What are pregnant women told about models of maternity care in Australia? A retrospective study of women's reports

•Few women reported that all models of care were discussed by their GP.•Exclusive discussion about private obstetric care or all public models was common.•Women's health insurance status was the strongest predictor of discussions.•Most women reported active involvement in model of care decision-making.

ObjectiveTo describe women's reports of the model of care options General Practitioners (GPs) discussed with them at the first pregnancy consultation and women's self-reported role in decision-making about model of care.MethodsWomen who had recently given birth responded to survey items about the models of care GPs discussed, their role in final decision-making, and socio-demographic, obstetric history, and early pregnancy characteristics.ResultsThe proportion of women with whom each model of care was discussed varied between 8.2% (for private midwifery care with home birth) and 64.4% (GP shared care). Only 7.7% of women reported that all seven models were discussed. Exclusive discussion about private obstetric care and about all public models was common, and women's health insurance status was the strongest predictor of the presence of discussions about each model. Most women (82.6%) reported active involvement in final decision-making about model of care.ConclusionAlthough most women report involvement in maternity model of care decisions, they remain largely uninformed about the breadth of available model of care options.Practical implicationsStrategies that facilitate women's access to information on the differentiating features and outcomes for all models of care should be prioritized to better ensure equitable and quality decisions.