Midwife/Birth Center Care?

posted 3 years ago in Pregnancy
Post # 2
Member
728 posts
Busy bee
  • Wedding: July 2013

Congratulations!! I think the first step is knowing what is improtant to you. Having a water birth, having immediate skin-to-skin, and support with exclusive breastfeeding are three things that are really important to me. Therefore, I focused on asking questions about those things. I asked about the birth center’s policies on each one and asked for any other resources (classes and pamphlets) they had on the topics. If you aren’t sure what you want quite yet, it might be a good idea to just ask about the birth center’s usual practices and see what appeals to you. Good luck!! 

Post # 3
Member
2598 posts
Sugar bee
  • Wedding: October 2011

wandering_gypsy:  I’m going the birth center route! It is definitely cheaper than a hospital birth (which is nice but of course not why we’re choosing a birth center). I am 20 weeks pregnant and have been happy with my care so far- it definitely seems more chill (fewer appointments- I had my first exam at almost 12 weeks, less blood work and stuff, fewer ultrasounds) than seeing an OB/GYN. I was curious about their rates of transfer to the hospital and the reason for the transfers (like, was it an emergency?). The birth center I chose has a low transfer rate and most are for non-emergency reasons (mostly along the lines of labor has stalled and the woman is exhausted and over it). The birthing suite is nice and homey, I know my desire for a natural birth will be 100% respected, I have the option of having a water birth if I choose, and they offer lots of childbirth/breastfeeding classes. The one thing that gives me pause about the birth center I’ve chosen is that they kick you out after 4 hours post-partum, the rationale being that if you are unable to go home after 4 hours you really should be in the hospital. I might be stoked to go home to my own bed, but the thought of relaxing and being taken care of for a day or two in the hospital sure sounds nice. The midwife will visit me at my home the next day, though, to help with breastfeeding and to check up on me and the baby. Good luck to you! I can let you know more about my experience after my baby is born in July!

  • This reply was modified 2 years, 9 months ago by  .
Post # 4
Member
1449 posts
Bumble bee
  • Wedding: January 2012

Eeeeee! so happy to see you post! I am soooooooo thrilled for you!!!!! Congrats!!!! 🙂 My only concern would be that your midwife is a certified NURSE midwife (aka a nursing degree before being a midwife) and had admitting privileges to a hospital. I can’t remember if you are in the US or not (But kind thinking/remember you aren’t?) If not, look for what ever comparable certification your country has aka something with actual medical training and not just a midwife school type thing.  Id also ask if they have a doctor on call/looking at their work. It wouldn’t be a deal breaker but its nice to have the peace of mind it you are a high stress person. I’d ask them how they handle cases that present problems(where they send patients), and their transfer rates. There are a lot of resources you could search google for to give you a better idea too. Best of luck!

  • This reply was modified 2 years, 9 months ago by  .
Post # 6
Member
2258 posts
Buzzing bee
  • Wedding: August 2012

wandering_gypsy:  So very very excited for you!!! Congrats, mama!!! 😀

I used a midwife, although a hospital-based one rather than at a birthing center, but I am SO glad I did! I wanted to go low-intervention/med-free, but ended up needing an induction and a whole heap of help getting LO here safely. Without my midwife, however, I’m sure I would have ended up with a C-section. She was amazing. I’m convinced I never would have had the same quality of care with an OB.

Anyways, more pertinent to your question – definitely ask about certification (I second that you want a CNM and OB oversight would be a plus), reasons why they would transfer you to a hospital (eg. length of labor, stress of baby, malpositioning (will they let you deliver at the birth center if baby is breech?), etc), what options you’d have for pain management at the center vs what you’d have to be transferred to the hospital for in the case that you change your mind and need something (as I did!), what their policy is if you’re GBS+ (I assume birthing centers can give antibiotics? never really thought about it).

Congrats again! So excited to see you on the pregnancy boards!!! I hope you have a wonderful pregnancy!

Post # 8
Member
2258 posts
Buzzing bee
  • Wedding: August 2012

wandering_gypsy:  No kidding! I look at little Matthew and I can’t believe DH and I made him! How the heck did that happen?!?! It seems like I was just on the Charters thread last week! Enjoy this time – pregnancy goes by so fast and, believe it or not, when it’s over you’ll miss it!

Post # 9
Member
765 posts
Busy bee
  • Wedding: August 2012

wandering_gypsy:  First of all… CONGRATULATIONS!

I have an aunt who is a labor and delivery nurse so when I was all clueless about midwife/birth center vs. OB/hospital, she instructed me to go with a dr. that was pretty much the overseer for the birth clinic and had about 7-8 midwives that he worked with not only at his own private practice but at the birthing center as well. So far its been awesome. The dr. did our ultrasound and they have been very informative and helpful. I know that should I need more medical care during my pregnancy its there, but am more comfortable with the midwives who are low-intervention and I love that. I have all of my appointment at the birthing center, but I can deliver in the hospital or birthing center (my call). So I am going with hospital because that is what I’m most comfortable with.

The biggest things I would ask for is really for a CNM, and who the OB would be should you need more intervention. What hospital would they transfer you to should you need it (that was very important to me since one hospital in my area is better than the other). You really just want to make sure that should you be in a situation that requires more medical care, that you are prepared for their procedure and the OB you might be transferred to. I love my midwives that take care of me but I like to know there is an additional “safety net”.

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