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	<title>Private Midwifery in Sydney &#187; Birth</title>
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	<link>http://www.sydneymidwife.com.au</link>
	<description>The blog of Melissa Maimann: a Medicare-eligible midwife in Sydney.</description>
	<lastBuildDate>Mon, 06 Feb 2012 18:01:09 +0000</lastBuildDate>
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		<title>New induction policy a threat to women, or a threat to doctors?  You be the judge.</title>
		<link>http://www.sydneymidwife.com.au/2012/02/new-induction-policy-a-threat-to-women-or-a-threat-to-doctors-you-be-the-judge/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=new-induction-policy-a-threat-to-women-or-a-threat-to-doctors-you-be-the-judge</link>
		<comments>http://www.sydneymidwife.com.au/2012/02/new-induction-policy-a-threat-to-women-or-a-threat-to-doctors-you-be-the-judge/#comments</comments>
		<pubDate>Mon, 06 Feb 2012 18:01:09 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3339</guid>
		<description><![CDATA[An article in The Newcastle Herald yesterday states that: pushing a policy to reduce caesarean births are creating rules that are potentially dangerous for patients and threatening to doctors &#8230; red tape is threatening professional independence. It also discouraged treatment tailored to individual patients. &#8230; Compliance with directives telling obstetricians when and how to deliver babies was mandatory, under the threat of disciplinary action and loss of indemnity cover &#8230; &#8230; a recent directive requiring a reduction in caesarean section rates to 20per cent by 2015 was an illusory and possibly dangerous target. What is being referred to here is [...]]]></description>
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		<title>Maternal Death following a Homebirth</title>
		<link>http://www.sydneymidwife.com.au/2012/02/maternal-death-following-a-homebirth/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=maternal-death-following-a-homebirth</link>
		<comments>http://www.sydneymidwife.com.au/2012/02/maternal-death-following-a-homebirth/#comments</comments>
		<pubDate>Sat, 04 Feb 2012 18:18:25 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3332</guid>
		<description><![CDATA[Much has been published recently about the very unfortunate death of a mother following a homebirth with private midwives. No details have been released that could allow us to form an opinion that this woman&#8217;s death was &#8220;because&#8221; she birthed at home, and it is also possible that an appropriate and timely transfer was arranged and that she died of complications that arose in hospital. I am not privy to any more details than what can be found in the local press. Even though at this stage, no-one really knows how or why Caroline died, many people have taken the [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>&#8220;I&#8217;ve been told my baby is big&#8221;</title>
		<link>http://www.sydneymidwife.com.au/2012/02/ive-been-told-my-baby-is-big-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=ive-been-told-my-baby-is-big-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/02/ive-been-told-my-baby-is-big-2/#comments</comments>
		<pubDate>Wed, 01 Feb 2012 18:42:11 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Babies]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[Obstetrics]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3221</guid>
		<description><![CDATA[and my care provider wants to induce me / schedule a caesarean. An interesting dilemma. What to do? A recent article has found that ultrasound diagnosis of fetal macrosomia (a big baby) at term is inaccurate in the majority of cases, and this inaccuracy may be contributing to unnecessary caesarean sections. In an observational cohort study of 235 pregnancies at term in which ultrasound measurements led to a diagnosis of fetal macrosomia, only about a third of the infants were actually macrosomic at birth. Additionally, these pregnancies with ultrasound-diagnosed fetal macrosomia were more than twice as likely as all pregnancies [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/02/ive-been-told-my-baby-is-big-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>Cascade of intervention</title>
		<link>http://www.sydneymidwife.com.au/2012/02/cascade-of-intervention-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=cascade-of-intervention-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/02/cascade-of-intervention-2/#comments</comments>
		<pubDate>Tue, 31 Jan 2012 18:37:15 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[maternal and perinatal mortality and morbidity]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3219</guid>
		<description><![CDATA[A study has found that first-time mothers who have their care within the general hospital system and have their labour induced, face a greater risk of having a caesarean section than those who wait for labour to start on its own. In the study, 44 percent women had their labour induced, and 20% of those inductions failed (ie, labour did not start) and caesareans were performed in those cases. By definition, induction is performed before a woman&#8217;s body is ready for labour, and this may point to the reason for such a high rate of failed inductions. In other cases, [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/02/cascade-of-intervention-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Before you have a baby &#8230; Expert Financial Planning Advice</title>
		<link>http://www.sydneymidwife.com.au/2012/01/before-you-have-a-baby-expert-financial-planning-advice/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=before-you-have-a-baby-expert-financial-planning-advice</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/before-you-have-a-baby-expert-financial-planning-advice/#comments</comments>
		<pubDate>Sat, 28 Jan 2012 18:06:13 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3319</guid>
		<description><![CDATA[Many families have asked me over the years about issues relating to budgeting for a family, and also about their options for such things as paid parental leave versus the Baby Bonus. I am delighted to have met Boris Glushankov who is a Financial Planner at In Advance Financial Management. Boris has a special interest in all issues relating to budgeting and financial planning for new families and couples who are considering having their first baby. You often hear new parents say that having a baby is an amazing life-changing experience. Nothing is ever the same again! At a time [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/before-you-have-a-baby-expert-financial-planning-advice/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
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		<title>What are the best positions for labour?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/what-are-the-best-positions-for-labour/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=what-are-the-best-positions-for-labour</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/what-are-the-best-positions-for-labour/#comments</comments>
		<pubDate>Thu, 26 Jan 2012 18:40:59 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3274</guid>
		<description><![CDATA[The best positions for labour and birth will be the positions that are the most comfortable for the woman. These are usually also the positions that will assist the baby into a good position to be born. The positions you decide to use will have an effect on your sense of control and how you experience your labour. Generally, women who are able to move around as they need to, will expefince labour more positively and as being less painful, than women who are confined to the bed. There are many positions that women will naturally adopt in labour, such [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/what-are-the-best-positions-for-labour/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Natural Twin Birth</title>
		<link>http://www.sydneymidwife.com.au/2012/01/natural-twin-birth/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=natural-twin-birth</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/natural-twin-birth/#comments</comments>
		<pubDate>Wed, 25 Jan 2012 18:44:07 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Babies]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[birth debriefing]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[childbirth education]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3293</guid>
		<description><![CDATA[I had a difficult delivery with my first baby, including posterior presentation, premature rupture of membranes, meconium staining, stalled labour, 18 hours of Syntocinon, a largely ineffectual epidural, a 4 hour second stage, and forceps delivery. My daughter had severe respiratory distress and was in the NICU for several days. It was a very tough introduction to parenthood and left me quite traumatised, especially the separation from my daughter. My husband and I decided that we would try for a homebirth if we had another baby, in the hope that a calmer environment would assist the birth process. When I [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/natural-twin-birth/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The Unkindest Cut: Countdown to a C-Section</title>
		<link>http://www.sydneymidwife.com.au/2012/01/the-unkindest-cut-countdown-to-a-c-section/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=the-unkindest-cut-countdown-to-a-c-section</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/the-unkindest-cut-countdown-to-a-c-section/#comments</comments>
		<pubDate>Tue, 24 Jan 2012 18:02:46 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[Epidural]]></category>
		<category><![CDATA[fetal monitoring]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3241</guid>
		<description><![CDATA[Link &#8230; “Usually I start off by telling people my C-section started even before I got to the hospital &#8230; &#8230; Sharp Mary Birch Hospital for Women and Newborns had the highest rate of cesarean section deliveries in San Diego County in 2009. The California average was 29.8 per 100 births; at Sharp Mary Birch, the rate was 37.7. &#8230; At 40 weeks &#8230; Cooper-Schultz’s water broke, though she was not in labor. In a birthing class &#8230; they told her, we have to get the baby out within 24 hours. So she and her husband went to the hospital [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/the-unkindest-cut-countdown-to-a-c-section/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Care during Labour and Birth</title>
		<link>http://www.sydneymidwife.com.au/2012/01/care-during-labour-and-birth/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=care-during-labour-and-birth</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/care-during-labour-and-birth/#comments</comments>
		<pubDate>Mon, 23 Jan 2012 18:03:56 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3314</guid>
		<description><![CDATA[A recent study from QLD has surveyed 20,371 women who recently gave birth. Experiences of pregnancy, labour, birth and after birth care were assessed for the most recent birth, retrospectively four to five months after birth. The findings were very interesting! The only issues with the data and study is that mothers self-reported their answers and there was no verification of the information, or cross-checking with the midwives and obstetricians who provided the care. In other words, it was based on women’s subjective experiences rather than what might perhaps be factual or accurate. That being said, I wanted to draw [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/care-during-labour-and-birth/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>Satisfaction and support in birth</title>
		<link>http://www.sydneymidwife.com.au/2012/01/satisfaction-and-support-in-birth/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=satisfaction-and-support-in-birth</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/satisfaction-and-support-in-birth/#comments</comments>
		<pubDate>Sun, 22 Jan 2012 18:01:21 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3311</guid>
		<description><![CDATA[A recent study from QLD has surveyed 20,371 women who recently gave birth. Experiences of pregnancy, labour, birth and after birth care were assessed for the most recent birth, retrospectively four to five months after birth. The findings were very interesting! The only issues with the data and study is that mothers self-reported their answers and there was no verification of the information, or cross-checking with the midwives and obstetricians who provided the care. In other words, it was based on women’s subjective experiences rather than what might perhaps be factual or accurate. That being said, I wanted to draw [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/satisfaction-and-support-in-birth/feed/</wfw:commentRss>
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