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- W2272129334 abstract "Advances in medicine and public health have resulted in dramatic improvements in birth outcomes in Australia; however since the 1970 there has been increasing awareness of the social aspects of maternity care and of the right of women to participate in decision making about prenatal care labor and birth. In 1987 the Government of New South established a Ministerial Task Force on Obstetric Services with a mandate to examine a broad range of issues in obstetrics and maternity care. The report of the Task Force entitled Maternity Services in New South Wales was released in February 1989. It made major recommendations in the areas of hospital-based maternity care antenatal and postnatal care parenting education and approaches to childbirth. This paper deals with the Task Forces recommendations in the areas of midwifery birth centers and services for families with special needs. The Task Force recommended that hospital privileges be extended to suitably qualified independently-practicing midwives who were retained by a client. Privately practicing midwives have heretofore been restricted to home births. The Task Force also made detailed recommendations concerning the accreditation of midwives. Another major recommendation of the Task Force was for the development of birth centers providing a broad range of maternity services which would gradually replace the present labor wards. Birth centers are pleasant nonclinical facilities where the major care-givers are midwives and the emphasis is on the normality of the birth process. The Task Force made a number of recommendations addressing the special needs of various groups including nonEnglish-speaking people Aboriginal communities and teenage mothers. Women from nonEnglish-speaking backgrounds are likely to come to maternity services only late in pregnancy and require interpretative services and culturally sensitive care. For Aboriginal women many of whom live in remote areas cooperation is needed among the maternity services the Aboriginal medical services Aboriginal health workers and traditional birth attendants. 5% of births in New South are to women under 20 who need the services of adolescent antenatal care facilities. The Task Forces recommendations have been referred to the Department of Health and to the Area Health Services and Health Regions for endorsement prioritizing cost analysis and staged implementation." @default.
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- W2272129334 date "1989-06-01" @default.
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- W2272129334 title "Maternity services in New South Wales — childbirth moves toward the 21st century" @default.
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- W2272129334 doi "https://doi.org/10.5694/j.1326-5377.1989.tb136759.x" @default.
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