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	<title>Private Midwifery in Sydney &#187; Birth trauma</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>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>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>
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		<title>Do deceptive medical birth procedures de-humanize women?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/do-deceptive-medical-birth-procedures-de-humanize-women/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=do-deceptive-medical-birth-procedures-de-humanize-women</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/do-deceptive-medical-birth-procedures-de-humanize-women/#comments</comments>
		<pubDate>Mon, 09 Jan 2012 18:25:32 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3268</guid>
		<description><![CDATA[Link It was a rainy Wednesday late afternoon when pregnant Ana Cristina realized it was time to get ‘to know’ her unborn son João. She went to the Maternity Hospital Leonor Mendes de Barros in hopes of an easy delivery. Despite the pain and restlessness, Ana stood quietly for four hours waiting for care. “It’s a scandal that they treat you badly,” she said. After waiting so many hours &#8230; Ana was informed that there were no vacancies and she should find another place to have her son. &#8230; They would have make it across São Paulo city to go [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/do-deceptive-medical-birth-procedures-de-humanize-women/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Rates of C-sections and postpartum posttraumatic stress disorder on the rise</title>
		<link>http://www.sydneymidwife.com.au/2011/12/rates-of-c-sections-and-postpartum-posttraumatic-stress-disorder-on-the-rise/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=rates-of-c-sections-and-postpartum-posttraumatic-stress-disorder-on-the-rise</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/rates-of-c-sections-and-postpartum-posttraumatic-stress-disorder-on-the-rise/#comments</comments>
		<pubDate>Wed, 30 Nov 2011 18:59:18 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[birth debriefing]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[postnatal depression]]></category>
		<category><![CDATA[VBAC]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3163</guid>
		<description><![CDATA[Link The birth of Helen Dunn’s first son didn’t go nearly as smoothly as she had envisioned. Induced two weeks early because of concerns about the baby’s health, the Vancouver clinical counsellor endured 17 hours of painful contractions before her baby went into distress &#8230; She had an emergency caesarean section, the whole experience proving to be a traumatic one with terrible, lasting effects. “I immediately felt disconnected from him when they showed him to me,” &#8230; “I didn’t recognize him. I wasn’t attached to him; in fact, I had an aversion to him. I wanted them to take him [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/rates-of-c-sections-and-postpartum-posttraumatic-stress-disorder-on-the-rise/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>Turbulent times</title>
		<link>http://www.sydneymidwife.com.au/2011/10/turbulent-times/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=turbulent-times</link>
		<comments>http://www.sydneymidwife.com.au/2011/10/turbulent-times/#comments</comments>
		<pubDate>Fri, 28 Oct 2011 12:28:45 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[Midwifery]]></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[hospital birth]]></category>
		<category><![CDATA[maternal and perinatal mortality and morbidity]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Public and private hospitals]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[women's rights]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3101</guid>
		<description><![CDATA[A lot has been happening in the world of homebirth and midwifery. Many will have read the articles about homebirth, freebirth, midwives and maternity care that are appearing in our papers on a daily basis. I have not posted for a couple of weeks now, for three main reasons: one I have been really busy with my practice which has not been this busy for about two years. Second, I attended the Australian College of Midwives National Conference &#8211; the ACM worked really hard to deliver an excellent conference that was appreciated by all. I had the fantastic opportunity to [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/10/turbulent-times/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Charging women for non-medical caesareans?</title>
		<link>http://www.sydneymidwife.com.au/2011/10/charging-women-for-non-medical-caesareans/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=charging-women-for-non-medical-caesareans</link>
		<comments>http://www.sydneymidwife.com.au/2011/10/charging-women-for-non-medical-caesareans/#comments</comments>
		<pubDate>Sat, 01 Oct 2011 18:55:23 +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[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[birth debriefing]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3070</guid>
		<description><![CDATA[Link The health minister has said that women in Northern Ireland who choose to have a Caesarean for non-medical reasons may have to pay for the operation. Edwin Poots is launching a consultation on a review of maternity services. Women at low risk will be encouraged to consider having their baby in a midwife-led unit or at home, if appropriate. Around 30% of deliveries are by Caesarean section &#8211; the highest level in the UK and Ireland. &#8230; giving birth was a natural process and superb assistance was available to help women through the delivery. &#8220;It costs several thousand pounds [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/10/charging-women-for-non-medical-caesareans/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Has labour become a competition?</title>
		<link>http://www.sydneymidwife.com.au/2011/10/has-labour-become-a-competition/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=has-labour-become-a-competition</link>
		<comments>http://www.sydneymidwife.com.au/2011/10/has-labour-become-a-competition/#comments</comments>
		<pubDate>Fri, 30 Sep 2011 18:35:45 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[birth debriefing]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=1828</guid>
		<description><![CDATA[Sitting at mother’s groups, listening and observing, a general theme emerges when mothers speak of their recent births: competition. Who had the most traumatic birth? Who had the longest labour? And I came to wonder what purpose this competition serves. I wonder if it serves a few purposes. It reinforces birth as a scary, dangerous, even deadly experience that really must occur in hospital. “Thank god I was in hospital. My baby would have died if I had been at home!” It validates the experience of the woman who had the most traumatic labour. The woman who wins the most-traumatic-birth-competition [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/10/has-labour-become-a-competition/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Study researches birth satisfaction for first time mothers</title>
		<link>http://www.sydneymidwife.com.au/2011/09/study-researches-birth-satisfaction-for-first-time-mothers/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=study-researches-birth-satisfaction-for-first-time-mothers</link>
		<comments>http://www.sydneymidwife.com.au/2011/09/study-researches-birth-satisfaction-for-first-time-mothers/#comments</comments>
		<pubDate>Sat, 17 Sep 2011 18:04:55 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Birth trauma]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[postnatal depression]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3046</guid>
		<description><![CDATA[Link A pilot &#8230; study investigating factors that contribute to birth satisfaction for first time New Zealand mothers has led to a bigger nationwide study examining how birth preparation impacts on birth satisfaction. &#8230; birth satisfaction is important because how a mother perceives the birth of her child influences her confidence in mothering abilities and consequently the early mother/child relationship. In turn this impacts on the child’s sense of security as well as family psychosocial health. &#8230; women &#8230; wanted to feel safe, have good relationships with those caring for them, and to have responsibility for and control over their [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/09/study-researches-birth-satisfaction-for-first-time-mothers/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Post-traumatic Stress Disorder and Birth</title>
		<link>http://www.sydneymidwife.com.au/2011/08/post-traumatic-stress-disorder-and-birth-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=post-traumatic-stress-disorder-and-birth-2</link>
		<comments>http://www.sydneymidwife.com.au/2011/08/post-traumatic-stress-disorder-and-birth-2/#comments</comments>
		<pubDate>Sun, 31 Jul 2011 18:09:35 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[birth debriefing]]></category>
		<category><![CDATA[Birth trauma]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=2961</guid>
		<description><![CDATA[Research has suggested that up to 9% women meet the diagnostic criteria for post-traumatic stress disorder after birth, and that 18% women scored above the cutoff score, indicating that they were experiencing a degree of post-traumatic stress symptoms. Amongst variables that were found to be associated with PTSD were lack of support, unplanned pregnancy, pressure to have an induction and epidural analgesia, planned cesarean and consulting with a clinician about mental well-being since birth. PTSD is an important issue in birth, and one that is attracting more and more attention. It&#8217;s time for health services, midwives and obstetricians to become [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/08/post-traumatic-stress-disorder-and-birth-2/feed/</wfw:commentRss>
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