Abstract for presentation at 11th International Congress of Human Genetics

Genetic Practice in Midwifery - The Australian Experience

  • Ms Michelle Bishop, Murdoch Childrens Research Institute and Department of Paediatrics, The University of Melbourne, Victoria, Australia, Australia
  • Dr Clara Gaff, Genetic Health Services Victoria, Australia and Institute of Medical Genetics, Cardiff University, UK, Australia
  • Dr Fiona Cullinane, The Royal Women's Hospital, Victoria, Australia, Australia
  • A/Prof Sylvia Metcalfe, Murdoch Childrens Research Institute and Department of Paediatrics, The University of Melbourne, Victoria, Australia, Australia

    • Developments in genetic testing during and after pregnancy have affected not only parents, but also the health professionals that are involved in their care. In Victoria, Australia, midwives are an essential component of the prenatal and postnatal care of women, yet their role in genetics has not been described, recognised or supported. Using a qualitative approach we explored how genetics is incorporated into the current role of midwives by conducting nine focus group discussions with midwives (n=50) from seven maternity hospitals across rural and metropolitan Victoria. Transcripts of the focus groups were analysed and major themes identified. Midwives discussed their experiences in dealing with genetic issues and stated that although they care primarily for normal or low risk pregnancies, they recognised the importance of genetics within this. They consider their role to include providing information, counselling and supporting women, specifically around informed choice and implications of genetic testing. This was felt to be important during decision making, provision of results and/or after a diagnosis. Perceived boundaries and interactions with other health professionals, including obstetricians and genetic professionals, were also discussed. Furthermore, midwives felt increased training in counselling would benefit their practice. Genetics appears to be a component of the midwife role through the whole continuum of pregnancy, with their role defined by organisational practice, patient demographics as well as personal experience and knowledge.
    The generalisability of this data and knowledge of genetics will be tested by a questionnaire survey of practising midwives in Victoria. The need for genetic educational programs will be assessed and, if needed, developed and implemented to aid and support midwife practice.

    Conference Organiser - ICMS Pty Ltd