What is it about?
This study sought to understand the maternity care experiences of women in relation to Australia’s national maternity strategy, called 'Woman-centred care: strategic directions for Australian maternity services. We examined the open text responses of women from across Australia who participated in a national survey about the values of the Strategy (safety, respect, choice and access) and how these were experienced in relation to their maternity care. It shows that the Strategy is ‘great in theory’ but that women often don't receive the kind of maternity care that the Strategy describes. A nationally coordinated response is required if the Strategy is to move from policy to practice, ensuring that women in Australia receive true woman-centred maternity care as intended.
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Why is it important?
Australia has a national maternity care strategy that states that all Australian women should receive care in line with. The intent of the Strategy is that all Australian women should receive safe, respectful care with access to their services of choice. The Strategy has a special focus on Australia's priority populations - Aboriginal and Torres Strait Islander women, women from a culturally and linguistically divers background and rural or remote-dwelling women. One in three Australian women experience birth trauma, indicating that maternity care in Australia does not set women up well for an empowering antenatal and birthing experience and smooth transition to early parenting. As a system, maternity care in Australia needs to do better. Especially among Australia's priority populations who are the most vulnerable and, as this study demonstrated, least likely to receive care according to the Strategy.
Perspectives
Having a baby is one of the most precious and profound moments in the life of a family. To me this research demonstrated that in Australia we are not very good at translating national policy into practice, particularly in relation to maternity care which is when women and families can be at their most vulnerable. Good policy can have positive effects on people and have an impact at the population level. This policy, however, has not translated well into practice, despite a commitment from the Australian and state and territory governments to implement it. It highlights that having a national policy for maternity care is not enough - we have to action it as well if it is going to be effective.
Paula Medway
Deakin University
Read the Original
This page is a summary of: ‘Great in theory’: Women’s care experiences in relation to Australia’s national maternity Strategy—Qualitative survey responses, PLOS One, April 2025, PLOS,
DOI: 10.1371/journal.pone.0319249.
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