Use of communication technology among public health professionals in New South Wales, Australia

An Analysis of the NSW Midwives Data Collection over an 11-Year Period to Determine the Risks to the Mother and the Neonate of Induced Delivery for Non-Obstetric Indication at Term

Objective. To determine the risks of induced term delivery to the mother and neonate at different gestational ages in the absence of obstetric indications. Study Design. All deliveries in New South Wales (NSW) between 1998 and 2008 were reviewed from the MDC. Uncomplicated pregnancies which were induced for non-obstetric reasons after 37 completed weeks were reviewed. This was a retrospective, historical cohort study, and both maternal and neonatal outcomes were analysed and compared between different gestational age groups. Results. An analysis of the data shows that induction of labour after 37 completed weeks exposes the fetus and mother to different levels of risk at different gestations. Conclusion. In an uncomplicated pregnancy, induction of labour is associated with the highest rate of neonatal complication at 37 weeks as compared with rates at later gestations. With each ensuing week, the neonatal outcome improves. At 40 weeks the likelihood of neonatal intensive care admission, low Apgar scores, and perinatal death rate is at its lowest, and then there is a slight but not significant rise after 41 weeks. The likelihood of caesarean section is the lowest when inductions are carried out at 39 weeks and is the highest at 41 weeks and over.

Evaluation of three population health capacity building projects delivered by videoconferencing in NSW

Three population health projects in falls prevention, smoking cessation and refugee health secured funding through the NSW Telehealth Initiative. All were capacity building projects delivered through live videoconferencing sessions between April and August 2007. Videoconferencing as a mode of delivery was evaluated from the perspective of those who delivered the projects.

METHOD

Qualitative semi-structured interviews with 12 key informants explored for each project: the organisation and delivery of the education sessions; the utility of videoconferencing for delivering training programs; and the perceived potential to apply videoconferencing to other functions.

RESULTS

The projects were all delivered successfully through live videoconferencing. The main benefits observed were: the ability to deliver training to large numbers of people across multiple locations within a relatively short time and for reasonable costs; and the ability to improve access to high quality professional development for rural and remote workers. Technical difficulties were minor. The support required for these kinds of e-learning projects to succeed were identified.

CONCLUSION

The evaluation confirmed the value of videoconferencing as a vehicle through which equity of access to learning opportunities for population health workers across NSW can be achieved.