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Major Model Category code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
Synonymous names:Help on this termMMC code
METeOR identifier:Help on this term559610
Registration status:Help on this termHealth, Standard 14/05/2015
Definition:Help on this term

A code set that represents the different major categories of maternity models of care.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1Private obstetrician (specialist) care
2Private midwifery care
3General Practitioner obstetrician care
4Shared care
5Combined care
6Public hospital maternity care
7Public hospital high risk maternity care
8Team midwifery care
9Midwifery group practice caseload care
10Remote area maternity care
11Private obstetrician and privately practising midwife joint care
88Other
Supplementary values:Help on this term
99Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

Every model of maternity care can be allocated to one of eleven broad Major Model Categories (MMC). While there will be variation between models of care in the same MMC these broad descriptors provide a common understanding and terminology about different categories of maternity models of care.

CODE 1   Private obstetrician (specialist) care

Antenatal care provided by a private specialist obstetrician. Intrapartum care is provided in either a private or public hospital by the private specialist obstetrician and hospital midwives in collaboration. Postnatal care is usually provided in the hospital by the private specialist obstetrician and hospital midwives and may continue in the home, hotel or hostel.

CODE 2   Private midwifery care

Antenatal, intrapartum and postnatal care is provided by a private midwife or group of midwives in collaboration with doctors in the event of identified risk factors. Antenatal, intrapartum and postnatal care could be provided in a range of locations including the home.

CODE 3   General Practitioner obstetrician care

Antenatal care provided by a GP obstetrician. Intrapartum care is provided in either a private or public hospital by the GP obstetrician and hospital midwives in collaboration. Postnatal care is usually provided in the hospital by the GP obstetrician and hospital midwives and may continue in the home or community.

CODE 4   Shared care

Antenatal care is provided by a community maternity service provider (doctor and/or midwife) in collaboration with hospital medical and/or midwifery staff under an established agreement, and can occur both in the community and in hospital outpatient clinics. Intrapartum and early postnatal care usually takes place in the hospital by hospital midwives and doctors, often in conjunction with the community doctor or midwife (particularly in rural settings).

CODE 5   Combined care

Antenatal care provided by a private maternity service provider (doctor and/or midwife) in the community. Intrapartum and early postnatal care provided in the public hospital by hospital midwives and doctors. Postnatal care may continue in the home or community by hospital midwives.

CODE 6   Public hospital maternity care

Antenatal care is provided in hospital outpatient clinics (either onsite or outreach) by midwives and/or doctors. Care could also be provided by a multidisciplinary team. Intrapartum and postnatal care is provided in the hospital by midwives and doctors in collaboration. Postnatal care may continue in the home or community by hospital midwives.

CODE 7   Public hospital high risk maternity care

Antenatal care is provided to women with medical high risk/complex pregnancies by maternity care providers (specialist obstetricians and/or maternal-fetal medicine subspecialists in collaboration with midwives) with an interest in high risk maternity care in a public hospital. Intrapartum and postnatal care is provided by hospital doctors and midwives. Postnatal care may continue in the home or community by hospital midwives.

CODE 8   Team midwifery care

Antenatal, intrapartum and postnatal care is provided by a small team of rostered midwives (no more than eight) in collaboration with doctors in the event of identified risk factors. Intrapartum care is usually provided in a hospital or birth centre. Postnatal care may continue in the home or community by the team midwives.

CODE 9   Midwifery Group Practice caseload care

Antenatal, intrapartum and postnatal care is provided within a publicly-funded caseload model by a known primary midwife with secondary backup midwife/midwives providing cover and assistance with collaboration with doctors in the event of identified risk factors. Antenatal care and postnatal care is usually provided in the hospital, community or home with intrapartum care in a hospital, birth centre or home.

CODE 10   Remote area maternity care

Antenatal and postnatal care is provided in remote communities by a remote area midwife (or a remote area nurse) or group of midwives sometimes in collaboration with a remote area nurse and/or doctor. Antenatal care may also be provided via telehealth or fly-in-fly-out clinicians in an outreach setting. Intrapartum and early postnatal care is provided in a regional or metropolitan hospital (involving temporary relocation prior to labour) by hospital midwives and doctors.

CODE 11   Private obstetrician and privately practising midwife joint care

Antenatal, intrapartum and postnatal care is provided by a privately practising obstetrician and midwife from the same collaborative private practice. Intrapartum care is usually provided in either a private or public hospital by the privately practising midwife and/or private specialist obstetrician in collaboration with hospital midwifery staff. Postnatal care is usually provided in the hospital and may continue on in the home, hotel or hostel by the privately practising midwife.

Source and reference attributes

Submitting organisation:Help on this term

National Perinatal Epidemiology and Statistics Unit

Origin:Help on this term

National Maternity Data Development Project (AIHW and NPESU), Maternity Care Classification System subproject.

Reference documents:Help on this term

Australian Institute of Health and Welfare 2014. Foundations for enhanced maternity data collection and reporting in Australia: National Maternity Data Development Project Stage 1. Cat. no. PER 60. Canberra: AIHW.

Relational attributes

Data elements implementing this value domain:Help on this term

Maternity model of care—Major Model Category, code N[N] Health, Standard 14/05/2015

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