S34 Posters / Women and Birth 26 (2013) S22–S41

ond child, and the overall experience of transition to motherhoodfive years after giving birth to the first child.

http://dx.doi.org/10.1016/j.wombi.2013.08.197

The development of an evidence based resourcefor midwifery care

Alexa McArthur ∗, Zachary Munn

The Joanna Briggs Institute, University of Adelaide,Australia

Evidence based health care has been defined as the ‘consci-entious, explicit, and judicious use of current best evidence inmaking decisions about the care of individual patients.’ However,evidence based health care can be difficult to perform for a num-ber of reasons; including the absence of critically appraised andsummarised information, and the lack of tools and resources toimplement evidence into practice. The Joanna Briggs Institute (JBI)has a well-established reputation in the area of evidence-basedclinical decision support and clinical practice improvement and hasprovided a resource which assists users to summarise, disseminateand utilise the best evidence available. This resource is the onlinetool JBICOnNECT+. The need for midwives to access independentadvice on the effectiveness, appropriateness and cost benefits ofspecific health and care interventions; and to implement evidenceand evaluate its impact has long been recognized. Content for theMidwifery Node is available through the online resource JBI COn-NECT+. Content is developed by research fellows within the JoannaBriggs Institute, as well as collaborating midwifery members frominternational reference groups. Following creation, resources arepeer reviewed by research fellows within JBI and the midwiferyreference groups. The Expert Reference Group meet by telecon-ference to discuss the node and sign off on resources. Results: Theresources created thus far includes: Evidence Summaries: 2–3 pagedocuments summarising the existent literature on acertain topic,based on a structured search. Evidence based procedures/policiesreviewed and approved by reference groups. These can also begrouped to create Practice manuals. Audit topics and criteria basedon the best available evidence and approved by an Expert ReferenceGroup. Consumer Information Pamphlets: Evidence based informa-tion for consumers of midwifery care. The Midwifery Node of JBICOnNECT+ is designed for, and readily accessible to midwives andwomen. The resources enhance the ability of midwives to provideconsistent and appropriate care, while reducing the risk of clini-cal adverse events. The resources also facilitate staff training andcontinuousimprovement within the midwifery field.

http://dx.doi.org/10.1016/j.wombi.2013.08.198

Primigravid women in birth centre care: Thereal story of one birth centre

Marie McAuliffe ∗, Vicki Carson

The Townsville Hospital, Townsville, Australia

The aim is to describe the outcomes of primigravid women whoreceive care in a stand alone Birth Centre at a regional tertiaryhospital in Queensland. Many birth centres exclude primigravidwomen from Birth Centre model of care. Since opening in late2008, The Townsville Birth Centre has included healthy primigravidwomen as eligible for birth centre care. This presentation willdescribe the outcomes of primigravid women who have receivedbirth centre careat the Townsville Birth Centre over the four years

since it opened. Outcomes based on intention to treat and thosewho birth in the birth centre will be discussed and comparisonswith multigravid women who receive birth centre care at theTownsville Birth Centre will be made.

http://dx.doi.org/10.1016/j.wombi.2013.08.199

Can a multi-phased and innovative interventionincrease the rate of any breast feeding until sixmonths postpartum?

Shahla Meedya ∗, Kathleen Fahy, Jacqui Yoxall

Southern Cross University, Tweed Heads, New SouthWales, Australia

Health professionals including midwives encourage women tobreast feed; however, many women stop breast feeding in thefirst few weeks after birth. The aim of the study was to evalu-ate the effectiveness of a multi-phased educational interventionto enhance breast feeding rates until six months postpartum. Anon-randomised evaluation study was used in this study. Fourhundred and twenty primiparous women were recruited in thestudy; 205 in the standard care group and 215 in the interven-tion group. Women were surveyed in the antenatal period aboutbaseline demographic data. Post birth data was collected by exam-ining the hospital electronic record and by telephone calls to thewomen a tone, four and six months postpartum. Based on intentionto treat, women in the intervention group had significantly higherrates of breast feeding at one, four and six months (70.2%, 54.1%and 45.9%, n = 215) compared to the standard care group (55.3%,33.5% and 28.4%, n = 205) (p < 0.001). Women in both groups weresimilar in baseline demographic data except in age, education leveland smoking prior pregnancy. More women in the standard groupsmoked tobacco before pregnancy and they were slightly youngerand less educated than the intervention group. Based on logisticregression, women who had received the educational interventionwere 4 times more likely to breast feed at one month, three timesmore likely to breast feed at four month and 2.8 times more likelyto breast feed at six months postpartum (p < 0.001). Breast feed-ing intention and high level of education were other predictors forprolonged breast feeding. The midwifery multi-phased interven-tion appears to be effective in increasing breast feeding rates and ithas some merit in being implemented for all primiparous womenand their partners by introducing this new method in parentingeducation.

http://dx.doi.org/10.1016/j.wombi.2013.08.200

B is for Baby: The use of iPhone app technologyin childbirth education

Maureen Miles ∗,1, Paula Mynard 2

1 Monash Uni, Gippsland, Vic, Australia2 St Vincents Private, Fitzroy campus, Vic, Australia

Midwives play an important role in antenatal education andthere is a need for child birth education to be delivered more effec-tively and in the earlier stages pregnancy. There are numerousinconsistencies existing between the theory and practice of childbirth education. A new direction is needed. The evolution of childbirth education needs to quickly gain pace to meet the needs oftoday’s expectant women. Contemporary technology presents amodern approach to support and promote child birth educationclasses. Consequently, this recent post graduate diploma student