Happy to Health with Dr Preeya
Sep 6, 2026 · 52 min · 14 segments
Obstetrician gynaecologist Dr Fiona Brownfoot and midwife Prue Hartley join Dr Preeya to cover the entire pregnancy journey from preconception to birth and post partum care. All those FAQs on how to…
Prue HartleyGuest
Fiona BrownfootGuestPreeya AlexanderHostAnd friends, we're going to get into this because people have probably gone, viability scan, NIPT, what are we talking about? Well, we'll get there.
Can we just address, though, that I think people often go, well, I'm seeing headlines in the media about, you know, private care, public care, and then it can kind of get into obstetrician versus midwife.
We covered it on the health report at the time, a study that came out that looked at private care versus public care.
It probably didn't actually look at all care models and continuity of care with midwives within the public sector was kind of excluded, which is unfortunate.
Continuity, and I guess this is, you know, I'm going to throw this broadly out there because I imagine you've worked in all settings, public, private, maybe you still do.
You know, at the end of the day, it boils down to continuity, doesn't it? It's not about obstetrician versus midwife, public versus private.
It really is, and there's just a recent study that's come out this week that I've said to Norman, let's do it again on the health report, is that, and at the time of recording, friends, it might not be this week, because this is all the magic of of whatever this is, podcasting, but, you know, there is a study, which I'll link in the show notes, that basically it's continuity.

When you look at the nuances of the studies, I guess the one really difficult thing that I think is almost impossible to tease out is associated demographics of the patient.

I know that calendar study really tried to do that, tried to match both the private and the public across not only the patient characteristics, but also the demographics of the patients.

But there's nuances within that that you'll never be able to match, right, and that health-seeking behaviour within the certain sectors that you just can't match.

So whilst that is such a good study, and I applaud the authors because, my goodness, doing those large, you know, multi-state-based studies... are incredibly difficult, just obtaining the data, let alone matching the data and then analysing that data is incredibly difficult.

I think there's certain nuances there that you, you know, that are just impossible to tease out between public versus private.

And whilst indeed, you know, the study found that there were benefits to that private model, I think there's nuances within that and the socio-demographics within the sectors that you really can't nut out.

I think you're absolutely right that across these studies is the theme of that continuity of care.
And friends, we're going to get into this because people have probably gone, viability scan, NIPT, what are we talking about? Well, we'll get there.
Can we just address, though, that I think people often go, well, I'm seeing headlines in the media about, you know, private care, public care, and then it can kind of get into obstetrician versus midwife.
We covered it on the health report at the time, a study that came out that looked at private care versus public care.
It probably didn't actually look at all care models and continuity of care with midwives within the public sector was kind of excluded, which is unfortunate.
Continuity, and I guess this is, you know, I'm going to throw this broadly out there because I imagine you've worked in all settings, public, private, maybe you still do.
You know, at the end of the day, it boils down to continuity, doesn't it? It's not about obstetrician versus midwife, public versus private.
It really is, and there's just a recent study that's come out this week that I've said to Norman, let's do it again on the health report, is that, and at the time of recording, friends, it might not be this week, because this is all the magic of of whatever this is, podcasting, but, you know, there is a study, which I'll link in the show notes, that basically it's continuity.

When you look at the nuances of the studies, I guess the one really difficult thing that I think is almost impossible to tease out is associated demographics of the patient.

I know that calendar study really tried to do that, tried to match both the private and the public across not only the patient characteristics, but also the demographics of the patients.

But there's nuances within that that you'll never be able to match, right, and that health-seeking behaviour within the certain sectors that you just can't match.

So whilst that is such a good study, and I applaud the authors because, my goodness, doing those large, you know, multi-state-based studies... are incredibly difficult, just obtaining the data, let alone matching the data and then analysing that data is incredibly difficult.

I think there's certain nuances there that you, you know, that are just impossible to tease out between public versus private.

And whilst indeed, you know, the study found that there were benefits to that private model, I think there's nuances within that and the socio-demographics within the sectors that you really can't nut out.

I think you're absolutely right that across these studies is the theme of that continuity of care.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.