care provider choices

  • care is provided by midwives or obstetricians (depending on the categorisation of “risk” status)

    • fragmented care — generally see a different provider each appointment and during labour (unless lucky)

    • antenatal appointments — hospital or community clinics if available.

    • birth location — hospital

    • postnatal stay — short ward stay, generally 1–2 nights unless complications arise, with home visit(s) from hospital midwife following discharge

    • cost — nil, if medicare eligible

    • private insurance — not required

    note that most public hospitals offer additional services (both in terms of primary model of care as well as multi-disciplinary support) for families falling into certain social or cultural groups.

  • care is provided by a primary midwife and backup midwife, or small team of midwives

    • continuity of care through pregnancy, birth and postpartum

    • antenatal appointments — hospital, community clinic or birth centre

    • birth location — hospital, birth centre or home birth (location dependent and eligibility dependent)

    • postnatal stay — may eligible for discharge after 4–6 hours with known midwife home-visits to follow, or short ward stay, ongoing home visits from MGP midwives

    • cost — nil, if medicare eligible

    • eligibility criteria often applies and generally requires early referral

    • private insurance — not required

    note that some hospitals have culturally or socially specific caseload programs, including but not limited to for First Nations families.

  • care is provided by small team of hospital midwives , with appointments generally taking place in the hospital or community clinics if available.

    • continuity model — intention for you to meet several members of the team so as to have a familiar face in birth and during the postpartum period

    • antenatal appointments — hospital or community clinic

    • birth location — public hospital or birth centre

    • postnatal stay — short ward stay, eligible for 6 hour discharge otherwise generally 1–2 nights unless complications arise, with home visit(s) from hospital midwife following discharge

    • cost — nil, if medicare eligible

    • private insurance — not required

  • care is provided by a private midwife or general practitioner (GP) in conjunction with your local public hospital (hospital midwives or obstetrician depending on facility), with the majority of appointments taking place in the community with your private midwife or GP, and a small number of appointments at the public hospital

    • partial continuity model — continuity through the antenatal period, but generally no continuity in birth (unless private midwife offers birth support)

    • antenatal appointments — midwife/GP clinic or home, and hospital

    • birth location — public hospital

    • postnatal stay — short ward stay, generally 1–2 nights unless complications arise, with home visit(s) from hospital midwife following discharge

    • cost — some cost may be associated with antenatal appointments (though medicare rebates applicable if medicare eligble, and some private midwives/GPs offering bulk-billed appointments)

    • private insurance — not required

  • care is provided by a privately practising midwife (PPM).

    PPM may be engaged as your sole care provider, as part of shared-care with a public hospital or private hospital, or as a supplement to other pregnancy care.

    the role your PPM takes on will depend on your chosen birth location, and if in hospital, whether they have admitting rights.

    • continuity model — through pregnancy, birth and postpartum

    • antenatal appointments — your home or their clinic

    • birth location — hospital or home (with some PPMs offering independent birth centres)

    • postnatal stay — flexible depending on chosen birthing location, with comprehensive care being provided in the home from private midwife (frequency determined by the family)

    • cost — out of pocket costs, medicare rebates for antenatal and postnatal appointments, and birth in certain circumstances if eligible

    • private insurance — not required, may assist with some costs in limited circumstances

  • care is provided by a private obstetrician or small team of private obstetricians during pregnancy,

    • continuity model — through pregnancy, birth and postpartum (but labour support prior to birth mostly provided by hospital midwives)

    • antenatal appointments — private hospital or clinic

    • birth location — private hospital (or public hospital as private patient)

    • postnatal stay —  generally 4–5 day day stay on the postnatal ward, no home visits to follow

    • cost — medicare and private health cover rebates if eligible but generally out of pocket costs still apply for management fees and hospital excess

    • private insurance — generally required to avoid substantial out of pocket costs

We note that “[i]n 2023, around 1,000 models of care were reported as being in use across 251 maternity services in Australia” (AIHW, 2023). The above summary is by no means exhaustive but attempts to narrow down the major models of care that may be available for your consideration. For a personalised discussion about what model of care may best suit your and your family’s values and goals, and be available in your area, contact us to book in for a mini or maxi birth choices appointment.

birth location choices

  • private hospitals — labour care is predominantly provided by hospital midwives, with chosen obstetrician (or cover) attending during the labour and is usually at the birth.

    public hospitals — labour and birth care provided by either hospital midwives or caseload/MGP midwives, with medical (obstetric) involvement as required.

    • continuity — dependent on model of care

    • pregnancy appointments — dependent on model of care chosen

    • availability — most accessible location for most women and families

    • eligibility — all

  • birth centres provide women and birthing people with midwifery-led labour and birth care in a home-like environment, at a location situated in close proximity to hospitals, either co-located or at a standalone location.

    • continuity — facility dependent but usually continuity of care as part of a caseload or MGP program

    • pregnancy appointments — dependent on facility, may be at centre, home, or hospital

    • availability — location dependent

    • eligibility — generally reserved for uncomplicated pregnancies

  • planned home births are attended by two registered midwives.

    most home births are attended by privately practising midwives (PPMs), however a small number of publicly funded homebirth programs exist, with hospital or birth centre midwives offering care at home through labour, birth and the postnatal period.

    • continuity model — the extent of continuity may depend on whether birthing at home with PPMs or a hospital program

    • pregnancy and postnatal appointments — at home or clinic with PPM, mixed with hospital homebirth programs

    • availability — location dependent

    • eligibility — eligibility criteria applies, provider-dependent

    *a birth at home (or anywhere outside of the hospital system) without registered midwives or obstetricians in attendance is a commonly termed a “freebirth” and is beyond the scope of this summary which focuses on birth choices within the system.

resources

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t&cs

birthchoices, through this website, our service offerings and our podcast, aims to share stories and collate information to assist you in navigating your pregnancy and birth and in discussing these choices with your chosen pregnancy care provider. The information and resources provided are informational and educational in nature and does not constitute medical or midwifery advice and shall not be construed as constituting or replacing medical or midwifery advice.

We at birthchoices encourage you to make your own care decisions based on your research and in partnership with a qualified health care professional. The information provided is general in nature and we expressly recommend that you seek advice from your midwife or doctor who knows your individual circumstances in determining your approach to your pregnancy and birth. 

While we have worked hard to ensure that the information we provide is accurate and based on reliable and up to date evidence, we do not warrant or guarantee the accuracy of this information. Our website and podcast are intended to complement, and never to substitute, your midwifery or medical clinical care. 

Neither we at birthchoices or any of our guests shall be held liable or responsible for any loss, damage or unfavourable outcomes arising out of the use or reliance on our content and/or your failure to seek appropriate medical, midwifery or health advice from a relevant licensed health care professional who is familiar with your individual circumstances.

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