Transforming the Culture of a Maternity Service: St George Hospital, Sydney, Australia

Pat Brodie and Caroline Homer

in Birth Models That Work

Published by University of California Press

Published in print April 2009 | ISBN: 9780520248632
Published online May 2012 | e-ISBN: 9780520943339 | DOI:
Transforming the Culture of a Maternity Service: St George Hospital, Sydney, Australia

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The process of transforming the maternity service came after a number of government reports had been published which clearly showed that women wanted more control and choice over their care during childbirth, and this included access to midwifery continuity of care in the community. This chapter describes the models of care and the system and culture of the urban Australian maternity service that prevailed before the changes were introduced, discussing the events which combined to ensure that changes could occur. It concerns the “positive” influences—education, collaboration, changing government-policy directions, and evidence from other countries—that influenced and facilitated change. Some of the “negative” influences—resistance to change by stakeholders, distrust of midwifery care, and preference for the status quo—are also shown. Finally, the chapter outlines the vision for the future, which includes strategies to promote and support organizational change and practice development that enables the provision of high-quality maternity service.

Keywords: maternity service; positive influences; negative influences; midwifery

Chapter.  11191 words. 

Subjects: Medical Anthropology

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