PURPOSE:
Maternal Fetal Medicine midwifery group practice (MFM MGP) has existed for 14 years. In 2011, midwifery group practice was an established model of care for women experiencing pregnancies without risk, there existed no continuity of care model that supported women with pregnancies associated with medical or fetal risks. Two midwives, Maria Lohan and Judy Munro, continue to work within this model and would like to share its evolution from its tentative commencement with three midwives to a flourishing way of working growing to five midwives.

DISCUSSION:
Midwives are essential to keep women at the center of their maternity care this is particularly important when women are experiencing a complex pregnancy. Care can be fragmented and anxiety heightened as women meet with many clinicians, and their pregnancy is experienced by uncertainty. MFM MGP model is similar to other MGP models but works closely with a multidisciplinary team to help coordinate care. We care for many women with pregnancies affected with fetal anomalies such as gastroschisis, but in recent years, this has grown to include an ever-increasing number of women with pre-existing medical conditions. We also care for women with major organ transplants and recently uterine transplants. Despite medical complexity, apart from feeling safe, women still want to feel the joy of their pregnancies and birth, and as a midwifery team we do our best to help women achieve this.

EVIDENCE WHERE RELEVANT:
Nil

KEY MESSAGE:
Midwifery has much to offer women whose pregnancies are complicated by 'risk.' Not only do we work as skilled health professionals, we also act as a solid compass for these women whilst progressing through a difficult journey during their pregnancy and/or birth, so they feel safe, well-supported, and heard. As midwives, working collaboratively with other disciplines, engenders trust and better working relationships that not only benefits us but also women and families. Poster session 2 (Group A)