Staffing shortfalls lead to transfers

    Southland Hospital in Invercargill.

    SOUTHLAND mothers and babies are being sent to Dunedin Hospital because of lack of capacity and staffing at Southland Hospital’s maternity ward.

    Southern District Health Board (SDHB) associate director of midwifery Fiona Thompson said women were sent to Dunedin if the mother was in need of help and was less than 32 weeks’ gestation, but there were also other cases when they had to be transferred.

    “Occasionally mothers are sent from Southland to Dunedin Hospital because of capacity on the ward or staffing levels, but this is only once or twice a month.”

    While it was difficult for families when this happened, they only transferred patients if it was absolutely necessary, she said.

    “Our priority is to ensure the safety of the mother and her baby.”

    The nationwide shortage of midwives had affected both Southland and Dunedin, she said.

    There were protocols in place to work through adequate staffing numbers with rosters completed and reviewed by the charge midwife on a daily, weekly and monthly basis to seek to improve the staffing on every shift, she said.

    “The charge midwife at Southland Hospital regularly meets with the obstetrics and gynaecology team to review inductions of labours and booked elective work such as Caesarean sections.

    “They will schedule activity around stable staffing levels and extra staff will be called in if required.”

    On average, new mothers stayed between 24 and 72 hours on the maternity ward after giving birth, she said.

    SDHB operations general manager Megan Bovin said in the past 12 months the Southland Hospital core midwifery workforce had experienced some extra challenges.

    “Five core midwives from Southland have left to become LMC’s (lead maternity carers), attracted by the flexible hours and higher income that offers.

    “A further four Southland Hospital core midwives have taken maternity leave. A small number of others have moved internationally, or been promoted within SDHB (which is a positive aspect of working as a midwifery professional).

    “All of these movements have left gaps, and we have not been able to recruit at the same level because, since Covid, staff are not moving around so much within New Zealand, and most DHBs are all trying to recruit the same resource.”

    Both Southland and Dunedin had changed their models of care to include the recruitment of registered nurses as part of the team, she said.

    “As part of this, Southern DHB has been working to develop a plan to support registered nurses who wish to enter the midwifery pathway.”

    SDHB had created an assistant director of midwifery role to give extra support to the Southland Hospital midwifery service and staff, she said.

    Three midwifery recruitment campaigns had been conducted internationally and within New Zealand, including the development of a local recruitment video.