The closure of rural and remote maternity services: Where are the midwives?

The closure of rural and remote maternity services: Where are the midwives?

Midwifery

  • Author(s): Barclay, Lesley, Kornelsen, Jude
  • Published: 2016
  • Volume: 38
  • ISBN: 0266-6138

Abstract: Decisions to close small maternity units in rural and remote communities have often precipitated a community response as women and families rally to save local services. But where are the midwives? We argue here that professional bodies such as colleges of midwives have a responsibility to advocate more strongly at a political level for evidence-based decisionmaking regarding the allocation of rural services. We suggest that adopting a comprehensive definition of maternity services risk that considers both social and health services risks and their impact on clinical risk, could provide a solid basis for effective advocacy by professional bodies.

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