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Warkworth Birthing Centre: exemplifying the future
Smythe, L, Payne, D, Wilson, S, Wynyard, S
01/10/2009
New Zealand College of Midwives Journal
Purpose: Our research asked ‘what works well at Warkworth Birthing Centre?’ This was a collaborative study between researchers and co-directors of the centre, taking an appreciative inquiry approach. While it is a small study it provides a valuable case study of a primary rural birthing centre highlighting the factors that come together to give a service positive regard. Method: Questions sought to identify strengths, achievements, values, ethos and the positive core. Data was gathered through focus groups of women who had birthed at the Warkworth Birthing Centre, midwives who practice there, and staff of the centre. Individual interviews were conducted with the Co-directors and the Chair of the Trust Board. Transcripts were interpreted thematically. Findings: This paper takes the findings of the study and puts them alongside the Principles of the New Zealand Ministry of Health Maternity Action Plan 2008-2012 (Draft for Consultation). We argue that the women described a way of being cared for that is ‘women-centred’. Care approaches seemed to support positive health outcomes for women and their babies. The comprehensiveness of Warkworth Birthing Centre’s service was impressive, as was the cultural safety. There appeared to be a seamless continuity of care. Discussion: The factors that achieved the kind of maternity service outline in the Maternity Action Plan (Draft) are already being enacted at the Warkworth Birthing Centre. The keys to success lie in committed midwifery leadership, funding decisions kept close to practice, and an ethos of care that permeates all staff.
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continuity of care, cultural safety, primary rural birthing centre, Warkworth, women-centred care