Effect of the implementation of a Birthing on Country service at a rural site, Waminda, compared to standard care for First Nations Australians: a prospective, non-randomised, interventional trial.

ABSTRACT:

Background

Clinical and cost-effectiveness of a Birthing on Country service has been demonstrated in a metropolitan centre. We sought to evaluate feasibility, clinical effectiveness and wrap-around supports in the rural setting by evaluating Waminda's Birthing on Country service.

Methods

This prospective, non-randomised, interventional study was conducted in Nowra, Australia (ANZCTR: 12620000874910, study completed). Pre-defined primary outcomes were first assessment with health service in 1st trimester, ≥5 antenatal visits, normal birth, preterm birth, healthy baby and exclusive breastfeeding at discharge. Propensity score matching balanced confounders to calculate treatment effect. Waminda's wrap-around services and their interactions are represented using a network analys

SUBMITTER: Gao Y 

PROVIDER: S-EPMC12873586 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature