Increasing access to midwifery-led care: University based midwifery services By Dr Lois McKellar

Addressing education requirements for continuity of care experience as well as increase placement opportunity Responding to national priorities for maternity care to provide increased access for women to different models of maternity care Creating an opportunity for the midwifery profession to harness changes in legislation and establish midwifery-led models of care. Conceptualised in 2013

Background National Maternity Services Plan Priority 1: Access Support for Midwives with access to the MBS and PBS Medicare covering antenatal services, birth in hospital/birth centre and postnatal services up to 6 weeks ANMB have developed accreditation standards or programs of study leading to endorsement for scheduled medicines for Midwives

Drivers for a University based clinic Consumer benefits Drivers for a University based clinic Service benefits Education benefits Professional benefits

Barriers & Enablers University support Midwives Stakeholders

Ongoing barriers Financial sustainabilty Medicare rebate not adequate remuneration for services provided Women are not aware of alternate models of care Uptake by women

Public awareness campaign South Australia

Vision…. Moving midwifery models of care forward will take a continued, consolidated, collaborative, commitment. Midwives working to the full scope of practice Education to establish a strong midwifery profession Research to inform practice Ongoing collaboration with government, professionals and community

Thank you