LSTM Home > LSTM Research > LSTM Online Archive

Remote links: Redesigning maternity care for Aboriginal women from remote communities in Northern Australia – A comparative cohort study

Kildea, Sue, Gao, Yu, Rolfe, Margaret, Josif, Cathryn M., Bar-Zeev, Sarah, Steenkamp, Malinda, Kruske, Sue, Williams, Desley, Dunbar, Terry and Barclay, Lesley M. (2016) 'Remote links: Redesigning maternity care for Aboriginal women from remote communities in Northern Australia – A comparative cohort study'. Midwifery, Vol 34, pp. 47-57.

Full text not available from this repository.


To compare the quality of care before and after the introduction of the new Midwifery Group Practice.

A cohort study.

The health centers (HCs) in two of the largest remote Aboriginal communities (population 2200–2600) in the Top End of the Northern Territory (NT), each located approximately 500 km from Darwin. The third study site was the Royal Darwin Hospital (RDH) which provides tertiary care.

A 2004–06 retrospective cohort (n=412 maternity cases) provided baseline data. A clinical redesign of maternity services occurring from 2009 onwards focused on increasing Continuity of Carer, Communication, Choice, Collaboration and Co-ordination of Care (5Cs). Data from a 2009–11 prospective cohort (n=310 maternity cases) were collected to evaluate the service redesign. Outcome measures included indicators on the quality of care delivery, adherence to recommended antenatal guidelines and maternal and neonatal health outcomes.

Statistically significant improvements were recorded in many areas reflecting improved access to, and quality of, care. For example: fewer women had <4 visits in pregnancy (14% versus 8%), a higher proportion of women had routine antenatal tests recorded (86% versus 97%) and improved screening rates for urine (82% versus 87%) and sexual tract infections (78% versus 93%). However, the treatment of conditions according to recommended guidelines worsened significantly in some areas; for example antibiotics prescribed for urine infections (86% versus 52%) and treatment for anaemia in pregnancy (77% versus 67%). High preterm (21% versus 20%), low birth weight (18% versus 20%) and PPH (29% versus 31%) rates did not change over time. The out of hospital birth rate remained high and unchanged in both cohorts (10% versus 10%).

This model addresses some of the disparities in care for remote-dwelling Aboriginal women. However, much work still needs to occur before maternity care and outcomes are equal to that of non-Aboriginal women. Targeted program interventions with stronger clinical governance frameworks to improve the quality of care are essential. A complete rethink of service delivery and engagement may deliver better results.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):
Depositing User: Jessica Jones
Date Deposited: 22 Mar 2016 15:15
Last Modified: 06 Feb 2018 13:12


View details

Actions (login required)

Edit Item Edit Item