The maternity service in New Zealand is an integrated system of primary, secondary and tertiary care. Primary maternity care is provided by Lead Maternity Carers LMCs , who take responsibility for the care provided to women throughout pregnancy, during labour and birth, and up to six weeks following birth.
The LMC integrated model of primary maternity care is the cornerstone of the New Zealand maternity service. All other services, such as obstetric or paediatric services, fit in around this model so that the woman experiences a seamless maternity service that meets her individual needs. This model is unique in the world and has been highly successful, with women expressing considerable satisfaction with their maternity services.
The outcomes for women having continuity of midwifery care are very good and the perinatal mortality rate has never been lower. Women choose their own LMC, with the vast majority choosing a midwife and the remainder choosing an obstetrician or a general practitioner who has a diploma in obstetrics. Maternity care is free to eligible women , unless they choose a private obstetrician. There is a move to establish more primary facilities so that women have more options for normal birth.
Secondary facilities have caesarean section capabilities; and the five tertiary maternity facilities in New Zealand also provide tertiary neonatal intensive care units. LMCs provide care to women within maternity facilities under a generic access agreement. Copies of this access agreement can be found in the Section 88 Notice below. Find a Job. Career Advice Explore real-world career trends and advice from the leaders in compensation.
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Find out what you should be paid Use our tool to get a personalized report on your market worth. With babies often being born at night a typical community midwife will lose around 25 nights sleep a year. This includes making and receiving phone calls, writing referrals, arranging and checking test results and the continually growing amount of paperwork that is required.
To counter these demands it is vital that midwives ensure they take regular time off to prevent burnout, however for this to happen they need to make their own arrangements with another community midwife to provide them with back-up cover. This will mean they either have to pay her for the cover reducing income further or by providing her with reciprocal time off. Community midwives are not able to charge women for their services so they are dependent on the fees from the Ministry of Health contract.
Unfortunately this contract is not regularly reviewed, and a recent increase in of only 2. Unfortunately this is generally not an option because the work is too demanding and can result in midwives having to work long hours and putting their own health and well-being at risk. Using the above figures and based on a standard hour working week which most community midwives would consider a dream!
Does this seem reasonable for a university degree qualified health professional who provides vital community services and bears considerable responsibility for the safety of women and babies? Certainly it would seem unlikely that a self-employed plumber would be willing to be called out at 3am for this hourly rate! Sheryl Wright is a community midwife with over ten years experience of rural and remote rural midwifery in the North Waikato.
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