S2 EP: 10 Deannah - Three Births, Student Midwife, Miscarriages, MGP (X2), Vacuum, Episiotomy, PPD, PNA, PPR, Water Birth, Homebirth, Postpartum Haemorrhage (X2), Private Midwife.

In today's episode, we had the privilege of interviewing Deannah who shares her journey through three unique birth experiences.
Deannah's first two births were within the MGP program, where she faced challenges such as unwanted interventions and unfamiliar midwives during the birth of her first baby. She discusses how she realised she suffered from postnatal depression (PND), postnatal anxiety (PNA), and postpartum rage (PPR)following her first birth.
In her second pregnancy, Deannah took a proactive approach by researching and securing the support of a known midwife who respected her wishes for a hands-off approach during labour, despite experiencing a postpartum haemorrhage.
Upon relocating to NSW, Deannah encountered limited options for care models due to her location, prompting her to carefully consider her choice of care provider, especially given her higher risk of postpartum haemorrhage. Ultimately, Deannah opted for a private midwife for her third birth, which took place at home. The skilled midwife's expertise proved invaluable as she effectively managed Deannah's postpartum haemorrhage in the comfort of her own home.

Links: 

• Acute PPH
• Management of PPH
• Recognising who is at risk of PPH: targeting anemic women and scoring systems for clinical use. 
• PPH info 
• Comparing the odds of PPH in planned homebirth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK
• Incidence, trends & severity of primary PPH in Australia: A population-based study using Victorian Perinatal Data Collection data for 764 244 births 
• Risk of Severe PPH in low-risk childbearing women in NZ: exploring the effect of place of birth and comparing 3rd stage management of labor.