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	<title>Private Midwifery in Sydney &#187; intervention</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>&#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>
		</item>
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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>
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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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		<item>
		<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>
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		<title>Do first-time mothers have unrealistic views about having uncomplicated births, or does the health system fail them?</title>
		<link>http://www.sydneymidwife.com.au/2012/01/do-first-time-mothers-have-unrealistic-views-about-having-uncomplicated-births-or-does-the-health-system-fail-them/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=do-first-time-mothers-have-unrealistic-views-about-having-uncomplicated-births-or-does-the-health-system-fail-them</link>
		<comments>http://www.sydneymidwife.com.au/2012/01/do-first-time-mothers-have-unrealistic-views-about-having-uncomplicated-births-or-does-the-health-system-fail-them/#comments</comments>
		<pubDate>Tue, 10 Jan 2012 18:43:06 +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[hospital birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3287</guid>
		<description><![CDATA[An interesting report in The Telegraph states that first-time mums have unrealistic expectations of drug-free, natural, uncomplicated births, when in reality, they have a mere 21% chance of: a labour that starts on its own (ie, is not induced not using an epidural birthing without the use of instruments or operations If we exclude from that figure the proportion of women who also birth without stitches, that figure becomes a mere 8%. The papers would like us to believe that first-time mothers have unrealistic views about having uncomplicated births, increasing the risk of post-natal depression In other words, postnatal depression [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2012/01/do-first-time-mothers-have-unrealistic-views-about-having-uncomplicated-births-or-does-the-health-system-fail-them/feed/</wfw:commentRss>
		<slash:comments>1</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>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Christmas baby rush</title>
		<link>http://www.sydneymidwife.com.au/2011/12/christmas-baby-rush/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=christmas-baby-rush</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/christmas-baby-rush/#comments</comments>
		<pubDate>Thu, 15 Dec 2011 04:53:29 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3170</guid>
		<description><![CDATA[The original title of this article was, &#8220;Pregnant mums rush Christmas babies&#8221;. This is an interesting title as it&#8217;s not really the Mums who rush their babies&#8217; births, but rather the doctors who authorise and perform the inductions. Health practitioners are not required to perform interventions that are not in the best interests of their patients. So perhaps the article should read, &#8220;Doctors rush Christmas babies&#8221;. That doesn&#8217;t sound as good as a headline, does it? Link MUMS-to-be are having their babies induced so they can be home in time for Christmas. Women due around Christmas often asked to be [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/christmas-baby-rush/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>Forceps delivery tied to lower brain injury risk</title>
		<link>http://www.sydneymidwife.com.au/2011/12/forceps-delivery-tied-to-lower-brain-injury-risk/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=forceps-delivery-tied-to-lower-brain-injury-risk</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/forceps-delivery-tied-to-lower-brain-injury-risk/#comments</comments>
		<pubDate>Sun, 04 Dec 2011 18:05:44 +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>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3229</guid>
		<description><![CDATA[Link When babies need help coming into the world, forceps may carry less risk of newborn seizures compared with vacuum deliveries or Cesarean section &#8230; In recent years, forceps have fallen out of favor when it comes to aiding a difficult childbirth. Vacuum devices are more often used, while C-section rates have surged. &#8230; that&#8217;s all despite a lack of evidence that vacuum or C-section deliveries are actually safer for newborns compared with forceps &#8230; &#8230; newborns delivered by forceps were 45 percent less likely to suffer a seizure than those born via vacuum pump or C-section. On the other [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/forceps-delivery-tied-to-lower-brain-injury-risk/feed/</wfw:commentRss>
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