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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>
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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>
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		<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>
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		<slash:comments>0</slash:comments>
		</item>
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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>
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		<title>Pregnancy Symptoms</title>
		<link>http://www.sydneymidwife.com.au/2012/01/pregnancy-symptoms/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=pregnancy-symptoms</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/pregnancy-symptoms/#comments</comments>
		<pubDate>Sun, 15 Jan 2012 18:26:59 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[birth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3253</guid>
		<description><![CDATA[I am often asked by women what they might expect to experience in early pregnancy. Here&#8217;s a guide below: The symptoms below are some of the more common symptoms that women experience. It&#8217;s always best that women contact their eligible midwife or GP early in pregnancy to arrange for a pregnancy test and a dating scan if needed. Eligible midwives are able to order all of the necessary tests and scans and no referral is needed. Late period This is a common sign of pregnancy, and it is the one that it most often found first. Morning sickness Some women [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<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>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>
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		<title>An amazing homebirth story</title>
		<link>http://www.sydneymidwife.com.au/2012/01/an-amazing-homebirth-story/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=an-amazing-homebirth-story</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/an-amazing-homebirth-story/#comments</comments>
		<pubDate>Sun, 08 Jan 2012 18:24:38 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[freebirth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3280</guid>
		<description><![CDATA[Isabel is an amazing, strong woman who came to me for pregnancy care. She had planned to move overseas, and as you&#8217;ll read, her pregnancy came as a surprise. She planned a homebirth with a midwife overseas &#8211; but the story has a twist in it! We went about the pregnancy, preparing thoroughly for an active, natural and drug-free birth. I was thrilled to receive Isabel&#8217;s birth story, and she has kindly agreed to share it here. Thank You to all the women out there who shared their birth stories and experiences which gave me to determination to birth at [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/an-amazing-homebirth-story/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Delivering better maternity care</title>
		<link>http://www.sydneymidwife.com.au/2012/01/delivering-better-maternity-care/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=delivering-better-maternity-care</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/delivering-better-maternity-care/#comments</comments>
		<pubDate>Sat, 07 Jan 2012 18:32:06 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[Home birth]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3245</guid>
		<description><![CDATA[Link Despite countless inquiries, initiatives and ministerial pledges &#8230; maternity care remains one of the NHS&#8217;s problem areas &#8230; In recent weeks there have been two significant pieces of evidence published that will help shape practice affecting the UK&#8217;s 800,000 births a year. The National Institute for Health and Clinical Excellence (NICE) produced new guidelines for the NHS in England and Wales on the circumstances in which mothers-to-be should be able to have a Caesarean-section delivery. Meanwhile the landmark Birthplace study &#8230; sought to clarify the relative risks of having a baby at home, in hospital or in a birth [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/delivering-better-maternity-care/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Older mums in new age of parenting</title>
		<link>http://www.sydneymidwife.com.au/2011/12/older-mums-in-new-age-of-parenting/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=older-mums-in-new-age-of-parenting</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/older-mums-in-new-age-of-parenting/#comments</comments>
		<pubDate>Thu, 22 Dec 2011 18:43:21 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3186</guid>
		<description><![CDATA[Link Almost a quarter of first-time Australian mothers are giving birth after the age of 35 &#8230; almost 6 per cent higher than the figure in 2000 &#8230; &#8230; the number of mothers in the older age bracket would continue to grow for a range of reasons including lifestyle, economic factors and career choices. &#8220;There&#8217;s a really strong tendency for women these days to get established in their careers or job and working for a period of time for their own self-fulfilment but also because of the economic circumstances,&#8221; &#8230; &#8230; women now tended to have children over a shorter [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/older-mums-in-new-age-of-parenting/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>Treatment Halves Preterm Birth Rate</title>
		<link>http://www.sydneymidwife.com.au/2011/12/treatment-halves-preterm-birth-rate/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=treatment-halves-preterm-birth-rate</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/treatment-halves-preterm-birth-rate/#comments</comments>
		<pubDate>Fri, 16 Dec 2011 18:01:07 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Babies]]></category>
		<category><![CDATA[birth]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[maternal and perinatal mortality and morbidity]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3201</guid>
		<description><![CDATA[Link The risk of preterm birth and neonatal mortality and morbidity declined significantly in asymptomatic women with a &#8230; short cervix treated with vaginal progesterone &#8230; The treatment was associated with a 40% to 50% reduction in the risk of preterm birth, a 43% reduction in total neonatal morbidity and mortality, and a 45% reduction in the frequency of low birth weight. &#8230; &#8220;Our analysis provides compelling evidence that vaginal progesterone prevents preterm birth and reduces neonatal morbidity and mortality in women with a short cervix,&#8221; &#8230; &#8220;Importantly, progesterone reduced early preterm birth. These immature babies are at the greatest [...]]]></description>
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