Midwife or Family DR! So confused!

posted 2 years ago in Pregnancy
Post # 32
Member
339 posts
Helper bee
  • Wedding: August 2014

MamaWilson :  first of all- congrats!

I’m from Canada as well.  I would just keep the dating ultrasound appointment set by your doctor and switch over to the midwife later on.  I’m sure your doctor will understand and will transfer the necessary paper works to your midwife so you don’t have to repeat procedures.

I’m not a doctor but from my own personal experience I speculate the dating ultrasound isn’t just to find out the due date but to also check for any potential concerns like the embryo location or if you have multiples.  Then they direct you to the appropriate care early on in your pregnancy if needed.  Eg. I had mono-di twins and was transferred to three different doctors during my pregnancy due to the complexity of my pregnancy.  They took care of transferring the paperwork.  I just had to reaffirm what they were told.

Also I wouldn’t worry too much about hurt feelings.  At the end of the day you want to be with someone who you feel confident in to consult during your pregnancy.  As a first time mother the whole experience is exciting but can be very overwhelming.

Post # 33
Member
2919 posts
Sugar bee
  • Wedding: April 2017

 franklymydearidont :  While all FP physicians go through the same residency training, where they are exposed to obstetrics, according to the same AAFP website you sited, very few specialize in obstetrics.

https://www.aafp.org/fpm/2012/0100/p20.html

This data is a bit old but according to the article, only 15% of the FP physicians provide obstetric care (2010 data).  My husband’s friends have not provided obstetric care since residency.  Could they do it in an emergency?  Probably, but my point is I would rather go to someone that does obstetrics day in and day out rather than someone that hadn’t done it regularly since their residency.

From the OP’s updates, it sounds like she lives in a more rural area where her FP physician can provide OB care since there is only one OB/GYN in town, but she didn’t say that in her original post.  I gave my opinion based on what was originally presented to me, and it seemed the OP was more afraid of hurting her doc’s feelings than going to who is best qualified to treat her.

Post # 34
Member
1358 posts
Bumble bee
  • Wedding: November 2016

MamaWilson :  I’m In Canada too and my family doctor is seeing me for my pregnancy. He does both and has delivered hundreds of babies. I think you’re ok with your family doctor but don’t worry about switching to midwives. I’d keep your scan date though 

Post # 35
Member
3008 posts
Sugar bee
  • Wedding: October 2011

MamaWilson :  I chose a midwife both times I’ve been pregnant and am so, so glad I did. They have me such excellent care and always spent at least 45 minutes per appointment with me. It was awesome, I had wonderful labor/birth experiences, and I just adore the midwives who “caught” my two babies. I still go to them for annual well-woman exams. So I’d say midwives all the way!

Post # 36
Member
194 posts
Blushing bee
  • Wedding: Backyard

MamaWilson :  Not sure which province you’re in, but I’m also in Canada (Ontario). I had midwives for my previous pregnancy and loved the experience; I’ve gone back to them again for my current pregnancy. I saw my GP for my initial appointment with my last pregnancy and I don’t think he even spent 5 minutes with me. The midwife, on the other hand, spent close to an hour for my first visit with them. It was a no brainer for me which to pick after that! Dating ultrasounds can definitely be done after 8 weeks (my last pregnancy I had mine done between 9-10 weeks).

Typically, the only standard ultrasound is the 20 week anomaly one, with the option of doing another one between 11-14 weeks if you decide to do first trimester screening.

sunnierdaysahead2 :  It’s pretty standard here just to see one’s GP for pregnancy (not just a rural thing – I live just outside of Toronto), from my understanding based on what I was told during my last pregnancy, an OB wouldn’t even see me until something like 28 weeks if I had wanted to go that route. An OB still delivers the baby, but it’s just whichever OB happens to be on-call at the hospital at the time, so you don’t actually get “your” OB when you’re in labour anyway.

Post # 37
Member
1234 posts
Bumble bee
  • Wedding: September 2011

sunnierdaysahead2 :  Like I said, “…whether [FM physicians] decide to treat pregnant patients depends on other factors as well.”

My post was not about whether FM physicians decide to specialize in obstetrics, it was about correcting misinformation that you, as someone who is not in the medical field or aware of their training, were promugulating.

You stated that physicians who practice FM have not been trained in maternity care or obstetrics since medical school, which is completely false. My point was that you were spreading misinformation.

Don’t try to turn this around now. Sure, your husband’s friends who decided not to make maternity care a part of their practice wouldn’t be the best physicians to go to for maternity care. It’s pretty obvious that when someone decides not to practice something anymore, those skills get dull. That’s  orthogonal to the point.

What you can’t seem to admit is that you were wrong. I was trying to correct your misinformation that it’s not appropriate to see any FM physician for maternity care.

Imagine an FM physician who decides after residency that they will make maternity care a part of their practice. It is within the scope of their practice to do so. They are trained in it during their residency. Like you said, 15% of FM physicians do make it a part of their practice (that’s clearly not the majority, but it’s also not a totally insignificant number). That FM doctor will be building on skills that they were trained in during residency and would be a fine choice of physician to see during pregnancy.

That was my point. I assumed that if OP’s FM physician was comfortable providing maternity care, then he has made it a part of his practice (which logically makes sense). You wrongly assumed that FM physicians don’t get training in maternity care since medical school. 

I’m not going to go back and forth about this any longer.

Post # 38
Member
2919 posts
Sugar bee
  • Wedding: April 2017

Editing my response.  Not fucking worth it.

 

Post # 39
Member
2473 posts
Buzzing bee
  • Wedding: August 2013

MamaWilson :  dating ultrasounds are just normal ultrasounds and can be done literally anytime! They’re only called dating because the purpose is to measure how big it is. There are lots of women out there who only find out they’re pregnant at 6-7 weeks and then it takes weeks to get appts etc organized from there. It’s really no biggie. I think they may want it done by then because then getting close to 10w maybe the baby has a growth spurt? I know lots of women who never even had one done. Just go with your gut!!

Post # 40
Member
2473 posts
Buzzing bee
  • Wedding: August 2013

cyan :  same here! I don’t even know the name of the doctor who delivered dd 😂 It was whatever OB was on call that night. 

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