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Development of a co-designed, evidence-based, multi-pronged strategy to support normal birth
Jyai Allen1,2, Jocelyn Toohill3, Debra K Creedy1,2
1Transforming Maternity Care Collaborative, Brisbane, Queensland, Australia.
Queensland implemented a multi-faceted strategy to increase normal birth rates and reduce caesarean sections (CS). This evidence-based approach focused on midwifery continuity, education, informed decision-making, and a positive maternity care culture.
Area of Science:
- Maternal Health
- Obstetrics
- Public Health Interventions
Background:
- Australia faces a persistent rise in caesarean section (CS) rates.
- There is a need for effective strategies to promote normal birth and reduce interventions.
Purpose of the Study:
- To co-design an evidence-based, multi-pronged strategy to increase the normal birth rate in Queensland.
- To reduce the incidence of caesarean sections (CS) in Queensland.
Main Methods:
- Conducted three workshops with a multi-stakeholder group.
- Identified, prioritized, and achieved consensus on options to reduce CS.
- Developed a comprehensive strategy based on evidence and stakeholder input.
Main Results:
- The strategy includes universal midwifery continuity of care and choice of birth place.
- It incorporates multi-disciplinary normal birth education and resources for informed decision-making.
- Focuses on respectful maternity care, positive workplace culture, and establishing a Normal Birth Collaborative.
Conclusions:
- The co-designed strategy provides a framework for increasing normal birth rates.
- Implementation of these components aims to reduce the reliance on caesarean sections.
- A collaborative and supportive approach is key to improving maternity care outcomes.
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