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Rural Midwifery in Oamaru

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Rural Midwifery in Oamaru NEWSLETTER September 2012 CHAIRPERSON’S REPORT UPDATE Welcome to the second addition of the New An organisation of organisations with a unified Zealand Rural Hospital Network. A lot is voice for cohesive social and population health for happening out there at the moment and we are rural NZ. This body has been recently established forever facing the challenges of the tightening to provide a framework whereby rural health can health dollar and expected to work harder, faster be represented in a unified manner. Its members and smarter. It is great to hear from so many of are wide ranging – RHN, NZ Institute of Rural you about the challenges you face and how you Health, Mobile Surgical Services, NZ Rural GP deal with them. Network, Rural Women NZ, College of Nurses and many others. We are currently seeking Work continues on the Executive Committee with membership from local government and have members having duel roles across varying recently had real interest from the rural and organisations. Once again I would like to take this provincial mayors throughout NZ. opportunity to thank the board who represent all of you. Even though they all have full time jobs they This body sees real benefits in getting unified and are committed to getting this network off the cohesive: ground and to ensure rural hospitals continue to Provide a strong presence in the advisory and have a voice at a national level. policy development fields of rural health Develop closer working relationships Remember to check out our website A single point/conduit which strengthens the www.nzrhn.co.nz or join us for lively discussions activities of all the organizations involved. on our newly created facebook page. RHAANZ will: If you would like to contribute a story about your Develop a rural health strategy for NZ experience working in rural hospitals then please contact me at [email protected] Develop a research agenda for the rural sector Engage in planning for the future of rural health services Although in its infancy this is an organization which we believe will have a strong, unifying presence in rural health. The Rural Hospital Jen Thomas Network has a representative on the interim Interim Chair executive committee of RHAANZ so there is direct Rural Hospital Network and critical involvement as this group grows. www.nzrhn.co.nz PROFILE Nikki Close Nikki is the CEO of Te Aroha Community Hospital in the Waikato District. The Hospital is community owned and is predominately Aged Care with 9 Medical Beds for the community. They are currently looking at new contracts to assist the wider rural community to have better and quicker access to Healthcare Services. Te Aroha is immensely proud of the service they provide and their service has recently been awarded 4 years Certification by the MoH. In her spare time Nikki is a volunteer Firefighter with the Te Aroha Brigade. The New Zealand Rural Hospital Network would like to welcome Nikki Close, CEO, Te Aroha Community Hospital to the Executive Committee. The Rural Hospital Network is participating in the NEW ZEALAND RURAL planning of the 2013 New Zealand Rural General Practice Network conference to be held in GENERAL PRACTICE Rotorua. The conference is being organised in association with the RHN and will take place from NETWORK CONFERENCE 2013 March 14-17 at the Energy Events Centre, Rotorua. Pre-conference workshops will be held The interim executive members will update the on Thursday March 14, with the conference proper members on the status of the organisation and held on Friday and Saturday, March 15 and 16. seek nominations and elections of officers. The conference theme is “Let’s Get Connected”. We invite all members of the RHN to join us at our The conference content will cater for a wide first AGM. number of health professionals working in rural areas including staff working in rural hospitals. Some examples of sessions include: rural The RHN is excited to be involved in the Rotorua maternity, impact of Information Technology on conference and hope that it will offer members rural hospitals and practices, use of Ultrasound both a learning and a networking opportunity. and CT technology in rural hospitals, electronic Please mark your calendar to join us at the prescribing, acute wound management, patient conference between March 14 and 17, 2013. The transport, and the use of technology in the conference details are being finalised and will be community. In addition there will be presentations accessible through the RHN website in due course on research papers. www.nzrhn.co.nz. On March 14 during the pre-conference day, the RHN is planning a forum dedicated to staff working in rural hospitals to share ideas, discuss challenges and learn from each others’ achievements. We will be calling for papers from members of the RHN soon. The plan is to have the RHN forum from 1pm to 4pm on March 14. Also, on March 14 the RHN is planning its inaugural Annual General Meeting. We invite all members of the RHN to join us at our first AGM. MEMBER - TARARUA HEALTH GROUP ABOUT TARARUA HEALTH GROUP Clinical excellence is the cornerstone of the service and staff from within the organization network effectively on a district and regional-wide The Tararua Health Group was established in April 2009. This private company comprises two basis for clinical governance. A range of tertiary GP practice sites and a community hospital training institutes have agreements for the placement of students (GP’s, nurses, midwives) located in Southern Hawkes Bay with the sites within our rural teaching programme. based in Dannevirke and Pahiatua. Tararua Health Group provides services to the Tararua Tararua Health Group has been instrumental in district of New Zealand. The range of services launching an integrated family health centre provided by the group encompass GP primary (Tararua IFHC) which demonstrates integration of healthcare, practice nursing, community nursing, services across the geographical area. Through hospital, maternity and radiology services. The alliance contracting, clinical governance and input organization employs over 100 staff, including from a range of health/social services it is hoped GP’s, registered nurses (hospital and practice that this approach will deliver more flexible, based), radiographers, midwives and ancillary community focused services to our population. staff. There are a range of support staff providing business and quality systems to the overall organization. This organization uses leading-edge technology to support the provision of their services. Tararua Health Group has invested in fiber optic cables to link the sites for the high speed transmission of digital x-rays. The software is a Medtech supported framework and patient records for up to 17,000 patients are integrated, thereby allowing a borderless sharing of information amongst health providers. RURAL MIDWIFERY After a little over a year of living in Oamaru, the Maternity was invited to share the statistics and IN OAMARU - PART 1 how we work with Dunedin Midwives at a conference entitled “Midwifery Practice: Lowering BY JENNIFER WRIGHT Our Caesarean Section Rate”. This was a great LMC Midwife at the Oamaru Maternity Centre opportunity to look at our statistics; our outcomes and our collaborative care with Dunedin midwives and Southern DHB and share our uniqueness with My journey to Oamaru Maternity has been one of others. opposites. I came from the 45 parallel North (Oregon USA) to the 45 parallel South. I left a We were nervous as to what the numbers would culture where 90% of pregnant women were show, yet determined to take a look. We analysed looked after by obstetricians to a culture where the care provided over the calendar year 2011 90% are looked after by midwives. In the States from January through December. Our Oamaru the physicians or large hospital organizations do Maternity team was delighted that our not support out-of-hospital-birth. It was a interpretation of how we think we work was complicated political choice if a woman wanted a reflected positively in our review of our statistics. birth outside the hospitals. In Oamaru it is a The reality of Oamaru Midwifery is reflected in the woman’s choice of where to birth: Oamaru numbers. Maternity Centre, home or at the larger facility Queen Mary in Dunedin Public Hospital. Rural This article will summarize the presentation from women in America are expected to travel great the conference in two parts. The first part will distances to seek health care during pregnancy. In describe Oamaru Maternity, who we are and how Oamaru, the midwife travels to the women, visiting we work. The second part of this article (in the next mothers and babies in their own homes. In the issue) will present the ambulance transfers of States health care is a business. In Oamaru women in labour, present our calculated midwives are paid to provide the service of caesarean rate and summarize our statistics and midwifery to the community. safety of our primary unit. Finally this two part series will explore future areas of study for rural There was a moment on the airplane with my midwifery practices. family seated beside me, where I had a flicker of doubt and questioning. “What am I doing, moving my family to the other side of the world? How will the reality of Oamaru Midwifery measure up to my fantasy New Zealand Midwifery?” I left the comfort of the known exhausting for-profit oriented American Medical system to explore the uncharted unknown-to-me publicly funded midwifery of New Zealand. Thankfully that was where the oppositions ended. The reality of Oamaru Maternity and the midwifery services offered here has far exceeded my fantasy.
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