Posted on Monday, 25 May 2015
Rural maternity services are a priority in terms of rural and remote women being able to access safe maternity care Training of obstetric proceduralists and midwives are paramount Rural hospitals must be encouraged to train their own midwives. the larger hospitals are not training midwives in numbers sufficient to cope with their own attrition rates. Rural maternity services are in unique position to train all their midwives in a continuity of care model - the gold standard for midwifery training When considering rural maternity services for Aboriginal and Torres Strait Islander women, the other determinants of health are necessary including food security, housing, access to other health services ie an holistic approach

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Rural hospitals don't 'train' midwives. They provide placement for student midwives to complete their university qualification leading to registration as a midwife. Universities and rural maternity services need to continue to work together to offer quality placement for student midwives. Continuity of care models, although commendable and desirable, still pose workforce challenges of burnout and appropriate remuneration for midwives.