Rocking the Cradle - A Report into Childbirth Procedures

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Rocking the Cradle - A Report into Childbirth Procedures

December 1999

© Commonwealth of Australia 1999

ISBN 0 642 71042 2

View the report as a single document - (PDF 1320KB)

View the report as separate downloadable parts:

Membership of Committee (PDF 8KB)
Overview and Recommendations (PDF 48KB)
Chapter 1- Introduction (PDF 16KB)

Terms of reference
Conduct of the inquiry

Chapter 2: Antenatal Care (PDF 120KB)

The nature and content of antenatal care
Range and provision of services
Access to antenatal care
Antenatal information and education
Antenatal Education Classes

Chapter 3: Antenatal Screening Services (PDF 62KB)

Scope of antenatal screening
Ultrasound scanning
Nuchal fold test
Maternal serum screening (MSS)
Amniocentesis and chorionic villus sampling (CVS)

Chapter 4: Care During Birth (PDF 111KB)

The birth setting
Birth in a hospital delivery suite
Birth in an ‘alternative’ birthing centre
Home birth
Birth in rural and remote locations
Birth in rural and remote areas for Aboriginal and Torres Strait Islander Women

Chapter 5: Interventions in Childbirth – Caesarean Section (PDF 276KB)

Comparative Caesarean section rates
Reasons for growth in rates of Caesarean section
What is the optimal rate for Caesarean section?
The Committee’s conclusions

Chapter 6: Other Interventions in Childbirth (PDF 152KB)

Augmentation of labour
Epidural anaesthesia
Forceps delivery
Vacuum extraction
Interventions in childbirth – conclusions

Chapter 7: Best Practice Guidelines for Antenatal Care and for Care During Birth (PDF 175KB)

The current position
The need for best practice guidelines
The development of best practice guidelines
The implementation of best practice guidelines

Chapter 8: Post Natal Care (PDF 81KB)

Length of hospital stay and early discharge
The rationale for early discharge
The pattern of early discharge care
The advantages of early discharge
Concerns about early discharge

Chapter 9: Funding Issues (PDF 62KB)

Fragmentation and cost shifting
The impact of casemix funding
The inverse care law
Funding inequities between antenatal, intrapartum and post natal care
The impact of the new Medicare rebate
Qualified and unqualified neonates

Chapter 10: Litigation and Obstetric Practice and Provision (PDF 68KB)

Publicly available data on litigation
The MDO Industry
MDO subscription increases
Is there a ‘litigation crisis’ in obstetrics?
The way forward

Minority Report by Government Senators (PDF 175KB)
Appendix 1 - Organisations and Individuals who Presented Written Public Submissions and Supplementary Information to the Committee (PDF 32KB)
Appendix 2 - Witnesses who appeared before the Committee at Public Hearings (PDF 21KB)
Appendix 3 - Maternal Mortality – international comparisons (PDF 9KB)
Appendix 4 - Infant Mortality – international comparisons (PDF 9KB)
Bibliography (PDF 23KB)

For further information, contact:

Committee Secretary
Senate Standing Committees on Community Affairs
PO Box 6100
Parliament House
Canberra ACT 2600

Phone: +61 2 6277 3515
Fax: +61 2 6277 5829