hi Marlene

we did a study of the experience of caseload midwives and found that,
for those who chose to go into it, their feelings about the work were
very positive. Trudy Stevens did an in-depth study written up as a
doctoral thesis, and we published key points in the British Journal of
Midwifery (Stevens & McCourt 2001 & 2002).

re - who to offer the care to, if not all, we did analysis of responses
of younger and ethnic minority mothers and strong differences in their
response & experience between the caseload and usual care, and a number
of practices in the UK have focused caseload on care for more
disadvantaged women. Our findings were published in Midwifery 2001 and
in Critical Public Health 2002.

all refs can be found on our website www.health.tvu.ac.uk/mid

hope this is useful

Chris


-----Original Message-----
From:	Caseload midwifery on behalf of Marlene Gryesten / Aalborg
Sygehus
Sent:	Thu 12-Oct-06 6:35 AM
To:	[log in to unmask]
Cc:	
Subject:	[MCVic] Caseload models

Hi Karen
On a note from Denmark.
Currently I am one of the two midwife team in a 120 cases caseload, all
women living in the same district and doing birth at our local
university hospital or at home. We have worked since june 1, 2004; We
have made a peticulous evaluation on all work time through two years as
we started this model as a work load project. Now in Denmark there is
three other teams working and on our National Midwifery Congress
November 6, we will debate, amongst other stuff, wether Caseload
midwifer needs to be implemented as a part of the care offered from most
midwiferycenters.
Ou first report was on client satisfaction, second on work
envirenmental, and the final one soon to be published is including a
focus interview regarding some of the fun sideeffects! Like a rise in
Homebirth, and again the final count up on oncall hours versus actual
work hours - all in danish!
The things we discuss in Denmark now is, first and foremost:
 
- How it is possibel to work being on call 50% of your life, and still
function well! The evaluation of our workstudy shows, that the quality
of work life will increase for certain midwifes as the above quality and
selfsatisfaction of the continuity of care is a strengthener in it self,
and with a caseload of 120 women, our average oncall load is 3 and a
half our per 24 hour oncall period.
-Since we know this model will never be a possibility for all pregnat
women, then how do we decide who should have the possibility /choice ?
 
All for now, good luck
Marlene Gryesten
Aalborg-Denmark
 

________________________________


Hi Karen
Birralee Maternity Service at Box Hill hospital has a small caseload
group.
Maternity Coalition published an article about it Birth Matters Vol 10.1
March 06 'Know your midwife at Birralee' (authors Melody Bourne, Alice
Barden and Helen Gordon.) Nic Dutton is one of the midwives in KYM there
and
could fill you in with more information.
My (very biased) observation:
Most of the hospital midwives I have spoken to about caseload seem to
think
it's a dirty word. Midwifery managers seem to like to stick to rosters,
and
talk about their wonderful team models.
There is a UK email list Caseload midwifery
[log in to unmask]
It has been quiet lately, but would be a link with international work.
I
have put a cc to that list - I think I'm still on it.
You always come up with interesting big words.  I learnt reciprocity
from
you, and now you'll have me talking about interdisciplinarity!
All the best
Joy Johnston

-----Original Message-----
From: Karen Lane [mailto:[log in to unmask]]
Sent: Wednesday, 11 October 2006 1:23 PM
To: [log in to unmask]
Subject: [MCVic] Caseload models

Hello out there,

I was wondering if people could advise what hospitals are using
caseload models or preparing to install caseload?

I want to construct a national research study of interdisciplinarity
in health care using caseload in maternity care as an case study.

If you are aware of international cases, I would also be grateful for
that information.

Many thanks,

Karen Lane