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On her recent Australian tour, hosted by Maggie Dent, registered child psychologist and founder of Wishing Star Lapointe Developmental Clinic, Dr. Vanessa Lapointe disclosed her ultimate formula for parenting. Offspring shares her advice.

If you’ve ever wished your baby came with an instruction manual, you are not alone. Parenting can be overwhelming and there’s so much conflicting advice it’s hard to know how to best parent your children. Thankfully, Dr. Vanessa Lapointe dispels common myths in her guide to laying a healthy foundation for the baby and toddler years, Parenting Right From the Start. She asserts that there is a way to successfully navigate the struggles of parenthood whilst fostering a sense of wellbeing in your children. It’s all down to a simple parenting formula:

1 – Make sense of who you are

2 –  Understand your child’s needs

3 –  Step in.

Let’s break it down step by step:

1- Making sense of who you are

Dr. Vanessa Lapointe makes it clear that you will parent as you were parented. This means you need to assess your own upbringing and evaluate the parenting patterns that dominated your own childhood.

Typically, these are not comfortable revelations. However, Dr. Lapointe is quick to point out that all parents do the best with the tools they have – in the era in which they were parenting. She argues that most adults these days will have been parented according to ‘behaviourist’ principles.

This way of parenting was focused on manipulating a child into behaving well. This was because ‘good’ behaviour was considered equal to ‘good’ parenting. You can still hear the hangover from this style of parenting in today’s parenting pop culture: How often do you hear, “Good boy” or “Good girl”? Often, strategies such as ‘consequences’ were devised to encourage children to adhere to the rules.

One such strategy is the principle of a time-out. In a time-out, a child is removed from a situation because they are behaving poorly. It’s the equivalent of making a child stand in the corner. The parent does not make eye contact, the parent does not give the child their voice and instead removes all connection. The problem with this model is that the most important thing for a developing child is connection.

Reward charts do not fare much better. Dr Lapointe is quick to point out that a sparkly gold sticker might be great to praise a particular behaviour, but the flip-side is it quickly becomes the ‘not-star chart’ meaning that all other behaviours do not get a star and so the child feels punished.

So traditionally we have coerced our children into ‘behaving’ by removing the one thing they need the most: connection. These old methods do usually get results, at least at first, but Dr. Lapointe cautions that it comes at a cost. To highlight this point, Dr. Lapointe refers to the ‘still face experiment’ where a mother engages with her baby as she would at home, before turning and clearing her face of all emotion. When she turns back to the baby she has a completely ‘still’ face. She has disconnected. It’s not easy to watch. The baby becomes very distressed until the mother re-engages and connects.

Thankfully, Dr Lapointe says, “Now, we know better”.  By understanding and making sense of who we are, we are in a better position to parent differently.

2 – Understand your child’s needs

The second part of the parenting formula involves understanding your child’s individual needs, and not setting the bar too high.  Most children need time to develop and grow. If we choose to rush childhood in order to make our lives easier, it can have a long-lasting negative impact.

Dr. Lapointe highlights our need to grow children who are capable and independent without stopping to consider what is really age appropriate. She likens this rush to pulling on the top of a plant. A plant will not grow faster or better if you are pulling on the top of it; instead this will uproot it and cause damage. It’s the same with child development.

One area that parents are keen to rush (for obvious reasons) is sleep training. Sleep training is a key area of tension, conflict and comparison among new parents. Many new mums find themselves sneaking the cot back into the main bedroom or cuddling their child to sleep every night but feeling guilty that the child will never learn to ‘self-soothe’. Dr Lapointe reassures new mums that being attentive and fostering that intimate relationship with your new baby is absolutely the right thing to do. Babies who feel loved, connected, safe and secure will develop as nature intended and will eventually learn to settle on their own when the conditions are right.

She suggests that sleep training is in fact for adults. It is adults who need to learn to create the right environment for a secure and settled child, everything else will follow on if they have the number one thing that all children need: connection.

 

All children progress through various stages of brain development as they grow. Psychologist Dr. Gordon Neufeld shines a light on the way children make sense of their relationships and how parents can tune in to support them:

Year One

The attachment relationship is understood in sensory terms: Babies want to taste, touch and smell you.

Year Two

In the second year of life children add to their sense of attachment through sameness. They want to see the similarities between you e.g. Mummy likes apples just like me!

Year Three 

A child makes sense of attachment in their third year through as sense of belonging and loyalty. They are likely to become very possessive at this age e.g “My Mummy!’ A secret handshake and saying, “My boy” or “My girl” will help a child of this age feel connected.

Year Four

This year a child wants to feel significant. They want to feel that they matter.  Typically they will show you every drawing they do, seeking attention and to feel important. Try to give them this attention and stay one step ahead by thinking of ways to show them they are special.

Year Five

The feeling of love truly resonates at this age. Expect lots of drawings of love hearts! Reciprocate this new feeling of love to help your child feel connected to you at this age.

Year Six

Although falling in love with you seems like the most profound connection, in their sixth year they will feel truly known. They understand that every aspect of them (the good, the bad and the ugly) can shine through in the restful knowledge that all will be accepted.

3- Step in.

This is about being the parent. Offspring recently shared a free excerpt from Dr. Lapointe’s new book in which she discusses ‘parental swagger’. This is about being ‘large and in charge’ whilst being respectful of what your child needs you to be in any given moment. Children need to know that you’ve got this.

Dr. Lapointe describes the parenting mountain, where every parent wants to sit at the peak and enjoy the spectacular views.  The problem is that it is easy to slide off of this peak and fall down one of the sides: Either down a bullying, emotionally distant and disconnected slope or conversely down an overly kind, pandering and ‘jellyfish’ slope.

The first slope sees us so determined to enforce rules that we forget to connect with our children. It is the remnants of the behaviourist parenting theories. However, the other side is no better. This side sees you reluctant to maintain control and be in charge, it sees you lacking ‘parental swagger’ and is equally harmful for child development.

What your child needs, at any stage of development, is a balance of both. Everyone has off days but if you can provide an environment where your child feels seen, heard and connected to you then you are on the right track.

Your child needs to be able to lean on you as they navigate their childhood. If you are yelling at them or shaming them for behaviour you don’t like, are they likely to want to lean in to you and to show you their most loving side? No, of course not.

Conversely, if you agree to everything they ask and let them do as they please, are they going to feel that you are strong enough to guide them through life’s challenges? No, they won’t.

So what does parenting ‘right’ really look like?

Let’s use the formula on a real-life scenario:

Imagine your child is having a meltdown in the middle of the supermarket because you won’t let them have a cookie right before dinnertime.

1- Making sense of who you are

In this case you need to check in to understand your response to their meltdown. Are you feeling stressed about the judging eyes of other people around you? Do you feel like you just want to give in to make this behaviour stop so you won’t be embarrassed?

Acknowledging these feelings is the first step in being able to break the cycle so that you can parent better.

2 – Understand your child’s needs

No matter how old your child is, they need to be seen and heard. They need you to get down on their level and calmly tell them that you understand it’s disappointing that they got a ‘no’ when they were hoping for a ‘yes’. Disappointment is a tough emotion to regulate, and they need to learn these skills from you. Acknowledge your child’s emotional response. It’s a normal part of healthy development!

3 – Step in

Now step in with your parental swagger and be the parent. Use your ‘large and in charge’ voice to firmly reiterate that, “No, they cannot have a cookie before dinnertime”. Note that you do not have to justify yourself. Getting into a battle about whether or not they will eat their dinner is starting to have ‘jellyfish’ tendencies and is not helpful. Young children are not at a developmental age to rationalise consequences of eating a cookie now and its impact on their appetite. That’s your job.

Just step in and be the parent.

Cultivate an intimate relationship that is kind, caring and connected whilst maintaining a good degree of parental swagger. Do that most days? You’re getting it right.

“If I can’t find my perfect job, then I need to create it.”

This was the catalyst that encouraged 33-year-old Perth mother of two, Chevon Semmens, to launch Little Land, an interactive role-play centre for young children to play and learn.

 

From a young age, Chevon had a passion for play, she aspired to work with children and own a childcare centre. Despite these dreams, Chevon opted for a career in marketing and advertising.

 However, her interest in play and learning persisted. Chevon volunteered for over 10 years with Radio Lollipop, providing entertainment to children during their stay at Perth’s Princess Margaret Hospital. Chevon recalls always finding a way to integrate play and learning, even if they were “just playing Uno.”

While on maternity leave with her first child, Chevon stumbled across a photo of a little girl with a child size shopping trolley at a role play centre in the UK. Chevon was excited by the idea of a role-play centre, “I knew this concept would come to Perth eventually and was looking forward to being able to take my own children.”

 

Prompted by a desire to transition into a different career, Chevon used the opportunity of maternity leave to consider her options and compile a list of priorities, “I wanted it to be a business that involved working with children and it had to be something creative”.

Photo credit: Lanie Sims

“I knew my ideal job probably didn’t exist, so I had to invent it.”

Inspired by the image of the little girl with the shopping trolley, Chevon announced to her husband Kayne, “I am going to open up a role play centre. He thought I was mad.”

With unyielding determination, Chevon took on the challenge of convincing her husband she could make this dream a reality.

Chevon’s family and friends became sounding boards for her new venture. “Many thought it was a good idea but probably never assumed I would go through with it, while others felt the idea was too gimmicky.” Undeterred, Chevon used their constructive feedback as encouragement to eradicate potential flaws.

“I knew the concept could work and I knew I would enjoy taking my kids there, but would others?” Chevon put together an advisory group, consisting of Paediatric Occupational Therapists, Paediatric Speech Pathologists, Early Childhood Educators, Primary Teachers and professionals who worked with children with autism. Chevon used their expert knowledge in conjunction with her marketing expertise to educate parents about the benefits the role play centre would bring.

Despite Chevon’s confidence and robust business plan, the process from conceptualisation to delivery was anything but quick. Two years of extensive planning included a painstaking search for the right premises.

“I did not want to settle for a half option. The location needed to be central, close to families, with plenty of parking and onsite facilities.”

In the midst of the search, falling pregnant with her second child threw another “amazing spanner into the works.” Financially, Chevon also needed enough money to launch the business. Rather serendipitously, she was offered voluntary redundancy from her existing day job. “It happened to be the exact amount of money needed to get the idea of the ground.”

The dream was about to become a reality.

Chevon opened the doors of Little Land in May 2019. “We were fully booked for the first three months” and the success has continued, with some ebbs and flows in the mix, as they approach their one-year anniversary.*

What can someone expect from a trip to Little Land?

Little Land offers a welcome break from the usual loud colours and noises you expect of a childcare centre. “Many parents comment on how surprised they are at how calm the environment feels.” The welcome area is filled with calming pastel colours, while the sound system plays modern songs in the form of lullabies.

Beyond the welcome area, you will find Little Land’s ‘little town’, complete with a shopping centre, school; home; doctor’s surgery; café; hairdressing salon; construction zone and veterinary practice.

Role-play is at the forefront of play between the ages of 18 months and 8 years and so each area is uniquely designed to meet the needs of children within this age range. The numbers are kept to a maximum of 30 children per session with a total of four sessions per day to avoid overwhelm for the children.

Children are given the opportunity to explore formal settings in an informal way, enabling them to take control of the experience. Many children were recently role-playing evacuations and ‘safety first’ procedures following recent bush fires. Parents who visit the centre express how valuable it is for children to be able to visit these locations on a small scale and at their own pace.

What does the future hold for Little Land?

Chevon is proud to announce Little Land have worked with the Autism Association in Western Australia to launch weekly ‘Sensory Sessions’. “We reduce the number of people who attend, change the format and provide a story book for children to read beforehand of what to expect, we also use a timer instead of a bell to mark the end of the sessions.”

Chevon’s dream is for play and learning to be accessible to all Australians. “We currently have people travelling over an hour to see us, so I would like to possibly open a second location to make it more accessible. We have also launched several pop ups, including four stalls at local events and shopping centres to help spread awareness of the benefits of our centre.”

How to balance motherhood and business

As a mum to three a half year old Zack and 16 month old Archer, Chevon admits life can get busy.

“Someone said to me recently, maybe it’s not so much as trying to find a balance between being a mother and business owner, perhaps it’s finding a blend of the two.”

“I am fortunate that I have a great husband who helps pick up the slack, whether that’s with our children or the business. We try to eat well and get as much sleep as you can with a 16 month old.”

Chevon and her husband make time for themselves separately to re-energise, “I try to get up earlier a couple of days a week to go for an hour long walk, this gives me the energy I need for the next couple of days.”

Chevon also has a day that is non-negotiable, “I always have Mondays with my boys, to play and just spend time with them, it revitalises me and reminds me how we never stop learning.”

Photo credit: Lanie Sims

Despite the huge success of the business, Chevon has realised it’s the small wins she celebrates, “I found in the initial stages of Little Land, we were so busy ‘doing’ that we didn’t stop to appreciate what we had achieved, so now we make an effort to regularly pause and express gratitude for what we have accomplished.”

Keep up to date with the latest Little Land news, @littleland_perth

Thank you to Photographer, Lanie Sims for all images supplied in this article.

 *Due to the COVID-19 pandemic, Little Land has closed for the unforeseeable future. During this time, we’re determined to continue inspiring play and learning for the community and we hope it isn’t too long before we see the return of big smiles on little faces as they run through our big and little doors to wander and explore the magic.

 

The novel virus known as COVID-19 started as a collection of similar cases emerging from Wuhan, China-  a city with a population of over 11 million.  

Australia was in the process of healing from a devastating fire season when the Coronavirus (soon to be titled COVID-19) became national news, with the World Health Organization (WHO) having heard the first reports of COVID-19 on the 31st of December 2019.

In the months that have followed the pandemic has spread across the globe, encompassing Australia and leaving millions without work, or at the very least financially affected by the virus and the subsequent lockdowns it has caused.

These are uncertain times, and as many of us wait for news of government aid, job opportunities or when our old lives will get back to normal, many are left without an income.

Below are some practical ways to lessen the financial stress during the disaster movie scenario we have found ourselves in.

Monitor what comes in and out of your bank- and eliminate the non-essential items

For many of us, we have multiple cards and multiple entertainment platforms, programs and everyday expenses that are direct debited.

This is convenient usually, but if you are now left with no income, that outcome needs to be cut down. Have a look on your outgoings on your banking app and make a list of what you pay every month- do you really need to be spending $25 a month on a live sport platform when all sport is postponed? Or could you be using that $25 on food and utilities? Unfortunately, the time for luxuries is not right now, so cut your expenses accordingly.

Call and ask for extensions/account freezes/pause in payments

Do not be ashamed to ask for help, we are all in this together. Many corporations and businesses are being very understanding in this time and providing extensions and pauses for payments.

Afterpay for example can give extensions/pauses in payments if you contact them and discuss your situation, the same could go for various other payments you may have coming up, so don’t be scared to ask! The following link discusses electricity companies that will be providing extra help for their customers during this crisis. https://www.finder.com.au/financial-hardship-programs-utilities

Live that vegetarian lifestyle

Meat is expensive and perishable, and with supermarkets losing the battle against panic buying shoppers, meat and other basics are hard to find. Do not panic or bulk buy– it is unfair on everyone, especially the most vulnerable.

Buy beans, lentils, grains- these are cheap, filling and last a long time- check out this lentil dahl recipe that is perfect for meal prepping and super tasty! https://www.youtube.com/watch?v=x4pDLh11nmA

Keep up to date with the government’s response to the pandemic and if you are eligible for Centrelink payments

There is a lot of information regarding the COVID-19 in the media that is constantly updated, and the same goes for details of government assistance and how to access Centrelink payments if you now find yourself out of work. The below article by ABC shows a step by step guide to applying for Centrelink if you’ve never used the system before and is updated regularly as the situation progresses. https://www.abc.net.au/news/2020-03-24/coronavirus-how-to-apply-for-centrelink-jobseeker-newstart/12083948

Think of others and act accordingly – stay inside! 

Stay inside and practise social distancing, this won’t last forever, but it is important we all do the right thing and act with everyone in mind. We will all get through this by acting as a community, spreading kindness and thinking of our most vulnerable.

In her new book Mind Kind award winning child psychologist, Dr Joanna North, advocates for a new approach to parenting that has kindness and self-compassion at its heart.

The experiences and information discussed in this piece are an edited extract from Mind Kind (Exisle , 2019) by Dr Joanne North, which you can find here.

Over many years of practice with families and my own experience of parenting, I have concluded that love is not, in fact, enough to make you a good parent. I have seen many parents, who without doubt have loved and adored their children, have their children taken out of their care by local authorities.

This is, of course, extremely sad but parents who love their children don’t necessarily help them to develop in a healthy or psychologically coherent way and may take their eye off the task sufficiently that their children are in danger or lose out and are disadvantaged. Conversely, I have met parents who have everything imaginable in their lives in terms of privilege, financial security and status, but this is not the same as offering love and good parenting, and so their children still lose out in terms of feeling secure and loved, despite all these other resources. There are many parents who have very little materially but are able to provide secure and commendable parenting to their children so that they grow up to seek advantageous opportunities.

Many parents, who…loved and adored their children, have their children taken out of their care by local authorities.

So what are the forces at work that guide parents down the right or wrong road and what are the goals we are heading for? Along with commitment, I advocate a more mindful approach to parenting. .

While I don’t want to prescribe a framework, I have put together a set of principles and concepts that I have learnt are of importance to the task. These principles and concepts could be broadly termed as leading to ‘mindful’ or ‘mind-minded’ parenting that is focused on the developing mind of the child and can be corralled under the term ‘Mind Kind’. I want parents to learn the skill of being kind to their child’s mind I intend to make it easy for you to think about these things and have developed the acronym of PATACCAKE, which describes the desirable emotional/feeling states or qualities in parents (rather than a desirable set of prescribed behaviours) that combine to make for Mind Kind parenting. PATACCAKE stands for:

Patience

Acceptance

Tolerance

Attunement

Commitment

Compassion

Awareness

Kindness

Empathy.

We can’t come up with these constructive emotions and states of mind all the time and we are going to have days when we can only just get through living in an accepting way. We all have to live with our reactive emotions and soothe them as best we can, and really, what would life be if we did not have this reactivity to deal with, and how would we teach our children? Polarity is very much part of the world in which we live. But PATACCAKE is a reminder of where we can be, what is hopeful and as an ideal to aim for when we can.

Love is not…enough to make you a good parent.

Sesame seed

I have also built the acronym SESAME SEED. The themes of ‘sesame seed parenting’ form the cornerstones of being a Mind Kind parent and offer the major clues to achieving parenting that makes your children feel good.

Secure

Secure parenting can be achieved by parents who want to know how to support children to feel stable, secure and able to cope with life. This means the child feels good from the inside because they acknowledge their emotional life, including thoughts, feelings and emotions. They will also have some sense of how to organize, manage and regulate these very real forces that flow through their lives for the rest of their lives. Thoughts and feelings affect behaviour and wellbeing, and they represent the workings of our mind. This means that by paying attention to the inner world of children as well as the outer world, parents are offering enduring skills and support through their relationship with their children.

Emotion

The neuroscientific reality is that our emotional lives deeply influence our mind, brain and wellbeing and are a force for survival and contentment rather than an annoying human tendency to be ignored.

Emotions are a communication to us about our sensory response to our environment, our experience of it and our security within that environment. Parents who are mindful of emotion will help their children experience the broad range of their emotional lives and manage these emotions as a flow of energy and information about themselves, their relationships and their environment. Emotions can range from the depths of despair to the heights of joy and we are made to travel through this range, rather than get stuck in one predominant state.

 

If we can help our children to understand that minds can change, and to be patient with moods and tolerate uncomfortable states of mind, we will be truly helping them to successfully survive.

Symbolic behaviour

All behaviour is a communication about life and a set of symptoms of what is going on for a child in their environment, and their thoughts and feelings about this. We have to help our children become aware of and manage their own behaviour and channel into positive outcomes the natural energetic impulses that are part of life.

Most behaviour relates to human need. Therefore, behaviour is likely to be a map of our child’s needs. If we don’t like it we shouldn’t blame them for it. Instead, we should look at why it is happening and what we can do to change that. We could remember the five basic needs; the need to belong, the need to achieve, the need for fun and enjoyment, the need for freedom and independence and the need to have a sense that we will safely survive. If parents are not fulfilling the totality of these needs, their children will act this out. We need to learn the craft of understanding emotion, thought and behaviour.

Five basic needs; the need to belong, the need to achieve, the need for fun and enjoyment, the need for freedom and independence and the need to have a sense that we will safely survive.

Adversity

Life is never going to be without challenge or change. You have to be prepared for periods of adversity and ‘mend the roof while the sun is shining’. This means that parents have a grip on the realities of life and are prepared for how to cope when children need more of their help than usual.

It is a certainty that life is going to happen to you, just as it does to every other parent around the world. The cycle of life, death and birth, growth and regrowth is just about the only reliable cycle that we can be sure of.. So it is not a case of if you will meet something difficult in your life but when. While we face up to how difficult life can be, we also face up to how resourceful we can be as humans and what we can do when the going gets tough. There are few magical solutions, but we can put in imagination and effort to finding real solutions.

Mindfulness and mental health

Mental wellbeing for children could be described as helping them to organize their minds, along with organizing your mind. You will be making that journey to recovery with your child. Your reaction and response to any condition is going to contribute to their recovery. They will need you to feel stable, informed and sure-footed. They don’t need your anxiety about them to be added into the mix. It is hard for loving and committed parents not to feel panicky about their children at times — this is only natural. We need to attend to our fears and then move forward. Parents and carers need to understand what is happening in their own mind so that they can support their children from a position of strength and security.

Errors in parenting

You will make errors in your parenting. It is not so much the error that you make but the way you put it right that will mean something to your child. So after you shout and overreact (which we have all done) try to understand the situation and talk with your child about it, explaining your reaction and setting out a new plan for a better result next time — both in you and in your child.

After you shout and overreact…try to understand the situation and talk with your child about it, explaining your reaction and setting out a new plan for a better result next time.

Sense of self and self-image

Regardless of the society we live in, image is important. Archaeology is constantly proving to us that men and women in ancient civilizations (Egypt, for example, some 4000 years ago) were just as focused on what they looked like, as well as what they felt like, spending time on artefacts for themselves and their environments, using make-up and painting their experiences in their homes and temples. It is our creative and social instincts that make us focus on how we choose to present ourselves, but there are psychological issues in play because our self-image is based on our sense of self and how we feel we are accepted within society. We expect teenagers to experiment with self-image while deciding who they are and how they want to be, and we may be surprised at who they want to be.

 

Eating and self-worth

Ultimately you and your children will become what you eat. You have to decide whether you want to feel like a sugar-coated dough monster or a vibrant vegetable or fruit creature. Or maybe somewhere in between. It is almost certain that you will feel like what you eat and that you will eat in a way that is complementary to how you feel. Food as a source of emotion and love our relationship with food as a metaphor for our relationship with ourselves.

Empathy

Empathy is a tool for understanding your children. Empathy might be the nearest substance to magic fairy dust that we humans have. You will have to decide by practice what you think. Empathic responses, rather than immediate reactions, will tell children that you are at least trying to understand them and willing to work with them. Every child and human needs empathy, from when they are the tiniest one hour-old newborn. It is the base for your parenting and love for your children.

 

Development

Childhood is a journey rather than a destination and children are always travelling in themselves as they grow and develop. It is probably one of the most miraculous things to watch as your children grow, but it is also quite subtle, and some parents find this threatening and don’t want their children to explore new pathways of being themselves as their minds develop. It can be confusing as children change dramatically in their outlook and behaviours or it can be a joyful dance to celebrate life — and in reality will probably be a mixture of both. It helps to inform yourself of some of the expected milestones of development so that you can at least have a map of the journey that is being taken and be prepared.

The most important thing we can be to our children (or anybody else’s children) is kind. The term ‘mind-minded parenting’ tells us to think of the child’s mind as we watch them grow. Always try to think about their developing mind and their developing sense of themselves. Minds grow best in positive emotional environments where children feel understood. If there is one idea to take away it is that whether your children are being really naughty or really perfect, whether they are very settled or quite disturbed, at all times they need your attention and your kind attention to the detail of their lives.

 

You have to learn to be kind to their developing mind — Mind Kind — and to do this you are also going to have to learn to be kinder to yourself. You cannot give to your children what you have not got inside. This includes the principles of sesame seed thinking combined with qualities of that lovely childhood nursery rhyme PATACCAKE. We can bring PATACCAKE qualities to mind any time we choose. Instead of coming at a child with frustration and rage we could stop to think PATACCAKE. Without these innate universally positive qualities flowing in the environment of your child’s life they will not thrive and — in my view — nor will humankind.

This is an edited extract from Mind Kind (Exisle , 2019) by Dr Joanne North, available form www.exislepubishing.com and wherever good books are sold. RRP $32.99

Choosing where to give birth is one of the biggest decisions you will make during your pregnancy. Whether you are contemplating public or private care, there are several important factors, as well as possible alternatives, to consider when choosing the best maternity care option for you and your family.

Finding out you are going to be a parent is a very exciting time, but making decisions about the right maternity care for you and your new baby can be a bit overwhelming. We take a look at some of the maternity care options available.

Private Care

If you have maternity care included in your private health package, you may wish to choose private care for you and your baby. If you receive care through the private system, you choose a private obstetrician, who will care for you from your antenatal appointments, right through to the birth and postnatal check-up.

Dr Stephen Lane, president of the National Association of Specialist Obstetricians and Gynaecologists (NASOG), says in the private system, the baby is delivered by very experienced caregivers, with obstetricians going through six or more years of specialist training, on top of their five or six-year medical degree.

He says the most common reason many people choose to have a private obstetrician is continuity of care.

Dr Lane says some considerations expectant parents think about when choosing an obstetrician include:

Gender (for some women, choosing a female obstetrician is important)

Location (“Is there a suitable carpark that is accessible? Are the rooms easy to get to? I think these things are important to consider,” says Dr Lane)

The obstetrician’s desk staff (“If the desk staff are friendly and approachable that is a good sign,” Dr Lane says. “It gives a good feel that they are a mirror of the person you will be seeing.”)

Cost (Dr Lane says the majority of obstetricians and gynaecologists in Australia charge well below the Australian Medical Association’s rates, with the average out-of-pocket cost for delivering a baby throughout Australia around $2000).

Note: Ask about your chosen obstetrician’s fee schedule and check with your health cover provider to find out exactly what is covered so you can be prepared for any out-of-pocket expenses.
“Australia is recognised as one of the safest countries in the world to have a baby, and this is a reflection of the world class education our specialist obstetricians and gynaecologists undertake, with many completing more than 12 years of study and training,” he says. “NASOG believes that the care provided by specialist obstetricians and gynaecologists is worth every cent to the patients who enjoy improved health outcomes as a result of our professional care.”

Katie Lavercombe says she chose a private hospital because she wanted to be able to access any pain relief that she wanted during childbirth and was afraid her wishes might not be respected at a public hospital.

“I loved giving birth at a private hospital, the care was great, it was never too busy, and the staff were attentive,” she says. “We loved being able to stay together as a couple and have time to bond with each new baby.”

Katie is currently pregnant with her fourth child and does not have the right level of cover to choose a private hospital this time, so is receiving care through the public system.

“We are utilising the public system, and while it is full of hard working doctors and midwives, there are long wait times at each appointment, meaning a large chunk of my time is taken up by waiting for medical appointments,” she says.

Crystal Henderson decided to have her daughter at a public hospital because her GP recommended it. “We had planned to go Private, but when he recommended it, along with many of our friends, who shared their very positive birth stories after giving birth in public hospitals, we thought we should at least look at it,” she says. “When we went to the public hospital, and they took us through the rooms and birth suites, we were blown away.”

Ms Henderson says she was very happy with the care she received. “There (were) some minor complications during the labour and I needed extra medical assistance, however I felt very safe, in control and informed of everything the whole time,” she says

Shared Antenatal Care

If you have a great relationship with your trusted family GP, then shared antenatal care might be an option to consider. In a nutshell, antenatal shared care involves a woman’s appointments being shared between maternity care providers (usually GPs, midwives and obstetricians), and is most commonly between a GP and maternity staff in a public hospital.

Dr Wendy Burton, chair of The Royal Australian College of General Practitioners’ antenatal/postnatal care specific interest group, says women choose to have shared antenatal care with their GP for a number of reasons.

“They may have a good relationship with their GP and are confident that they will be well taken care of,” she says. “The GP’s rooms may be closer or more convenient than the hospital/obstetrician or GPs may work extended hours, making appointments easier to plan around work commitments.


“Antenatal shared care involves a woman’s appointments being shared between maternity care providers – usually GPs, midwives and obstetricians.”

“The best models of shared antenatal care involve a collaborative team effort with well-informed GPs communicating effectively and efficiently with the other providers of care,” she adds. “If your usual GP is not up-to-date with current best practice for antenatal care, they may be able to recommend another GP who is better placed to provide care for you.

Work is currently underway to create digital records and an app for women, which will give additional options for the sharing of the pregnancy health record.”

Your Support

Who will be your support person when you welcome your baby into the world?

Many women will choose a partner, family member (such as their Mum) or a close friend to be their support person. However, there are some options to consider.

For example, a midwifery student is a good choice. They will attend antenatal appointments with you and, if you consent, can also attend the birth.

Another support option is a doula (a professional, non-medical birth and/or postnatal companion who is able to provide continuity of care, and emotional and physical support during pregnancy, birth and the postpartum period).

Michelle Perkins, chairperson of Australian Doulas, says many women hire a doula after experiencing a negative or traumatic previous birth experience.

“Some hire a doula to help them understand the maternity/obstetric systems. Some hire a doula to provide emotional and physical support if they do not have a partner, or if they believe their partner may also need support and guidance.”

Home Birth

Do you want to have your baby at home?

Grace Sweeney, coordinator at Homebirth Australia, says a woman who chooses to birth at home is guaranteed to receive continuity of care from a known midwife.

Ms Sweeney says the most important thing that a woman considering homebirth needs to do is to seek out a midwife as soon as possible.

“Nearly a decade of a sustained witch hunt against homebirth midwives has meant that midwives in private practice are scarce, and book out early,” she says. “It’s worth doing research on midwives in your area before you’re pregnant and making a booking as soon as your pregnancy is confirmed.”

Dr Lane says NASOG does not support home births in Australia.

Sarah Purvey decided she wanted a homebirth for her first child. “I had two private midwives,” Sarah says, when asked about her care. “A primary midwife came to my house regularly in pregnancy, so I built a very close relationship with her in that time and all the options for tests and injections were managed by her, with my consent and our discussions about them first. My primary midwife was there during the birth and then I had a second midwife attend shortly before my babies were born. For my first birth, I was also supported by a private obstetrician. I saw her a few times during pregnancy and she was open to supporting me, if I needed to transfer to hospital, if I needed more medical support from home.”

She says her experiences were wonderful and empowering.

“My first birth was very tough, long and in the end, I did transfer to the private hospital with my obstetrician, as I had a long second stage. In the end, I had an episiotomy, which couldn’t be done at home. This was handled beautifully by my midwives and by my obstetrician. I spent about 30 minutes continuing to labour in the private hospital, once I arrived, then we all discussed the option to do an episiotomy. I consented and this was done well. I felt wonderful when my baby arrived, despite 18 hours of active labour and a previous night of no labour.”

“Second time was much easier – four hours of active labour and my baby was born in to the water, straight into my arms and onto my chest.”