Midwife or Family DR! So confused!

posted 2 years ago in Pregnancy
Post # 18
Member
1240 posts
Bumble bee
  • Wedding: September 2011

sunnierdaysahead2 :  I’m not sure where you are getting your information from. However, this idea that the last time all family medicine physicians had any training in obstetrics was in medical school is not true. There are family medicine residencies that emphasize obstetrics. And obstetric care is something that is encountered by family medicine physicians in rural/smaller communities where there may not be many (or any) OBGYNs around.

Giving care that is outside the scope of their practice would be a huge liability for any physician. If OP’s family doctor is comfortable providing obstetric care, I’m sure that he has had training in obstetrics and it is a regular part of his practice. Otherwise, OP’s question wouldn’t make a lick of sense.

Post # 19
Member
1240 posts
Bumble bee
  • Wedding: September 2011

MamaWilson :  I would just tell them that you had the ultrasound done (and what they told you) at the midwife appointment you have scheduled. That’s the easiest way of going about it.

Post # 20
Member
435 posts
Helper bee
  • Wedding: September 2017

That’s so awful about the OB/GYN!  I don’t know the specifics of Canadian healthcare (I’m in the U.S.) or exactly where you live, but can you not go to an OB/GYN in another town?  Of course, if you’re good with the midwife route, go for it!  As PP’s have suggested, I would also just get the ultrasound as planned and then go to the midwife appointment.

Post # 21
Member
951 posts
Busy bee
  • Wedding: August 2015

franklymydearidont :  This is exactly why I started by stating that I don’t know where OP is from and that it may vary based on that. My input is based on my experience, which is the Midwest of the US. If it’s more common elsewhere to see a family doctor because that’s the only option, then that is a different circumstance than what I am used to. I do still think, however, that being cared for by someone who specialized exclusively in this area would be beneficial, if it is an available option. 

Post # 22
Member
2902 posts
Sugar bee
  • Wedding: April 2017

franklymydearidont :  My husband is an ER physician, my sister is a pediatrician, my dad is a surgeon, my brother in law is an orthopedic surgeon and I have 2 cousins that are both internists.  My husband has 2 close friends that specialized in Family Practice and neither have a lot of experience in obstetrics.  I’m in a large metropolitan area where there are honestly not a lot of FP doctors around.  Most of the general practice doctors specialized in internal medicine.  So that’s where I am getting my information from.  I agree, that for more rural areas there are probably FP docs that are more knowledgable in OB.  It’s just not common in my area.

Post # 23
Member
2902 posts
Sugar bee
  • Wedding: April 2017

AORiver15 :  I’m in the Midwest US too and this is my experience as well.  You see specialists.  However, as apparent on this thread, that’s not the case everywhere and I really don’t know the ins and outs of the Canadian health care system.

Post # 24
Member
3224 posts
Sugar bee

I’d keep the set dating ultrasound, and make the appointment with the midwives for the day after. They can send the results of the ultrasound. 

I would definitely be going with the midwives for the remainder of your pregnancy if you’re low risk. Mine have been wonderful. 

Post # 25
Member
1240 posts
Bumble bee
  • Wedding: September 2011

sunnierdaysahead2 :  It’s great that you have so many specialist physicians in your family (not being sarcastic, it is), but I’m still not sure why you think you know what type of education FM residencies entail or what their scope of practice is.

Just because you’re family/friends with doctors in other specialties (and your husband is friends with physicians in family medicine) doesn’t mean that you know what FM training entails. Added to that, you live in a metropolis and clearly the needs of that population are different than that of people who live in more rural areas where doctors of different specialties are not as conveniently close.

For your reference, these are curriculum guidelines on Maternity Care from the American Academy of Family Physicians. This is a subject that is important for FM physicians to be trained in during their residency (otherwise there would be no such guidelines), however whether they decide to treat pregnant patients depends on other factors as well.

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint261_Maternity.pdf

Post # 26
Member
740 posts
Busy bee

MamaWilson :  Since you have it all scheduled already, I would advise you to keep both the dating ultrasound appointment and the midwife appointment. Tell the midwife that you had your dating ultrasound once you are at the appointment at the midwife’s clinic.

With your permission, the midwife will be able to communicate with the clinic that did your dating ultrasound and get all of the records and information that they need.

This is all pretty normal, so don’t worry! No one is going to be mad at you for keeping your dating ultrasound appointment. Likewise, no one is going to be mad at you because you want to have a midwife follow your pregnancy. It’s totally understandable.

Just go to both of your appointments and use the midwife appointment to figure out whether this is the person that you want to go through your pregnancy with.

Post # 28
Member
3224 posts
Sugar bee

MamaWilson :  Yup! We got 6 pictures or something. Saw the heartbeat and heard it with the transvaginal ultrasound. 

I was 7w5d at our first ultrasound. It’s super cool!! Makes it feel so much more real!

Post # 30
Member
3224 posts
Sugar bee

MamaWilson :  For the first one they did both abdominal and transvaginal. The transvaginal does require a full bladder, that was the worst part for me… ugh!

Our other one was at 20 Weeks for an anatomy scan – super cool. Got to stare at little guy for an hour! We had a scare that took us to the ER at 23 weeks so they did another complete anatomy scan to make sure he was okay, but it would have just been the other two had that scare not happened. 

We did a 3D/4D private ultrasound as well, but wasn’t medically ordered. 

I’m 34 weeks now, and being watched closely due to our boy’s size. If I’m still measuring 2 weeks ahead at 37 weeks, they’re going to do another one to get a guesstimate on his weight and we might be prompting him to come early. We’ll see. He’s been measuring big my entire pregnancy, and now is no exception. I have another appointment tomorrow, then every week after that to monitor him. 

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