Rural maternity units: how will they have a future?

Andrew F Pesce
Med J Aust 2008; 188 (2): . || doi: 10.5694/j.1326-5377.2008.tb01524.x
Published online: 21 January 2008

After a decade of closures, a flexible approach is needed

About one in three Australian women give birth outside metropolitan areas. Historically, most of these women have been cared for by general practitioner obstetricians and midwives in local hospitals. However, in recent years it has been difficult to recruit and retain midwives and doctors with the necessary skills to adequately staff many rural maternity units providing traditional models of care. Whenever any essential component of obstetric, anaesthetic, paediatric or midwife infrastructure has become unavailable, maternity units have been closed, and women in the area are required to travel to the nearest maternity centre instead. It is estimated that more than 130 Australian rural maternity units have closed since 1995.1

  • Andrew F Pesce

  • Westmead Private Hospital, Sydney, NSW.

Competing interests:

I am currently the Chairman of the National Association of Specialist Obstetricians and Gynaecologists.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.