Post # 1
I’m about 4.5 weeks pregnant and headed in to the ob/gyn for an initial appointment on Tuesday! My husband and I just moved to this area a couple of months ago, and this is sooner than we’d expected to be pregnant, so I’m scrambling a bit to find all my resources. In fact, although I’ve been to the ob/gyn’s office once before, I’ve never actually met the doctor herself, just the nurse practitioner (who I really liked).
Anyway, I figured that it would make sense to make this first appointment to confirm the pregnancy with this doctor, since I’ve been to the office before.
Ultimately, though (assuming that this is a low-risk pregnancy), I’d really like to work with a midwife. The hospital with which my ob/gyn is affiliated has five midwives on the staff, and they say that a high percentage of their patients have natural births, breastfeed exclusively, etc. This all sounds in line with what I’d ideally like to do.
The only problem is that not only have *I* not met any of these midwives, but I haven’t yet met anybody in the area who has.
I’m turning to the wisdom of the Bees for help! How do I decide which midwife to choose? Can I ask my ob/gyn for a recommendation, or is that bad form somehow? How do I make a smooth transition from the ob to the midwife?
Oh, and my mom had gestational diabetes with all four of us kids (despite, or I guess maybe because of, being 5’9″ and 102 pounds), so it’s possible that I could develop this problem, too, right? Would that preclude me working with a midwife?
I’d really appreciate any thoughts that you ladies have!
Post # 3
Whoops, could this be moved to pregnancy? 😛
Post # 4
I work for a major hospital and we have a group of midwives on staff as well. Actually, I think there are 5 here as well… PM me if you’re in RVA.
Anyway, when I was getting scheduled for my prenatal visits I asked to be scheduled at least once with each midwife, since there’s no way to know who will be on call the day I happen to go into labor.
Maybe you can look up online reviews? I’d at least schedule an appointment with someone in the practice to get your foot in the door as some places may have a wait list.
Congrats on the pregnancy 🙂 Good luck!
Post # 5
- Wedding: November 2013 - St. Augustine Beach, FL
@victorianghost: Tell your OB/GYN your interested in using a midwife and see how they react. They may not like midwives at all or they may have a aprticular one they like to work with. If they don’t like midwives at all then you may want to reconsider which OB you see.
Post # 6
Thanks you–I will definitely use both of those ideas! 🙂
Post # 7
If you want to work with a midwife, and if you haven’t seen the OB yet, I would actually just go ahead and make your appointment with the midwife.
There’s nothing wrong with switching providers, either, if you end up seeing one first but deciding that you want to pursue something different. Some OBs are supportive of midwifery, others have a negative attitude toward them, but ultimately it’s your pregnancy and if that’s your preference, that’s what you have to pursue. An OB doesn’t get to decide if they will “let” you work with a midwife, or give you permission to use one – but it also puts them in kind of a weird position if you go to them and then start asking about midwife care. It’s kind of like, “well, why did you come to see me, then, if you actually want something different?”
With a midwife, on the other hand, she will refer you to an OB if your situation warrants it (such as if you develop uncontrolled gestational diabetes). You should talk with the midwives you’re thinking of working with to find out what a GD diagnosis actually entails. If you were going to be giving birth in a hospital to begin with, it may not matter. If you had hoped to give birth at a birth center, being diagnosed with GD might mean that you get “risked out” of the birth center and have to give birth in its affiliated hospital, but you might still be able to have the midwives attend you. If the GD is severe and you have problems controlling it, the midwife might then refer you to her cooperating physician. It very much will depend on the details of your individual situation, but the nice thing is that the midwife will spend significant time with you and get to know you as an individual – she will know those details really well, you won’t just be a name and some numbers on a chart.
Post # 8
- Wedding: October 2011 - Bed & Breakfast
I would check Angie’s List to see if there are any reviews of any of the midwives you are considering. You can also ask on the local boards of The Bump and see if any local ladies have thoughts or advice for you. Good luck! and congrats!!!
Post # 9
I’m using a midwife, we found via a midwives alliance in my state. I have a back up OB but honestly, he and his staff aren’t exactly friendly to DH and I but in case of emergency we have one. I love our midwife though, I had some issues come up a while back with high BP and heart palps and all the OB did was basically scratch his head and say well it’s not preeclampsia we’ll monitor you. Meanwhile I’m feeling like crap and getting very discouraged. My midwife on the other hand felt I could be having some anxiety based on some past experiences, she got me on some homeopathic remedies and made herself available for me to call and talk things out and work through some of my emotions and guess what, bp is lower than it’s even been in my life heart palps gone everything is going wonderful, and I truly believe if I was only seeing an OB I’d still be having problems and they would’ve just put me on BP meds.