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	<title>Private Midwifery in Sydney &#187; VBAC</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>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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		<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>Unneeded cesareans are risky and expensive</title>
		<link>http://www.sydneymidwife.com.au/2011/12/unneeded-cesareans-are-risky-and-expensive/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=unneeded-cesareans-are-risky-and-expensive</link>
		<comments>http://www.sydneymidwife.com.au/2011/12/unneeded-cesareans-are-risky-and-expensive/#comments</comments>
		<pubDate>Thu, 08 Dec 2011 18:38:53 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Midwifery]]></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=3175</guid>
		<description><![CDATA[Link Cesarean deliveries are over-used &#8230; and reducing the number of surgical births would save health-care dollars and protect women’s health. Those are the conclusions of a new white paper issued today by the California Maternal Quality Care Collaborative. &#8230; in the last 15 years, the rate of surgical birth has increased from 22 to 32 percent of California deliveries with no measurable benefits for new mothers or their babies. This is a concern because cesareans aren’t risk-free. After surgical delivery, women experience more pain, infection and hemorrhage than women who give birth vaginally. Women who have had a prior [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/12/unneeded-cesareans-are-risky-and-expensive/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>
		</item>
		<item>
		<title>Foley Catheter is as Good as Gel for Inducing Labour</title>
		<link>http://www.sydneymidwife.com.au/2011/10/foley-catheter-is-as-good-as-gel-for-inducing-labour/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=foley-catheter-is-as-good-as-gel-for-inducing-labour</link>
		<comments>http://www.sydneymidwife.com.au/2011/10/foley-catheter-is-as-good-as-gel-for-inducing-labour/#comments</comments>
		<pubDate>Sun, 30 Oct 2011 18:01:41 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[intervention]]></category>
		<category><![CDATA[VBAC]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3105</guid>
		<description><![CDATA[Link New research as found that the use of a Foley catheter appears to be as effective as prostaglandin gel, but with fewer side effects. These were the findings of a randomised trial. The Foley catheter is used to inflate a balloon behind the cervix that simulates the pressure of a baby&#8217;s head to make the cervix dilate, likely by stimulating endogenous prostaglandins. Caesarean section rates were similar in both groups, however more caesareans were performed for failure to progress in the foley catheter group, than the prostaglandin group. +Operative delivery due to fetal distress was less common with the [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/10/foley-catheter-is-as-good-as-gel-for-inducing-labour/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<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>I&#8217;m pregnant.  Who should I go to for care? A Midwife or an Obstetrician?</title>
		<link>http://www.sydneymidwife.com.au/2011/09/im-pregnant-who-should-i-go-to-for-care-a-midwife-or-an-obstetrician/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=im-pregnant-who-should-i-go-to-for-care-a-midwife-or-an-obstetrician</link>
		<comments>http://www.sydneymidwife.com.au/2011/09/im-pregnant-who-should-i-go-to-for-care-a-midwife-or-an-obstetrician/#comments</comments>
		<pubDate>Thu, 08 Sep 2011 18:03:58 +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[Caesarean]]></category>
		<category><![CDATA[Complicated pregnancy or birth]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[Public and private hospitals]]></category>
		<category><![CDATA[VBAC]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3058</guid>
		<description><![CDATA[Private Midwife: Provides autonomous pregnancy, birth and postnatal care for women who are experiencing normal, healthy pregnancies Provides care in consultation with an obstetrician when a woman’s pregnancy has risk factors (eg high blood pressure, prem labour, concern for baby’s growth, gestational diabetes etc) Transfers responsibility for care to an obstetrician if complications emerge and continues to provide care within the midwifery scope of practice Supports women to birth normally with a high rate of natural birth Supports women to breastfeed Provides pregnancy, birth and postnatal care Pregnancy appointments allow time for questions, education and discussion with appointments typically 45-60 [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/09/im-pregnant-who-should-i-go-to-for-care-a-midwife-or-an-obstetrician/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Hospital births continuing through our service</title>
		<link>http://www.sydneymidwife.com.au/2011/08/hospital-births-continuing-through-this-service/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=hospital-births-continuing-through-this-service</link>
		<comments>http://www.sydneymidwife.com.au/2011/08/hospital-births-continuing-through-this-service/#comments</comments>
		<pubDate>Sun, 28 Aug 2011 18:37:29 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Birth]]></category>
		<category><![CDATA[Normal Birth]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[continuity of care]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[Maternity Services Review]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Midwifery services]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[Public and private hospitals]]></category>
		<category><![CDATA[VBAC]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=3012</guid>
		<description><![CDATA[Given the troubled times for midwives attending hospitals in a birth support role &#8211; either for planned hospital birth or in a homebirth transfer situation &#8211; I have had many calls from current clients and women who are exploring their birthing options, asking if hospital births are still going ahead through this service. I wanted to provide reassurance that yes, my hospital birth service is continuing! I am continuing to take bookings for hospital birth and I am able to attend hospital births in the full capacity of a midwife. Owing to an ongoing collaborative agreement and hospital arrangements, hospital [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/08/hospital-births-continuing-through-this-service/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Caesarean section?  Vaginal birth?  Your choice!</title>
		<link>http://www.sydneymidwife.com.au/2011/08/cesarean-section-vaginal-birth-your-choice/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=cesarean-section-vaginal-birth-your-choice</link>
		<comments>http://www.sydneymidwife.com.au/2011/08/cesarean-section-vaginal-birth-your-choice/#comments</comments>
		<pubDate>Sun, 14 Aug 2011 18:10:26 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[Caesarean]]></category>
		<category><![CDATA[Obstetrics]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[Birth choices]]></category>
		<category><![CDATA[hospital birth]]></category>
		<category><![CDATA[Public and private hospitals]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=2845</guid>
		<description><![CDATA[Visit my website to explore homebirth and hospital birth. Much has been said and written about an article in The Age this weekend. The article is about a randomised study that will compare the outcomes of 500 women who choose a caesarean and 500 women who choose a vaginal birth. The study will explore psychological and physical outcomes for the women and their babies, including depression and breastfeeding rates. It will only compare vaginal births with caesareans for healthy women with uncomplicated pregnancies. The study has created much debate, including issues of ethics (beneficence, autonomy, non-maleficence) and professional duty of [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/08/cesarean-section-vaginal-birth-your-choice/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Factors affecting vaginal birth after previous cesarean</title>
		<link>http://www.sydneymidwife.com.au/2011/07/factors-affecting-vaginal-birth-after-previous-cesarean/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=factors-affecting-vaginal-birth-after-previous-cesarean</link>
		<comments>http://www.sydneymidwife.com.au/2011/07/factors-affecting-vaginal-birth-after-previous-cesarean/#comments</comments>
		<pubDate>Thu, 28 Jul 2011 18:09:59 +0000</pubDate>
		<dc:creator>Melissa Maimann</dc:creator>
				<category><![CDATA[VBAC]]></category>

		<guid isPermaLink="false">http://www.sydneymidwife.com.au/?p=2852</guid>
		<description><![CDATA[Visit my website to explore home birth, hospital birth and Medicare-funded private midwifery care. A recent article about factors affecting vaginal birth after previous cesarean has identified some key recommendations for clinical practice as a result of the reviews: Given the potential adverse health risks posed by caesarean sections for both mothers and babies, further work is necessary to lower the rate of repeat caesareans. Hospitals should implement evidence-based local guidelines to increase the uptake and success of VBACs. They should also implement VBAC decisional aids and develop specific clinics in existing antenatal clinics to provide women with clear and [...]]]></description>
		<wfw:commentRss>http://www.sydneymidwife.com.au/2011/07/factors-affecting-vaginal-birth-after-previous-cesarean/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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