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	<title>Private Midwifery in Sydney &#187; continuity of care</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>
		<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>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>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>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Medicare-funded midwifery care: What you need to know</title>
		<link>http://www.sydneymidwife.com.au/2012/01/medicare-funded-midwifery-care-what-you-need-to-know-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=medicare-funded-midwifery-care-what-you-need-to-know-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/medicare-funded-midwifery-care-what-you-need-to-know-2/#comments</comments>
		<pubDate>Thu, 19 Jan 2012 18:32:48 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Midwifery]]></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[Normal Birth]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3217</guid>
		<description><![CDATA[I am an eligible midwife. This means that my private patients can claim some of the cost of private midwifery care, much the same way we do when we see a GP. As well as Medicare benefits, some private health funds will provide benefits for childbirth education with a midwife, and costs may also be claimed through tax as a medical expense (more on that one from your Accountant). Medicare benefits and tax benefits combined are between $2,500 and $3,300. This means that care with an eligible midwife will be up to $3,300 cheaper than care with a non-eligible private [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/medicare-funded-midwifery-care-what-you-need-to-know-2/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>Physiological third stage for women at low risk of postpartum haemorrhage</title>
		<link>http://www.sydneymidwife.com.au/2012/01/physiological-third-stage-for-women-at-low-risk-of-postpartum-haemorrhage-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=physiological-third-stage-for-women-at-low-risk-of-postpartum-haemorrhage-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/physiological-third-stage-for-women-at-low-risk-of-postpartum-haemorrhage-2/#comments</comments>
		<pubDate>Thu, 12 Jan 2012 18:46:41 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Normal Birth]]></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[physiological third stage]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3223</guid>
		<description><![CDATA[Link No previous study has focused on true physiological third stage for women at low risk of postpartum haemorrhage. Physiological third stage is often chosen by women who birth at home or in a birth centre, however hospital policies urge active management of the third stage (injection of syntocinon, immediate clamping and cutting of the cord and then pulling the placenta out) because studies have shown that this form of management reduces bleeding. However, it is unfortunate that those studies have either a) not clearly defined physiological management or b) have not managed the &#8220;physiological&#8221; third stages in a physiological [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/physiological-third-stage-for-women-at-low-risk-of-postpartum-haemorrhage-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<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>I&#8217;m pregnant!  What are my next steps?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/im-pregnant-what-are-my-next-steps-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=im-pregnant-what-are-my-next-steps-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/im-pregnant-what-are-my-next-steps-2/#comments</comments>
		<pubDate>Sun, 01 Jan 2012 18:43:22 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery services]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3211</guid>
		<description><![CDATA[If you have just found out you are pregnant, congratulations! You might be feeling a range of emotions: excited, fearful, overwhelmed, happy, anxious &#8230; this is all very normal! Many women who contact me feel unsure about what to do next and are anxious to know all their options before making a choice, so I have put together a few tips to make you feel a little more confident. Although many women see their GP as their first port of call when they are pregnant, it’s handy to know that women may also see an eligible midwife who can order [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/im-pregnant-what-are-my-next-steps-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>How do Midwives Work?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/how-do-midwives-work-2/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=how-do-midwives-work-2</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/how-do-midwives-work-2/#comments</comments>
		<pubDate>Sat, 31 Dec 2011 18:39:53 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Babies]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[Midwifery services]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3207</guid>
		<description><![CDATA[It&#8217;s a common question I am asked! When people ask me what I do, I tell them I am a midwife. The next question is usually, “Oh, so you’re a nurse?”. “Not quite”, I reply, “a midwife – I care for women though pregnancy and birth and with their new baby.” Then they really look puzzled. “That&#8217;s not what an obstetrician does?&#8221; “An obstetrician is a doctor who specialises in caring for women with complicated pregnancies and births. A midwife specialises in caring for women who are having healthy pregnancies and births.” By that stage they’re well and truly confused [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/how-do-midwives-work-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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