Is Midwife care suitable for me?

If you’re looking for an alternative maternity care model to the current system and if your values and personal ethos aligns with the With You Midwifery mission, then Midwife care is for you.

Additionally, your pregnancy must be assessed as low risk to be cared for by a private Midwife.

What is a low risk pregnancy?

Low risk pregnancy is defined as having no medical and obstetric complications. Women who have experienced asthma, previous forceps or vacuum birth, gestational diabetes managed through diet or infertility treatment are all welcome to be cared for by With You Midwifery.

What is an Eligible Midwife?

Women no longer need to see a specialist to have pathology tests ordered, routine ultrasounds ordered or to receive routine pregnancy care. Eligible Midwives have an extra notation on their registration, endorsed by the Nursing and Midwifery Board of Australia as meeting the following requirements:

  • Current general registration as a Midwife in Australia with
    no restrictions on practice
  • Greater than 3 years full time Midwifery experience since
    the completion of initial registration as a Midwife
  • Current competence across full scope of midwifery practice
    (ie. competence to provide pregnancy, labour, birth and
    postnatal care to women and their infants)
  • Successful completion of an approved professional practice review program for Midwives, such as the Australian College
    of Midwives’ Midwifery Practice Review
  • 20 additional hours per year of continuing professional development relating to the continuum of midwifery care
  • Completion of an approved prescribing course

Once endorsed, an Eligible Midwife can apply for a Medicare Provider Number enabling women to claim Medicare for midwifery services. An Eligible Midwife can also order tests and investigations such as blood and ultrasound tests. Further, endorsement as an Eligible Midwife enables that Midwife to refer to an Obstetrician or Paediatrician as required.

What are the benefits of Midwife continuity of care?

Continuity of care from a Midwife enables the development of a long-term, trusting relationship between you and your care provider. You have the opportunity to surround yourself with another confidence-boosting and knowledgeable partnership based on common values.

The benefits to the women are numerous:

  • Care by a practitioner trained in the normal, natural and everyday
  • Longer appointment times to allow time for questions, education, debriefing and developing a trusting relationship
  • Shorter wait times in a familiar, comfortable clinic setting
    (not surrounded by sick people at the GP)
  • Continuity of care, information and common values
  • Better prepared, therefore calmer, for labour and birthing

Having the continuity of a midwife while you’re pregnant is beneficial to both you and your baby. A woman who receives care from a known midwife is more likely to1 2:

  • have a normal birth3;
  • have a more positive experience of labour and birth;
  • be satisfied with her maternity care4; and
  • successfully breastfeed her baby.

A baby whose mother received care from a known midwife is more likely to5:

  • be born at term;
  • be born healthy;
  • receive skin-to-skin contact early; and
  • bonds better with its mother.

 

1 Sandall J, Soltani H,Gates S, Shennan A,Devane D.Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD004667. DOI: 10.1002/14651858.CD004667.pub3

2 McLachlan H, Forster D, Davey M, Farrell T, Gold L, Biro M, et al. The effect of caseload midwifery on women’s experience of labour and birth: results from the COSMOS randomised controlled trial. In: Australian College of Midwives 18th Biennial Conference. Australian College of Midwives, 2013.

3 McLachlan H, Forster D, Davey M, Farrell T, Gold L, Biro M, et al. Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: The COSMOS randomised controlled trial. BJOG. 2012: DOI: 10.1111/j.471-0528.2012.03446.x.

4 Fereday J, Collins C, Turnbull D, Pincombe J, Oster C. An evaluation of Midwifery Group Practice. Part II: women’s satisfaction. Women & Birth: Journal of the Australian College of Midwives. 2009; 22(1): 11-6.

5 Turnbull D, Baghurst P, Collins C, Cornwell C, Nixon A, Donnelan-Fernandez R, et al. An evaluation of Midwifery Group Practice. Part I: clinical effectiveness. Women & Birth: Journal of the Australian College of Midwives. 2009; 22(1): 3-9.

What are your fees?

Each pregnancy package has different levels of attention and has different costs associated. It’s best to speak to your Midwife about your needs so we can provide you with a tailored package that suites your needs and your budget.

Please email us on info@withyoumidwifery.com.au or call 5793 4368 and request a fee schedule.

How do I make payment?

Each pregnancy care package has a different fee schedule. Generally, payment is required at the completion of any antenatal or postnatal visit. You can either pay in clinic via EFTPOS or cash; or an invoice can be sent out after a postnatal home visit for prompt payment.

Does Medicare cover any With You Midwifery services?

Yes. Providing you have a referral from your GP. You will be able to claim a rebate for most of the services that With You Midwifery provide. Request a fee schedule from With You Midwifery to find out more.

Will my Private Health Fund cover any costs?

Some private health funds may offer a further rebate for some postnatal services only. Speak to your health fund for more information.

Do I need a referral?

To be eligible for Medicare rebates, yes. You can either download a referral form from this website, call or email With You Midwifery or request one from your GP.

How do I book in with With You Midwifery?

After receiving your With You Midwifery referral, just call or email us to book in your first consultation and meet your Midwife. Your Midwife will take all necessary details at this stage and let you know a further schedule of visits.

Can my pregnancy care be shared between care providers?

Yes, With You Midwifery can work in partnership in a Shared Care arrangement with a GP or an Obstetrician.

Where can I birth my baby?

At present, With You Midwifery does not have admitting rights to any hospital. You can give birth at Frankston as a public patient or at The Bays Hospital Mornington under the care of a private Obstetrician. This can be explained further when you attend your first visit.

What if there is a problem with my pregnancy?

Your Midwife will discuss and collaborate with either the doctors at your birth hospital or your choice of Obstetrician and refer you for ongoing care if this becomes necessary.

Do I still need to see an Obstetrician?

As part of the Shared Maternity Care guidelines it is recommended you have a pregnancy review by an Obstetrician or doctor at 34 weeks gestation, then again at 41 weeks if you are past your due date.

Will my Midwife be with me for the birth?

You and your family will be prepared enough to navigate the birth by yourself. Of course, your Midwife would love to be there with you to be your voice and this is a part of our Complete Pregnancy Care package. Please see the services page for what else is included in this package.