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Professor Patricia Brodie


Pat is Adjunct Professor of Midwifery at UTS having been involved in a wide range of midwifery practice, teaching, research and management roles that span almost 30 years in Australia. She has a strong track record in leading and evaluating midwifery continuity of care and practice development. Until recently, Pat was Professor of Midwifery Practice Development and Research in Sydney South West Area Health Service where she was influential in leading the strategic reform of maternity service policy and practice to increase focus on woman centred care and greater utilization of midwives’ skills. This included the successful development, implementation and evaluation of two midwifery group practices, at Camden and Campbelltown, and the early development of similar models at Fairfield, Royal Prince Alfred and Canterbury Hospitals. This work built on her pioneering achievements in the 1990s to reform models of maternity care at Westmead and St George Hospitals in Sydney.

From 1999– 2002 Pat was employed as one of two full time research midwives for the national Australian Research Council funded 'Australian Midwifery Action Project'. Pats particular area of inquiry was a review of contemporary Australian midwifery regulation and practice issues. Her professional doctorate work at this time examined the effect of interprofessional collaboration in midwifery and maternity care and the rationale for making midwifery visible and increasing the recognition and contribution of midwives within mainstream maternity service provision in Australia.

For more than a decade Pat has been influential in providing high-level strategic advice and policy direction for the organisation and development of public hospital maternity services and models of care across New South Wales in a variety of roles. This has included her appointment as Senior Clinical Adviser - Maternity Services in the NSW Department of Health as well as a number of advisory roles including as a member of the NSW Health, Maternal & Perinatal Ministerial Advisory Committee and the NSW Health's Maternal & Perinatal Health Priority Taskforce. In 2007, Pat joined the Perinatal and Infant Sub Committee of the NSW Mental Health Program Council as an invited midwifery leader, to progress the SAFE START initiative and related perinatal and infant mental health initiatives throughout NSW. ??

As a researcher and policy adviser Pat has been involved in identifying and challenging the national and state based 'systems' of maternity care, and identifying the professional and practice issues affecting midwifery including standards of midwifery education, workforce, regulation and interprofessional practice. In 2007, Pat was an invited member of the Reference Group for the project: 'Developing interprofessional learning and practice capabilities within the Australian health workforce - building capacity within the higher education sector'; co-managed by the University of Sydney and UTS. Her recent research activities include as co-investigator on the National Health Workforce Taskforce funded project to develop National Core Competencies and Educational Framework for Maternity Services 2008-2009 and collaborative research with colleagues from University of Western Sydney and Sydney South West Area Health Services: Exploring professional collaborations: A key to sustainable universal health services for vulnerable families.

In May 2009, she was invited by the NSW Minister for Health to be one of five members of the Independent Panel to monitor the implementation of The Garling Report – reforming health care and systems across NSW.

Pat is the immediate past president of the Australian College of Midwives (ACM) and in 2007 was awarded life membership of the College for her sustained service and contributions to the midwifery profession and maternity services locally and nationally over three decades.

Pat’s current role is as a Midwifery Advisor with the World Health Organization in Papua New Guinea where she is working with the National Department of Health to provide leadership and support to midwives involved in strengthening standards of midwifery education, practice and regulation.

In October 2010 Pat received the UTS Social Inclusion Award for her work to improve midwifery education and outcomes for women in Papua New Guinea through her work as a Midwifery Advisor there.

In 2012, Pat was appointed a Member of the Order of Australia for her services to midwifery. The honour recognised her pioneering efforts in developing midwifery policy and models of care in NSW and her ongoing work in education and research.


National President of the Australian College of Midwives and also the previous past President of the NSW Midwives Association

Image of Patricia Brodie
WHO CC Midwifery Coordinator/Advisor, Faculty of Health
Member, WHO Collaborating Centre for Nursing, Midwifery and Health Development (WHO or WHOCC)
Bachelor of Health Sciences, Masters of Nursing, Doctorate in Midwifery

Research Interests

continuity of midwifery care
midwifery workforce
midwifery regulation
health services leadership
The capacity for increasing professional capital in midwifery and the linkages to improving women's outocmes and experiences of maternity care

Midwifery - undergraduate and postgraduate
Primary Health Care - postgraduate
Health Services Management - postgraduate


Leap, N., Dahlen, H., Brodie, P., Tracy, S. & Thorpe, J. 2010, ''Relationships - the glue that holds it all together': Midwifery continuity of care and sustainability' in Sustainability, Midwifery and Birth, pp. 61-74.
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Brodie, P.M. & Homer, C.S. 2009, 'Transforming the Culture of a Maternity Service: St George Hospital, Sydney, Australia' in Davis-FLoyd, R., Barclay, L., Daviss, B.A. & Tritten, J. (eds), Birth Models That Work, University of California Press, London, UK, pp. 187-212.
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Homer, C.S., Brodie, P.M. & Leap, N. 2008, 'Getting started: What is midwifery continuity of care? (Chapter 1)' in Homer, C., Brodie, P. & Leap, N. (eds), Midwifery continuity of care: A practical guide, Churchill Livingstone Elsevier, Sydney, Australia, pp. 1-24.
Leap, N., Homer, C.S. & Brodie, P.M. 2008, 'Introducing continuity of care in mainstream maternity services: Building blocks for success (Chapter 4)' in Homer, C., Brodie, P. & Leap, N. (eds), Midwifery continuity of care: A practical guide, Churchill Livingstone Elsevier, Sydney, pp. 67-88.
Brodie, P.M., Davis, G.K. & Homer, C.S. 2008, 'Effective collaboration with medical colleagues: making it happen' in Homer, Brodie & Leap (eds), Midwifery Continuity of Care A practical guide, Churchill Livingstone Elsevier, Sydney, pp. 89-106.
Homer, C.S., Brodie, P.M. & Leap, N. 2008, 'Midwifery continuity of care for specific communities (Chapter 10)' in Homer, C., Brodie, P. & Leap, N. (eds), Midwifery continuity of care: A practical guide, Churchill Livingstone Elsevier, Sydney, Australia, pp. 181-194.
Homer, C.S., Brodie, P.M. & Leap, N. 2008, 'Midwifery continuity of care: The future (Chapter 12)' in Homer, C., Brodie, P. & Leap, N. (eds), Midwifery continuity of care: A practical guide, Churchill Livingstone Elsevier, Sydney, Australia, pp. 215-219.
Brodie, P.M. & Leap, N. 2008, 'From ideal to real: the interface between birth territory and the maternity service organization' in Fahy, K., Foureur, M. & Hastie, C. (eds), Birth Territory and Midwifery Guardianship, Elsevier, Oxford, UK, pp. 149-167.
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Homer, C.S., Rumsey, M., Brodie, P.M., Dawson, A., Copeland, F.H. & Daly, J. 2013, 'Helping build foundations for improved maternal health in PNG', International Council of Nurses 25th Quadrennial Congress, Melbourne.
Brodie, P.M. 2013, 'Midwives: Empowerment, Respect, and Quality', Women Deliver - The 3rd Global Conference, Kuala Lumpur.

Journal articles

Dawson, A., Kililo, M., Geita, L., Mola, G., Brodie, P.M., Rumsey, M., Copeland, F., Neill, A. & Homer, C.S. 2015, 'Midwifery capacity building in Papua New Guinea: Key achievements and ways forward.', Women Birth.
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BACKGROUND: Papua New Guinea has some of the poorest health outcomes in the Asia-Pacific region. Maternal mortality is unacceptably high and there is a severe midwifery shortage requiring a quadrupling of the workforce. AIM: This paper outlines the findings of an evaluation of the Maternal Child Health Initiative (MCHI) (2012-2013) to determine key factors contributing to maternal health workforce strengthening. METHOD: A descriptive mixed methods study was undertaken. Data were gathered through interviews, focus group discussions and surveys with clinicians, midwifery students and staff from nursing and midwifery schools and National Department of Health staff. Documentation from stakeholder meetings and regular site reports were reviewed. Each data set was analysed separately and meta-inferences were drawn across all data. FINDINGS: Learning opportunities were found to have increased for midwifery educators and improvements were described in midwifery educators teaching capacity and student clinical education experience. There was an increase in the number of midwifery graduates and improvements were noted in the working environment and skills of clinical staff. Education challenges were described including the lack of clinical preceptoring and limited continuing education for clinical educators. Participants recommended increasing clinical education hours and extending the length of the midwifery program. Ongoing efforts to accredit the midwifery curricula and regulate midwifery graduates were noted. CONCLUSION: The MCHI has contributed to strengthening the midwifery workforce nationally. However, scaling-up and sustaining these achievements requires leadership and funding commitments from the midwifery schools and government alongside the accreditation of midwifery curricula and regulation of new graduates.
Dawson, A., Brodie, P., Copeland, F., Rumsey, M. & Homer, C. 2014, 'Collaborative approaches towards building midwifery capacity in low income countries: A review of experiences', Midwifery, vol. 30, no. 4, pp. 391-402.
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Objective: to explore collaborative approaches undertaken to build midwifery education, regulation and professional association in low income countries and identify evidence of strategies that may be useful to scale-up midwifery to achieve MDG 5. Design: an integrative review involving a mapping exercise and a narrative synthesis of the literature was undertaken. The search included peer reviewed research and discursive literature published between 2002 and 2012. Findings: fifteen papers were found that related to this topic: 10 discursive papers and five research studies. Collaborative approaches to build midwifery capacity come mainly from Africa and involve partnerships between low income countries and between low and high income countries. Most collaborations focus on building capacity across more than one area and arose through opportunistic and strategic means. A number of factors were found to be integral to maintaining collaborations including the establishment of clear processes for communication, leadership and appropriate membership, effective management, mutual respect, learning and an understanding of the context. Collaborative action can result in effective clinical and research skill building, the development of tailored education programmes and the establishment of structures and systems to enhance the midwifery workforce and ultimately, improve maternal and child health. Key conclusions: between country collaborations are one component to building midwifery workforce capacity in order to improve maternal health outcomes. Implications for practice: the findings provide insights into how collaboration can be established and maintained and how the contribution collaboration makes to capacity building can be evaluated. © 2013 Elsevier Ltd.
Brodie, P.M. 2013, ''Midwifing the midwives': Addressing the empowerment, safety of, and respect for, the world's midwives', Midwifery, vol. 29, no. 10, pp. 1075-1076.
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Globally, the impact that regulated, competent midwives make to positive maternal and infant health outcomes is seen as central in efforts to accelerate progress towards the achievement of Millennium Development Goals 4 and 5. Skilled, empowered midwives earn respect from women and communities by providing competent, culturally sensitive care, but they do more than just contribute to safer childbirth. Midwives, especially those working in developing countries, are essential to ensuring access to contraception, reducing malaria and mother-to-child transmission of HIV, eradicating obstetric fistula and preventing deaths from unsafe abortions. In addition, midwives are central to addressing gender-based violence and the upholding of human rights in their communities. It is clear that `the world needs midwives, now more than ever (ICM, 2013) and yet in most countries around the world, the recruitment of sufficient number of midwives remains grossly short of identified need. Increasing the number of midwifery student places, midwifery tutors and well-equipped classrooms alone will not, however, be enough to address current critical shortages. Significantly, retention and motivational strategies also have to be high on the list of strategies within global midwifery workforce priorities.
Wheeler, J., Davis, D., Fry, M., Brodie, P. & Homer, C.S.E. 2012, 'Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature', Women and Birth, vol. 25, no. 3, pp. 107-113.
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Objective: To undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth. Method: Ovid Medline, CINAHL, and Cochrane databases published in English were used to identify appropriate research articles from 2000 to 2010, using relevant terms in a variety of combinations. All articles included in this systematic review were assessed using the Critical Appraisal Skills Programme (CASP) 'making sense of evidence' tools. Findings: Asian ethnicity does not appear to be a risk factor for severe perineal trauma for women living in Asia. In contrast, studies conducted in some Western countries have identified Asian ethnicity as a risk factor for severe perineal trauma. It is unknown why (in some situations) Asian women are more vulnerable to this birth complication. The lack of an international standard definition for the term Asian further undermines clarification of this issue. Nevertheless, there is an urgent need to explore why Asian women are reported to be significantly at risk for severe perineal trauma in some Western countries. Conclusion: Current research on this topic is confusing and conflicting. Further research is urgently required to explore why Asian women are at risk for severe perineal trauma in some birth settings. © 2011 Australian College of Midwives.
Homer, C.S.E., Griffiths, M., Brodie, P.M., Kildea, S., Curtin, A.M. & Ellwood, D.A. 2012, 'Developing a Core Competency Model and Educational Framework for Primary Maternity Services: A national consensus approach', Women and Birth, vol. 25, no. 3, pp. 122-127.
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Background: An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. Participants: Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. Methods: A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. Findings: A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterative process with a range of key stakeholders. There are a number of strategies that may assist in the integration of these into primary maternity service provider professional groups' education and practice. Conclusions: The Core Competencies and Educational Framework are based on an interprofessional approach to learning and primary maternity service practice. They have sought to value professional expertise and stimulate awareness and respect for the roles of all primary maternity service providers. The competencies and framework described in this paper are now a critical component of Australian maternity services as they are included in actions in the newly released National Maternity Services Plan and thus have relevance for all providers of Australian maternity services. © 2011 Australian College of Midwives.
Smith, R., Brodie, P. & Homer, C.S.E. 2012, 'Reviewing and reflecting on practice: The midwives experiences of credentialling', Women and Birth, vol. 25, no. 4, pp. 159-165.
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Research question: What are the experiences of midwives working in midwifery-led models of care in NSW who undertake the credentialling process? Background: In 2005, the NSW Health Department issued a directive requiring midwives who worked in midwifery-led models of care to undergo a process known as credentialling. Credentialling involved a four-step process: self-assessment, face-to-face panel review of midwifery practice, assessment of emergency management skills and discussion of a case study from practice. Method: A descriptive exploratory study examined the experiences of the midwives who undertook the credentialling process in NSW. Data were collected through in-depth, semi-structured interviews with 12 midwives who had experienced credentialling and analysed using descriptive and thematic analysis. Findings: The themes were preparing for credentialling; doing credentialling; achieving credentialling; valuing credentialling; and, improving credentialling. Initially, the midwives were self-focused in their understanding and impressions of the value of credentialling. There were a number of contentions including seeing credentialling as another 'hoop to jump through' or a need to 'tick the box' and not as a framework for practice. Some viewed it as a necessary move to increase professionalism and facilitate practice review. Others felt they were being unfairly targeted as not all midwives were expected to undertake it. The midwives were cognisant of the need for a process that encouraged responsibility for ongoing professional development and continuing competence and believed the process would be useful in promoting deeper reflection on practice. Implications for practice: Credentialling was recognised as being valuable for all midwives to undertake as it encourages both a review of, and reflection on, practice. The process has further developed into Midwifery Practice Review (MPR) and is administered by the national professional association for midwifery....
Homer, C.S.E., Passant, L., Brodie, P.M., Kildea, S., Leap, N., Pincombe, J. & Thorogood, C. 2009, 'The role of the midwife in Australia: views of women and midwives', Midwifery, vol. 25, no. 6, pp. 673-681.
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Objective: to research the role of midwives in Australia from the perspectives of women and midwives. This study was part of a commissioned national research project to articulate the scope of practice of Australian midwives and to develop national competency standards to assist midwives to deliver safe and competent midwifery care. Design: a multi-method approach with qualitative data collected from surveys with women and interviews with midwives. Setting: participants represented each state and territory in Australia. Participants: midwives who were randomly selected by the regulatory authorities across the country and women who were consumers of midwifery care and involved in maternity activism. Key conclusions: midwives and women identified a series of key elements that were required of a midwife. These included: being woman centred; providing safe and supportive care; and working in collaboration with others when necessary. These findings were consistent with much of the international literature. Implications for practice: a number of barriers to achieving the full role of the midwife were identified. These included a lack of opportunity to practice across the full spectrum of maternity care, the invisibility of midwifery in regulation and practice, the domination of medicine, workforce shortages, the institutional system of maternity care, and the lack of a clear image of what midwifery is within the wider community. These barriers must be addressed if midwives in Australia are to be able to function according to the full potential of their role. © 2007.
Foureur, M., Brodie, P. & Homer, C. 2009, 'Midwife-centered versus woman-centered care: a developmental phase?', Women Birth, vol. 22, no. 2, pp. 47-49.
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Dunston, R., Lee, A., Boud, D., Brodie, P. & Chiarella, M. 2009, 'Co-Production and Health System Reform - From Re-Imagining To Re-Making', AUSTRALIAN JOURNAL OF PUBLIC ADMINISTRATION, vol. 68, no. 1, pp. 39-52.
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Homer, C.S.E., Passant, L., Kildea, S., Pincombe, J., Thorogood, C., Leap, N. & Brodie, P.M. 2007, 'The development of national competency standards for the midwife in Australia', Midwifery, vol. 23, no. 4, pp. 350-360.
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Objective: to develop and validate national competency standards for midwives in Australia. This study was part of a commissioned national research project to articulate the scope of practice of Australian midwives and to develop national competency standards to assist midwives to deliver safe and competent midwifery care. Design: a multi-method, staged approach was used to collect data through a literature review, workshop consultations, interviews, surveys and written submissions in order to develop national competency standards for Australian midwives. Subsequently, direct observation of practice in a range of settings ensured validation of the competencies. Setting: maternity-care settings in each state and territory in Australia. Participants: midwives, other health professionals and consumers of midwifery care. Findings: The national competency standards for the midwife were developed through research and consultation before being validated in practice. Key conclusions: the national competency standards are currently being implemented into education, regulation and practice in Australia. These will be minimum competency standards required of all midwives who seek authority to practise as a midwife in Australia. It is expected that all midwives will demonstrate that they are able to meet the competency standards relevant to the position they hold. Implications for practice: the competency standards establish a national standard for midwives and reinforce responsibility and accountability in the provision of quality midwifery care through safe and effective practice. In addition, individual midwives may use the competency standards as the basis of their ongoing professional development plans. © 2006 Elsevier Ltd. All rights reserved.
Kildea, S.V., Barclay, L. & Brodie, P.M. 2006, 'Maternity care in the bush: Using the internet to provide educational resources to isolated practitioners', Rural and Remote Health, vol. 6, no. 3, pp. 1-12.
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Telecommunication infrastructure is being rolled out across Australia with little knowledge about the uptake by health professionals in remote areas. Computer mediated communication has the potential to offer educational support to remote practitioners; however, the viability of this is uncertain. The aim of this research was to establish and evaluate an internet-based resource library targeting the needs of remote area maternity service providers. METHODS: A participatory action research (PAR) approach was used to involve remote area maternity service providers in the Northern Territory of Australia. The evaluation of the resource library included its performance on reach, agency affiliation and richness, factors identified to affect the sustainability and utility of such a resource. An additional component of the evaluation framework documented the facilitators of and barriers to using an information technology strategy to reduce the isolation of remote area maternity service providers. RESULTS: Overall, the evaluation of the resource library was very positive. Feedback from the PAR team described the resource as contemporary, useful and relevant. Practitioners in leadership and education positions identified the resource library as a valuable tool that enabled them to access professional knowledge, which could then be distributed to any remote-based practitioners, who experienced difficulties with access themselves.
Brodie, P.M. 2002, 'Addressing the Barriers to Midwifery: Australian midwives speaking out', Australian Journal of Midwifery, vol. 15, no. 3, pp. 4-13.
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Brodie, P. & Barclay, L. 2001, 'Contemporary issues in Australian midwifery regulation.', Aust Health Rev, vol. 24, no. 4, pp. 103-118.
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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability. A lack of consistency and evidence of discrepancies in the standards of midwifery education and practice regulation nationally are identified. When these are considered alongside the planned development of a three-year Bachelor of Midwifery, due to be introduced into Australia in mid-2002, there exists an urgent need for regulatory change. The need is also identified for appropriate national midwifery competency standards that meet consumer, employer and practitioner expectations, which can be used to guide state and territory regulations. We argue the importance of a need for change in the view and legal positioning of the Australian Nursing Council and all Nurses Boards regarding the identification of midwifery as distinct from nursing, and substantiate it with a rationale for a national and consistent approach to midwifery regulation.
Homer, C.S.E., Davis, G.K., Brodie, P.M., Sheehan, A., Barclay, L.M., Wills, J. & Chapman, M.G. 2001, 'Collaboration in maternity care: A randomised controlled trial comparing community-based continuity of care with standard hospital care', British Journal of Obstetrics and Gynaecology, vol. 108, no. 1, pp. 16-22.
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Objective: To test whether a new community-based model of continuity of care provided by midwives and obstetricians improved maternal clinical outcomes, in particular a reduced caesarean section rate. Design: Randomised controlled trial. Setting: A public teaching hospital in metropolitan Sydney, Australia. Sample: 1089 women randomised to either the community-based model (n = 550) or standard hospital-based care (n = 539) prior to their first antenatal booking visit at an Australian metropolitan public hospital. Main outcome measures: Data were collected on onset and outcomes of labour, antenatal, intrapartum and postnatal complications, antenatal admissions to hospital and neonatal mortality and morbidity. Results: There was a significant difference in the caesarean section rate between the groups, 13.3% (73/550) in the community-based group and 17.8% in the control group (96/539). This difference was maintained after controlling for known contributing factors to caesarean section (OR = 0.6, 95% CI 0.4-0.9, P = 0.02). There were no other significant differences in the events during labour and birth. Eighty babies (14.5%) from the community-based group and 102 (18.9%) from the control group were admitted to the special care nursery, but this difference was not significant (OR 0.75, 95% CI 0.5-1.1, P = 0.12). Eight infants died during the perinatal period (four from each group), for an overall perinatal mortality rate of 7.3 per 1000 births. Conclusion: Community-based continuity of maternity care provided by midwives and obstetricians resulted in a significantly reduced caesarean section rate. There were no other differences in clinical outcomes.
Homer, C.S.E., Davis, G.K. & Brodie, P.M. 2000, 'What do women feel about community-based antenatal care?', Australian and New Zealand Journal of Public Health, vol. 24, no. 6, pp. 590-595.
Objective: This study evaluated women's perceptions of a new community-based model of continuity of antenatal care, the St George Outreach Maternity Project (STOMP). The model was established in an attempt to address some of the ongoing concerns and criticisms regarding antenatal care in Australia: lack of continuity of care and caregiver; prolonged waiting times; and inaccessible clinics. Methods: A randomised controlled trial was conducted with 1,089 women (550 in the experimental group and 539 in the control group). The experimental group (the STOMP group) received antenatal care from small teams of midwives and an obstetrician in community-based settings. Data were collected using a questionnaire administered at 36 weeks' gestation, with a response rate of 75%. Results: Women in the STOMP group reported waiting significantly less time for antenatal visits with easier access to care. STOMP group women also reported a higher perceived 'quality' of antenatal care compared with the control group. STOMP group women saw slightly more midwives and fewer doctors than control group women did. Conclusion and implications: This model of care has implications for the planning and provision of antenatal services within the Australian public health system, which is increasingly moving towards a community-based emphasis. Antenatal care is a service that can be successfully transferred into community-based settings with benefits for women.
Tracy, S., Barclay, L. & Brodie, P. 2000, 'Contemporary issues in the workforce and education of Australian midwives.', Aust Health Rev, vol. 23, no. 4, pp. 78-88.
This paper, which is based on the preliminary findings of the Australian Midwifery Action Project (AMAP), outlines the issues around the midwifery labour force and education in Australia. One of the most alarming features is the lack of comprehensive data on midwives. Where data is available it demonstrates the shortage of midwives and the lack of consistency in educational programs for midwives within states and nationally. It is difficult to form a national picture with published sources of data because there are differences in definition and a lack of relevant information. Strategies for educational reform are discussed in relation to improving the supply and preparation of midwives.


Brodie, P.M., Barclay, L., Lane, K., Leap, N., Reiger, K. & Tracy, S.K. Australian College of Midwives 2003, Results of the Australian Midwifery Action Project Education Survey, Australian Journal of Midwifery, pp. 1-33, Canberra, Australia.
Kenny, P.M., Brodie, P.M., Eckermann, S.D. & Hall, J.P. CHERE 1994, Westmead hospital team midwifery project evaluation, CHERE Project Report No 4, Sydney.