Pregnancy and Birth Services

model-of-care-diagram

Our Women-Centred Model of Care

Since mid-2013, in conjunction with independent midwife, Martina Gorner we have been developing a women-centred, integrated model of care aimed at supporting women seeking safe, no- to low-intervention approaches before, during, and after pregnancy.

Our birth service incorporates three AHPRA registered modalities:

  • Traditional Chinese Medicine: acupuncture and Chinese herbal medicine
  • Midwifery
  • Obstetric care

The model is midwifery coordinated, not midwifery-led with input ranging from a complementary and alternative approach to mainstream obstetric management, giving women the best and safest of both worlds before, during, and after their pregnancy.

Referral into our model can come from one or all of these modalities.

We find this combination of modalities links perfectly to provide women with safe and flexible treatment options based on the most up-to-date independent and evidence-based, not institutional or hospital protocol-based, information.

How our model works

In our model, your pregnancy and birth care will be primarily coordinated by Martina and her team of independent midwives.

At significant points during your pregnancy, such as when you experience normal yet uncomfortable symptoms related to pregnancy or when you are approaching and preparing for birth, the Ten Moons midwifes will recommend Chinese medicine at our clinic over Western medical intervention.

In order to guarantee our low intervention rates, we consider pre-birth acupuncture and Chinese medicine to be essential for first time mums, vaginal birth after caesarean (VBAC), latecomers (i.e. bookings made after week 34) and women with a history of birth trauma, and optional for subsequent births. We consider Chinese medicine to be highly desirable in the postnatal period for all women to aid recovery from birth and facilitate the transition into motherhood.

Things don’t always go to plan.

If your pregnancy is complicated or becomes complex, or an urgent situation requiring obstetric involvement arises, you will be referred to our private collaborating obstetrician for obstetric review and an appropriate plan for care decided upon. They will work in conjunction with you, your family and your whole care team. There is no need to seek general medical care outside of our model and your continuity of care remains unbroken with your known care providers.

How we work together

As independent practitioners we work as an integrated team. We know and respect the skills and scope of each other’s practice. We have established pathways for sharing important clinical information between modalities and this helps to ensure that you don’t fall through the cracks.

Integration between the modalities, knowledge of each modality’s relative strengths and limitations, and when and why a certain approach would be best indicated is enlightened, intelligent medicine and gives us more flexibility to present appropriate, creative and thoughtful solutions outside of our individual scope of practice.

While we work collaboratively we maintain our professional objectivity by also working independently. This helps to promote vibrant case discussion and ensures that our combined treatment(s) are tailored to meet you and your circumstances rather than expecting you to fit our treatment(s).

Our experience is that this leads to better and more satisfying outcomes.

For more information on this service and other models of care available for pregnancy and birth care here in Melbourne see our booklet entitled ‘Having a Baby in Melbourne: The path to becoming an informed consumer’.