A qualitative study of the Australian midwives’ approaches to Listeria education as a food-related risk during pregnancy

Objective

to explore midwives’ perceptions of food-related risks and their approaches to Listeria education during pregnancy.

Design

an exploratory design within a qualitative framework.

Setting

one private and two public hospitals in New South Wales, Australia.

Participants

10 midwives providing antenatal care in the selected hospitals.

Findings

midwives had a range of approaches, from active to passive, to Listeria education. The main education provided was focused only on some of the high Listeria-risk foods with little education on safe food-handling practices. Midwives’ perception of food-related risks was a function of their limited scientific knowledge and their reliance on their experiential knowledge and their common sense. System constraints such as temporal pressure, limited availability of educational materials and low adherence to Listeria recommendations within the health system were also identified to influence midwives’ practice.

Key Conclusions

professional practice guidelines regarding food safety and Listeria education are needed, together with relevant professional training and review of hospital practices in relation to this important health issue.     

Consumer Involvement in the South Australian State Policy for Planned Home Birth

Abstract: Two consumer representatives were participants in the development of their state government’s Policy for Planned Birth At Home in South Australia. It was released in November 2007 to guide staff in public hospital and community midwifery programs, and the first hospital‐based home birth service is commencing in February 2009. Consumer experiences of policy development and perceived benefits of consumer involvement for policy and transparency processes are described. Inclusion of consumers widely and actively during development and reform of maternity care is essential if real consumer participation is to occur and contribute to care that is truly woman‐centered. (BIRTH 36:1 March 2009)