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	<title>Private Midwifery in Sydney &#187; Obstetrics</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>
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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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		<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>
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		<slash:comments>0</slash:comments>
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		<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>
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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>
		<slash:comments>0</slash:comments>
		</item>
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		<title>Labour induction methods compare favourably</title>
		<link>http://www.sydneymidwife.com.au/2012/01/labour-induction-methods-compare-favourably/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=labour-induction-methods-compare-favourably</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/labour-induction-methods-compare-favourably/#comments</comments>
		<pubDate>Sat, 21 Jan 2012 18:34:04 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[maternal and perinatal mortality and morbidity]]></category>
		<category><![CDATA[Normal Birth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3271</guid>
		<description><![CDATA[Link &#8230; a method of inducing labour that dates back to the 1930s “has been found to work as well as modern treatments but with fewer side effects”. The news is based on a large Dutch trial that examined inducing labour using of a simple mechanical device, called a Foley catheter. Researchers tested the device against the use of hormone gels designed to trigger contractions. The study &#8230; found that both techniques led to similar rates of spontaneous vaginal deliveries, instrumental deliveries &#8230; and women requiring a caesarean section. The Foley catheter also seemed to lead to fewer side effects [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/labour-induction-methods-compare-favourably/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Choosing the best care provider for your needs</title>
		<link>http://www.sydneymidwife.com.au/2012/01/choosing-the-best-care-provider-for-your-needs/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=choosing-the-best-care-provider-for-your-needs</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/choosing-the-best-care-provider-for-your-needs/#comments</comments>
		<pubDate>Fri, 20 Jan 2012 18:44:46 +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[continuity of care]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[Medicare]]></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=3213</guid>
		<description><![CDATA[Choosing the best practitioner for your needs is a very important and personal decision. Ultimately, there is no right or wrong choice: some women will choose a private obstetrician, others will choose a private midwife and others will choose public hospital care. Some women will make an initial choice of care provider and decide to change care providers during the pregnancy. Other women will make one choice in their first pregnancy and then a different choice in a subsequent pregnancy. What’s important is to have an accurate understanding all the options available so that you can feel confident to choose [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/choosing-the-best-care-provider-for-your-needs/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>I&#8217;m pregnant and I have private health insurance.  What are my options?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/im-pregnant-and-i-have-private-health-insurance-what-are-my-options-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=im-pregnant-and-i-have-private-health-insurance-what-are-my-options-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/im-pregnant-and-i-have-private-health-insurance-what-are-my-options-2/#comments</comments>
		<pubDate>Tue, 17 Jan 2012 18:27:25 +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[continuity of care]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[postnatal depression]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3215</guid>
		<description><![CDATA[Great question! There are a few options available to you as a private patient, as well as all of the options that are available to public patients. The private options are either a private midwife, or a private obstetrician. Private midwife To receive care from a private midwife and obtain Medicare benefits, your midwife will need to be an &#8220;eligible midwife&#8221; (meet an additional registration standard) and work with an obstetrician or a doctor who provides obstetric services. Some private midwives are able to provide labour and birth care in hospital settings, while others are only able to provide labour [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/im-pregnant-and-i-have-private-health-insurance-what-are-my-options-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>First-time mums learn the hard way: informed mums choose private midwives</title>
		<link>http://www.sydneymidwife.com.au/2012/01/first-time-mums-learn-the-hard-way-informed-mums-choose-private-midwives/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=first-time-mums-learn-the-hard-way-informed-mums-choose-private-midwives</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/first-time-mums-learn-the-hard-way-informed-mums-choose-private-midwives/#comments</comments>
		<pubDate>Sat, 14 Jan 2012 18:23:48 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Obstetrics]]></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[continuity of care]]></category>
		<category><![CDATA[Epidural]]></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=3289</guid>
		<description><![CDATA[A recent article has suggested that first-time mums have overly unrealistic ideas about their birth &#8211; that it will be a natural, uncomplicated birth, when in reality it is not, for the majority. We know that women choosing care through the general hospital system will experience high rates of interventions, leading ultimately to a caesarean. But few women know that if they engage a private midwife for a hospital or homebirth, they will experience much lower rates of intervention, but with the same level of safety. Care with an eligible private midwife will attract medicare benefits, and obstetric care is [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/first-time-mums-learn-the-hard-way-informed-mums-choose-private-midwives/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Balancing The Womb</title>
		<link>http://www.sydneymidwife.com.au/2012/01/balancing-the-womb/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=balancing-the-womb</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/balancing-the-womb/#comments</comments>
		<pubDate>Mon, 02 Jan 2012 18:46:25 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3248</guid>
		<description><![CDATA[Link New research hopes to explain premature births and failed inductions of labour. The study by academics at the University of Bristol suggests a new mechanism by which the level of myosin phosphorylation is regulated in the pregnant uterus. &#8230; phosphorylation of uterus proteins at specific amino acids have a key role in the regulation of uterine activity in labour. A remarkable feature of the uterus &#8230; is that it remains relatively relaxed for the nine months of pregnancy &#8230; and then, during labour, it contracts forcibly and the baby is born. A special type of smooth muscle that grows [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/balancing-the-womb/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Inducing labor doesn’t raise risk of uterine rupture in VBAC</title>
		<link>http://www.sydneymidwife.com.au/2011/12/inducing-labor-doesnt-raise-risk-of-uterine-rupture-in-vbac/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=inducing-labor-doesnt-raise-risk-of-uterine-rupture-in-vbac</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/inducing-labor-doesnt-raise-risk-of-uterine-rupture-in-vbac/#comments</comments>
		<pubDate>Mon, 19 Dec 2011 18:52:03 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[intervention]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3237</guid>
		<description><![CDATA[Link Inducing labor doesn’t increase the risk of uterine rupture, once length of labor is taken into account, in women attempting vaginal delivery after a cesarean delivery &#8230; &#8230; After accounting for length of labor using a time-to-event analysis, researchers found that the risk of uterine rupture with induced labor was similar to that of spontaneous labor &#8230; Women with an initial unfavorable cervical exam (]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/inducing-labor-doesnt-raise-risk-of-uterine-rupture-in-vbac/feed/</wfw:commentRss>
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