Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Study protocol

The Indigenous Birthing in an Urban Setting study: the IBUS study

A prospective birth cohort study comparing different models of care for women having Aboriginal and Torres Strait Islander babies at two major maternity hospitals in urban South East Queensland, Australia

Authors: Sophie Hickey, Yvette Roe, Yu Gao, Carmel Nelson, Adrian Carson, Jody Currie, Maree Reynolds, Kay Wilson, Sue Kruske, Renee Blackman, Megan Passey, Anton Clifford, Sally Tracy, Roianne West, Daniel Williamson, Machellee Kosiak, Shannon Watego, Joan Webster, Sue Kildea

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

Login to get access

Abstract

Background

With persisting maternal and infant health disparities, new models of maternity care are needed to meet the needs of Aboriginal and Torres Strait Islander people in Australia. To date, there is limited evidence of successful and sustainable programs. Birthing on Country is a term used to describe an emerging evidence-based and community-led model of maternity care for Indigenous families; its impact requires evaluation.

Methods

Mixed-methods prospective birth cohort study comparing different models of care for women having Aboriginal and Torres Strait Islander babies at two major maternity hospitals in urban South East Queensland (2015–2019). Includes women’s surveys (approximately 20 weeks gestation, 36 weeks gestation, two and six months postnatal) and infant assessments (six months postnatal), clinical outcomes and cost comparison, and qualitative interviews with women and staff.

Discussion

This study aims to evaluate the feasibility, acceptability, sustainability, clinical and cost-effectiveness of a Birthing on Country model of care for Aboriginal and Torres Strait Islander families in an urban setting. If successful, findings will inform implementation of the model with similar communities.

Trial registration

Australian New Zealand Clinical Trial Registry #ACTRN12618001365​257. Registered 14 August 2018 (retrospectively registered).
Literature
1.
Australian Institute of Health and Welfare: Maternal deaths in Australia 2012–2014. Cat. No. PER 92. Canberra: AIHW; 2017.
2.
Australian Institute of Health and Welfare: Australia Mothers and Babies 2015 - In Brief. Perinatal statistics series no 33, Cat. no. PER 91. Canberra: AIHW; 2017.
3.
Li Z, et al: Australia’s mothers and babies 2010. Canberra: AIHW National Perinatal Epidemiology and Statistics Unit; 2012.
4.
Gotsch F, et al. The preterm parturition syndrome and its implications for understanding the biology, risk assessment, diagnosis, treatment and prevention of preterm birth. J Matern Fetal Neonatal Med. 2009;22:5–23.CrossRef
5.
6.
Gluckman PD, Hanson M, Pinal C. The developmental origins of adult disease. Maternal & Child Nutrition. 2005;1:130–41.CrossRef
7.
Johnston T, Coory M. Reducing perinatal mortality among Indigenous babies in Queensland: should the first priority be better primary health care or better access to hospital care during confinement? Australian and New Zealand Health Policy. 2005;2:11.CrossRef
8.
Freemantle C, et al. Patterns, trends, and increasing disparities in mortality for Aboriginal & non-Aboriginal infants born in WA, 1980-200. Lancet. 2006;367:1758–66.CrossRef
9.
Moutquin J. Socio-economic and psychosocial factors in the management and prevention of preterm labour. BJOG. 2003;110:56–60.CrossRef
10.
Sangkomkamhang U, et al. Antenatal lower genital tract infection screening and treatment programs for preventing preterm delivery. Cochrane Database Syst Rev. 2008:CD006178.
11.
British Medical Association. Smoking and reproductive life: the impact of smoking on sexual, reproductive and child health. London: British Medical Association; 2004.
12.
Muglia L, Katz M. The enigma of spontaneous preterm birth. N Engl J Med. 2010;2010(11):529–35.CrossRef
13.
Steering Committee for the Review of Government Service Provision: Overcoming Indigenous disadvantage: key indicators. Canberra: steering Committee for the Review of government service provision, Productivity commission; 2009.
14.
Kildea S, Van Wagner V: ‘Birthing on country,’ Maternity service delivery models: a review of the literature. Canberra: maternity services inter-jurisdictional Committee for the Australian Health Minister’s advisory council, brokered by the sax institute; 2013.
15.
Herceg A: Improving health in Aboriginal & Torres Strait Islander mothers, babies and young children: a literature review. Canberra: Australian Government Department of Health & ageing; 2005.
16.
Rumbold A, Cunningham J. A review of the impact of antenatal care services for Australian Indigenous women and attempts to strengthen these services. Matern Child Health J. 2008;12:83–100.CrossRef
17.
AHMAC: National maternity services plan, 2011. Canberra: Australian health ministers advisory council, Commonwealth of Australia; 2011.
18.
Kildea S, Stapleton H, Magick Dennis F: Birthing on Country Workshop Report, Alice Springs, 4th July. Brisbane: ACU and Mater Medical Research Institute; 2013.
19.
Kildea S, Lockey R, Roberts J, Magick Dennis F: Guiding Principles for Developing a Birthing on Country Service Model and Evaluation Framework, Phase 1. Brisbane: Mater Medical Research Unit and the University of Queensland on behalf of the Maternity Services Inter-Jurisdictional Committee for the Australian Health Ministers’ Advisory Council; 2016.
20.
Kruske S: Culturally competent maternity Care for Aboriginal and Torres Strait Women Report. Brisbane: September 2012 – prepared on behalf of the maternity services inter-jurisdictional Committee for the Australian Health Ministers’ advisory council; 2013.
21.
Hartz D, Foureur M, Tracy SK. Australian caseload midwifery: the exception or the rule. Women and Birth. 2012;25:39–46.CrossRef
22.
McLachlan HL, 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;119:1483–92.CrossRef
23.
Tracy SK, et al. Caseload midwifery care versus standard maternity care for women of any risk: M@NGO, a randomised controlled trial. Lancet. 2013;382(9906):1723-32.CrossRef
24.
Homer C, et al. It’s more than just having a baby’ women’s experiences of a maternity service for Australian Aboriginal and Torres Strait islander families. Midwifery. 2012;28:e509–15.CrossRef
25.
Stamp G, et al. Aboriginal maternal and infant care workers: partners in caring for Aboriginal mothers and babies. Rural Remote Health. 2008;8:883.PubMed
26.
Kildea S, Tracy S, Sherwood J, Magick-Dennis F, Barclay LM. Improving maternity services for Indigenous women in Australia: moving from policy to practice. Med J Aust. 2016;205:374–9.CrossRef
27.
Biddle N: CAEPR Indigenous population project: 2011 census papers. Canberra: Centre for Aboriginal Economic Policy Research, Australian National University; 2013.
28.
Kildea S, Hickey S, Nelson C, Currie J, Carson A, Reynolds M, Wilson K, Kruske S, Passey M, Roe Y, et al. Birthing on country (in our community): a case study of engaging stakeholders and developing a best-practice Indigenous maternity service in an urban setting. Aust Health Rev. 2017. https://​doi.​org/​10.​1071/​AH16218.CrossRef
29.
Campbell N, et al. Designing and evaluating complex interventions to improve health care. BMJ. 2007;334:455–9.CrossRef
30.
Craig P, et al.: Developing and evaluating complex interventions: new guidance. Medical Research Council; 2008.
31.
Stringer E. Action Research 2nd Edition. California: SAGE; 1999.
32.
NHMRC. Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research. Canberra: National Health and Medical Research Council; 2003.
33.
Kildea S, Stapleton H, Murphy R, Kosiak M, Gibbons K. The maternal and neonatal outcomes for an urban Indigenous population compared with their non-Indigenous counterparts and a trend analysis over four triennia. BMC Pregnancy and Childbirth. 2013;13:167.CrossRef
34.
Panaretto K, et al. Sustainable antenatal care services in an urban Indigenous community: the Townsville experience. Med J Aust. 2007;187:18–22.PubMed
35.
National Statement on Ethical Conduct in Human Research. The National Health and Medical Research Council, the Australian Research Council and universities Australia. Commonwealth of Australia, Canberra; 2007 (updated 2018).
36.
Squires J, Twombly E, Bricker D, Potter L. ASQ-3 User's guide. Baltimore, Maryland: Brookes Pub; 2009.
37.
Bayley N: Bayley scales of infant and toddler development, third edition (BAYLEY-III). Pearsons Clinical; 2005.
38.
Kristensen T, Borritz M, Villadsen E, Christensen K. The Copenhagen burnout inventory: a new tool for the assessment of burnout. Work & Stress. 2005;19:192–207.CrossRef
39.
NHMRC. Keeping research on track: A guide for Aboriginal and Torres Strait Islander people about about health research ethics. Canberra: National Health and Medical Research Council; 2005.
Metadata
Title
The Indigenous Birthing in an Urban Setting study: the IBUS study
A prospective birth cohort study comparing different models of care for women having Aboriginal and Torres Strait Islander babies at two major maternity hospitals in urban South East Queensland, Australia
Authors
Sophie Hickey
Yvette Roe
Yu Gao
Carmel Nelson
Adrian Carson
Jody Currie
Maree Reynolds
Kay Wilson
Sue Kruske
Renee Blackman
Megan Passey
Anton Clifford
Sally Tracy
Roianne West
Daniel Williamson
Machellee Kosiak
Shannon Watego
Joan Webster
Sue Kildea
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-2067-8

Other articles of this Issue 1/2018

BMC Pregnancy and Childbirth 1/2018 Go to the issue

Research article

The association between pre pregnancy body mass index and risk of preeclampsia: a registry based study from Tanzania

Research article

Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh

Research article

Prevalence and determinants of antenatal depression among pregnant women in Ethiopia: a systematic review and meta-analysis

Research article

The effect of pre-pregnancy hair dye exposure on infant birth weight: a nested case-control study

Research article

Screening of differentially expressed proteins from syncytiotrophoblast for severe early-onset preeclampsia in women with gestational diabetes mellitus using tandem mass tag quantitative proteomics

Research article

Reference intervals for hemoglobin A1c (HbA1c) in healthy Mexican pregnant women: a cross-sectional study