Midwife Rach

21/03/2026

21/03/2026

👩‍⚕️ Is it better to see the same midwife or a small team of midwives throughout pregnancy and labour?

Evidence from 17 studies involving 18,533 randomized women was included in this updated systematic review.

Women or their babies who received midwife continuity of care models (seeing the same midwife or team of midwives) were:

⚕️ Less likely to experience a caesarean section or instrumental birth with forceps or a ventouse suction cup.

⚕️May be less likely to experience an episiotomy (a cut made by a healthcare professional into the perineum and vaginal wall).

⚕️More likely to experience spontaneous vaginal birth.

⚕️Reported more positive experiences during pregnancy, labour, and postpartum.

⚕️Additionally, there were cost savings in the antenatal (care during pregnancy) and intrapartum (care during labour and birth) period.

Further evidence may change our results, and future research should focus on the impact on women with social risk factors and those with medical complications, and understanding the implementation and scaling up of midwife continuity of care models, with emphasis on low‐ and middle‐income countries.

Read the full Cochrane review: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004667.pub6/full

13/03/2026

Super adorable 🥰

Introducing Ozzy Matilda Osbourne 🤍

11/03/2026

IYKYK 😝

You’d be amazed how many people think moms who breastfeed past 12 months are “doing it for themselves.”

Meanwhile the reality is usually a 25 pound toddler hanging off your shirt like a tiny gymnastic koala refusing to retire from the milk bar.

Weaning isn’t always a mom clinging to breastfeeding.

Sometimes it’s a mom gently saying
“Okay sweetheart… maybe we’re ready to stop.”

And the toddler responding:

“Absolutely not.”

Anyone who has ever tried to wean a determined toddler knows exactly what I’m talking about.

Sometimes the hardest part of extended breastfeeding isn’t starting.

It’s convincing the tiny milk enthusiast that the café is closed.

11/03/2026

Homebirth Availability for 2026 💫
📍Illawarra, Shoalhaven, Nowra & Southern Highlands Regions
💌 DM for inquiries or email rachel.ianni@midwiferach.com.au

28/02/2026

Supporting families is such a privilege, and to continue offering calm, focused, and compassionate care, I’ll be taking time off throughout November and December to rest and recharge.

I won’t be on call during this time. Messages may also be a tad slow.

Thank you for your continued trust and support 💜

25/02/2026

Pregnant and feeling unwell?!
Give myself or Louise David Private Midwife & Homebirth Services a message x

22/02/2026

It’s important that individuals and organisations speak up about injustices of any sort.
Much like Nathan I feel the need to speak up about the injustices that women face within the system.
Staying silent will not create change. But shining a light on injustice will.
You cannot silence us all! 👊🏽

If you want something to change, you need to make noise.

Noise creates pressure — and pressure forces systems to act.

I’m fortunate to have millions of legends around the world who help make that happen. This is not political. This is not for my own gain, this is a no brainer to use the platforms for good.

This is me righting my wrongs from 20 years ago and using the platforms I’ve been given to help others — because social media is a powerful place when it’s used properly.

If anyone wants to bag me, I say this:
👉 Pick up a lawnmower and spend a day with me.
You don’t know me, or what I’m about.

Right now, the pressure is on Blacktown Council to step up. I’ll be watching closely over the next few months to see what actually gets done in Bidwill.

If nothing changes, I’ll be back — and I’ll go harder.
They’ve been given the chance to do the right thing, not hope this slides under the carpet.

For me, it’s simple:
You get paid — do your job.
If you can’t, let someone else do it.

You’re voted in by the people, and you have a responsibility to the people. Yes, it’s a two-way street — the community needs to play their part as well. But community come first before pay rises and new offices.

And if you think all this rubbish is dumped by locals, I’ll tell you now — a lot of it is dumped by outsiders who know nothing will happen here.

Communities matter. We all have a role.

I couldn’t care less what Blacktown Council thinks of me right now — because at the end of the day, who’s the one cleaning up Bidwill?

🎥 The video is in the comments.

21/02/2026

Two days earthside 🤎

This sweet baby is pictured at 48 hours old, still connected to his placenta as part of a lotus birth. This was a choice made by his parents as part of their birth preferences and values.
A lotus birth typically involves leaving the umbilical cord and placenta attached until they separate naturally.

While some families feel deeply connected to this approach, it’s important to note that it is not routinely recommended by health professionals due to potential risks, including infection.

My role is to support families with balanced, evidence-based information so they can make informed decisions that feel right for them.

Every birth journey is unique, and respectful, & open conversations matter. 🌿