(Closed) OB-GYN v. Midwife – which are you choosing?

posted 6 years ago in Pregnancy
Post # 2
Member
1979 posts
Buzzing bee
  • Wedding: October 2013

I am going with a midwife in a hospital. I hope to have a natural birth & I know a midwife is more geared towards that.

Post # 3
Member
4499 posts
Honey bee
  • Wedding: September 2010

1st pregnancy, I had an OB.

2nd pregnancy (I’m 28 weeks now), I have a midwife (a Certified Nurse Midwife who practices in a hospital). 

This is mainly because I moved, and the hospital where I’m delivering assigned me to a midwife, and I have not chosen to switch to an OB. They seem to reserve their OBs for women whose pregnancies have complications.

So far, I have not noticed much of a difference in my prenatal care. The appointments are the same, the tests are the sane, the advice is the same. The midwives seem to be a bit less rushed, but that could very well be because my OB was practicing in Manhatan, and I am now in a much less populated, more laid-back area. 

In short, I think what matters more is not OB vs. midwife, but the nature of the facility where you are choosing to deliver and the philosphy and standard of care there. 

Post # 4
Member
343 posts
Helper bee
  • Wedding: August 2012

Not pg yet but my last pregnancy (which ended in an early miscarriage) we saw a midwife Who was actually my moms midwife too (not for my birth though). 

Next time I definitely plan on using her again as she has her own standalone birth center a block away from my house. The hospitals and OBs around here do not have good reviews and I would like to have an intervention free birth. 

We are also entertaining the idea of a home birth which would be aweSome. 

Post # 5
Member
919 posts
Busy bee
  • Wedding: July 2013

My practice has both OBs and midwifes, and you tend to see whoever’s available on the day you need your appointment. My first appointment was with one of the midwives, and she said that the doctors in that office tend to practice more like midwives in general. She also said that the only reason I’d have to go with one of the OBs is if I needed a c-section, as the midwives don’t do surgery.

Post # 6
Member
2697 posts
Sugar bee
  • Wedding: March 2015

I chose an OB-GYN, for two reasons. One a doctor has a different perspective than a midwife. Going through medical school and residency and likely a fellowship gives you (IMO) a broader understanding of medical care. I would not have be against a midwife’s assistance under the supervision of an OB but that wasn’t available. I also wanted a hospital setting. I chose a hospital that had a Level 3B NICU and a good nurse to baby ratio that would allow for one on one post partum care.

Post # 7
Member
42 posts
Newbee

View original reply
jily:  Midwives go through pretty intensive schooling as well, depending upon their certifications. A doctor would have a “broader understanding” like you said, but midwives will have a more specialized education and understanding towards pregnancy and childbirth specifics.

 

Also, you can choose a midwife and still have a hospital setting as well.

 

I’ll definitely be going midwife all the way, most doctors I’ve experienced are too pushy about doing things the “medical” way versus the natural way.

Post # 8
Member
1834 posts
Buzzing bee
  • Wedding: October 2013

I have an OBGYN for this pregnancy because I simply felt more comfortable with one for my first baby. Depending on how this pregnancy goes, I think I would like to go with a midwife for baby #2 to see the difference in care. 

Post # 9
Member
935 posts
Busy bee
  • Wedding: November 2016

View original reply
jily:  If by “broader” you mean not witnessing a true natural birth (many OB/GYN residents don’t, especially in hospitals that have a high C-sec rate), and only witnessing inductions w/ pitocin…

Then you’re kinda right.

Post # 10
Member
2697 posts
Sugar bee
  • Wedding: March 2015

View original reply
Kassy:  Midwives are EXPERTS in normal births. However, pregancy has the ability to get very interesting very quickly. Also a midwife may have a bachelors, in additon to a nursing degree and a two or three year certification program. But my obgyn has a bachelors, four years of medical school, four years of residency and three years of a fellowship. Basically it’s the difference between a paralegal and lawyer. For many things a paralegal is fine but if I’m going to court I want a lawyer. That being said in my post I stated I would consider a midwife under the supervision of an OB, but that wasn’t available. My OB will not use midwives due to insurance costs.

Post # 11
Member
1555 posts
Bumble bee
  • Wedding: May 2014

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laceydoilies:  OB/GYN because I’m a very analytical person. Also, I’m having a second C-section.

Post # 12
Member
7403 posts
Busy Beekeeper
  • Wedding: September 2012

View original reply
jily:  These are my reasons exactly! If you could be guranteed an no-complications birth by all means, have a mid-wife. Our local hospital does not work with midwives, you have to go to a hospital that is roughly an hour away….for appointments and birth. 

Post # 13
Member
42 posts
Newbee

View original reply
jily:  Ok that makes me feel better 🙂 I was just worried you were one of those people who considers midwives to be uneducated hicks. Those people make me angry. I do understand your reasoning though, you definitely want to feel safe and comfortable with your doctor or midwife.

Post # 14
Member
1432 posts
Bumble bee
  • Wedding: November 2013

View original reply
laceydoilies:  Am going with an OB-GYN in a hospital because I’m considered high risk.  To be honest, had I not been considered high-risk I might have tried a midwife, but in a hospital setting.  I would never give birth in a non-hospital setting though.  

I am doing hypnobirthing, so I feel like I’m doing my best to get the best of both worlds – a natural, feminine-centric birthing experience in a medically supervised setting.  Plus, I absolutely love my OB-GYN, and she’s happy for me to be doing hypnobirthing.  

Post # 15
Member
9840 posts
Buzzing Beekeeper
  • Wedding: August 2012

I have an OB and a perinatologist because I’m high risk due to pre-existing hypertension and a clotting disorder. I also specifically chose an OB that practices at a hospital 20 minutes away (versus 2 minutes away) because they have a level 3 NICU.

But I wouldn’t choose a midwife even if I was low risk. Just not for me.

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