Midwife or Family DR! So confused!

posted 2 years ago in Pregnancy
Post # 2
Member
1044 posts
Bumble bee
  • Wedding: City, State

If you want to go to a midwife, go. You are not obligated to stay with your doctor for your pregnancy. 

A dating ultrasound can be done after 8 weeks. It’s odd to me that you were told it has to be done by a set date. But you can also get the ultrasound and then decide about the midwife. 

Post # 4
Member
951 posts
Busy bee
  • Wedding: August 2015

 First, I admittedly cannot think of what D/U might mean, so maybe clarifying that would be helpful! Dating ultrasound maybe…?

I am not sure where you are located, but in the US I don’t think I have ever heard of anyone using their family doctor throughout their pregnancy for pregnancy-related care. You should have providers that are experts in pregnancy and that would either be the midwives you are talking about or an obstetrician. For what it is worth I haven’t found my OB to be very forthcoming with information at my appointments, but he has been able to answer every single thing I’ve asked in depth and his nurse is also excellent and very knowledgeable. Again this might be different where you live, but I would think in most places it would be the norm to see a specialist during your pregnancy.

Post # 5
Member
951 posts
Busy bee
  • Wedding: August 2015

MamaWilson :  It will be more accurate the earlier you have it done, but it’s not as if they are prohibited from doing one later. The later you go the greater the margin of error in calculating the gestational age and due date. 

Post # 6
Member
6730 posts
Bee Keeper
  • Wedding: June 2015

I can’t think of any reason your midwife wouldn’t accept the ultrasound that you get done earlier. I switched after my first and it was no big deal. Go to the one already scheduled and tell your dr that you want someone who can be there no matter what else is going on. He probably gets it all the time and has no problem with it. Return to him once baby has arrived.

Post # 8
Member
963 posts
Busy bee

Your doctor is a service provider. He is there to provide a service, not to be a friend. You run the risk of disappointing friends – you don’t disappoint service providers. If you want to have the attention of a midwife for your pregnancy, then by all means, seek midwifery care. Don’t undermine your own needs and desires in order to possibly avoid “disappointing” a service provider.

FWIW, I changed providers during both of my pregnancies. I switched from an OB to a certified nurse midwife well into my second trimester and I switched from a hospital-based certified midwife group to a direct-entry midwife during my mid-second trimester with my second child – both times I switched because I was not happy with the care I was receiving from the original provider. Zero regrets.

 

Post # 11
Member
2902 posts
Sugar bee
  • Wedding: April 2017

My opinion won’t be the popular one, but I wouldn’t go with either.  I’m sure my feelings are because I have quite a few doctors in my family, but I would only go with a board certified OB/GYN for my pregnancy.

There’s different types of midwifes.  The only type I would *maybe* consider going to are certified nurse midwifes as they have the most schooling and training.  They also have to pass an exam and have physicians for back up in case of complications.  Some midwives only have on the job training and do not have any kind of formal schooling or certification.  I think those kind are more common in rural areas.  There is a popular midwife group in a nearby suburb but my OB/GYN has had quite a few patients transfer to her practice because the midwives either missed diagnoses or handled patients poorly.

Unless a family doctor delivers a lot of babies, most have not had any training in pregnancy, labor or delivery since med school.  And even in med school, they don’t get a ton.

I tend to be on the cautious side because I hear too many horror stories.  I also prefer specialists because they are experts in their fields.

I’ve also never heard that you have to have a dating ultrasound by a certain date.  That seems odd.  I get wanting to find out so that your prenatal care can start sooner than later, but I know women that didn’t go for their dating US until 10 weeks or later and they still received the proper care.

Post # 12
Member
1243 posts
Bumble bee
  • Wedding: September 2011

AORiver15 :  A family medicine doctor is able to see the whole family, and many family medicine residencies (especially in rural areas) include training in obstetrics. So while it may not be common in your area, it is fine to use a family doctor for pregnancy-related medical care as long as both the doctor and patient are comfortable with that.

MamaWilson :  Honestly, it sounds like you really want to use a midwife, so I would recommend that you keep the midwife appointment and see how it goes. While you are there and afterward, you’ll want to gauge your comfort level and see if you think this is the right fit for your pregnancy.

You can do the dating ultrasound before or after you see the midwife. If you do it before you see the midwife, they can certainly work with your other healthcare providers to get the results from the ultrasound appointment. That shouldn’t be a problem. Healthcare is a team sport, and I’m sure that they have had that happen before.

Therefore, I would personally keep the dating ultrasound and also the midwife appointment if it were me.

I’m no expert, but I believe that the earlier the dating ultrasound is done, the more accurate it is at predicting the due date, and this would make sense with your family doctor’s recommendation to have it done earlier in the 8-11 week time window.

Post # 13
Member
232 posts
Helper bee
  • Wedding: January 2019

Keep your dating ultrasound. Whether or not you choose a midwife the results will be passed to whomever you choose as your health care provider. Many people don’t start seeing an ob or a midwife until later in pregnancy. Before then the first obstetrical appointments are fine with your family doctor including the first ultrasound.  Have the ultrasound, meet the midwives the next day and see how it goes. Are you certain your family doctor even follows pregnancies and delivers?  Most where I am refer you to an obstetrician.

Post # 14
Member
1044 posts
Bumble bee
  • Wedding: City, State

MamaWilson :  I’m in Canada too. My family doctor would have transferred me to an OB at 24ish weeks though if I hadn’t gone with a midwife.

You might as well keep your dating ultrasound appointment. Your doctor can provide it to your midwife if you choose to go that route. 

FWIW I loved my midwife and highly recommend them. 

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