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Exploring midwifery prescribing in Australia.

Kirsten Small1, Mary Sidebotham1, Jenny Gamble1

  • 1Menzies Health Institute Qld, Griffith University, Queensland 4131, Australia; School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia.

Women and Birth : Journal of the Australian College of Midwives
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PubMed
Summary

Australian midwives view prescribing positively, but regulatory hurdles and lack of public sector roles limit uptake. Supportive relationships, education, and confidence are key enablers for midwifery prescribing.

Keywords:
EducationMedicare eligibleMidwifePrescribingRegulation

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Area of Science:

  • Midwifery Practice
  • Pharmacology in Healthcare
  • Health Policy and Regulation

Background:

  • Midwifery prescribing was introduced in Australia in 2010.
  • Only 59% of Medicare Eligible midwives are endorsed prescribers.

Purpose of the Study:

  • To explore Australian midwives' views on prescribing.
  • Identify barriers and enablers to midwifery prescribing.

Main Methods:

  • Online survey distributed to 131 eligible midwives.
  • Descriptive statistics and content analysis used for data analysis.

Main Results:

  • A 50% response rate (66 midwives); 18% had commenced prescribing.
  • Prescribers reported enhanced women's access to medicines and role satisfaction.
  • Key barriers included regulatory issues and lack of public sector support; enablers were supportive relationships, education, and personal factors.

Conclusions:

  • Midwifery prescribing is viewed positively, but a small proportion of educated midwives actively prescribe.
  • Barriers include complex registration, restrictive formularies, and limited public sector roles.
  • Mentoring and addressing systemic barriers could increase midwifery prescribing to benefit women and infants.