continuity would better meet women's needs.
澳大利亚每年有超过 30 万名女性分娩。了解女性对护理的需求对于医疗保健提供者、管理人员和政策制定者来说非常重要，这样才能提供适当的服务。本次综述是未来助产士项目的一部分，该项目旨在使助产士队伍能够更好地满足女性的需求。本次综述的目的是描述和分析澳大利亚女性分娩护理需求的现有文献。
采用循证卫生保健中心（Joanna Briggs Institute）框架指导的范围综述方法。系统检索文献确定了 9023 项研究，其中 59 项符合纳入标准：即针对澳大利亚人群的以分娩护理需求为重点的同行评审研究，研究时间为 2012 年至 2023 年。使用归纳内容分析法对这些研究进行了分析。
确定了四个主题：连续护理、被看见和被倾听、安全以及赋权。连续护理，尤其是助产士连续护理的愿望，是核心主题，因为它是支持女性被看见和被倾听、安全和赋权的工具。
本综述强调，澳大利亚女性一直希望获得助产士连续护理，将其作为满足其分娩护理需求的手段。转变澳大利亚的母婴保健政策和服务提供方式，朝着连续性方向发展，将更好地满足女性的需求。
