Post # 16
Where do you all live that have these combined midwife and OB practices?? I’m in Arizona and it seemed like my choices were either traditional OB or stand alone midwife. I chose midwife and everything has been ok so far, but I think they are almost too relaxed and hands off for me. Something more in the middle sounds great…
Post # 17
MrsZapatos: I’m in Ohio, and I’m actually super greatful it’s an option here – my practice is the only one of its kind in the city, and I’m planning on delivering at an accredited natural birthing center that is connected to a big hospital here. It’s the only one of its kind in the state. So it’s not that common here, I just lucked out that it’s available in the city where we just moved!
Post # 18
MrsZapatos: we have one here in Austin! I believe that one is the only one we have in our city as well. We will be looking at it when we tour some places early next year before we TTC. I love the idea of being able to use a midwife with the option of an OB just in case!
Post # 19
MrsZapatos: I live in Dallas and there are a number of Birthing Center here that are affliated with an OB – also the midwives at the one I’m the most interested in have full rights at the hospital.
Post # 20
I think it depends what you want! Is it a low risk pregnancy? Do you want to be able to labor uninterupted in a “natural” birth? Or do you want a shorter labor with multiple interventions and a higher likelyhood of csection? Do you want to labor in a hospital or at a birthing center? What kinds of things can your hospital offer? Do they offer birthing balls? Will they let you walk around or will your hospital insist on IV access? Do you want an epidural? or do you want to try nitrous?
Post # 21
I gave birth several weeks ago – I had midwives throughout my pregnancy, which as a whole was great, given that it was a very easy pregnancy. However, some of them were plain incompetent: they did not let me get the flu shot saying it could harm the baby and said I could not get it postpartum if I am breastfeeding. (My doctor confirmed that it is in fact recommended during pregnancy and gave it to me last week). After the delivery they kept coming up with some homeopathic nonsense rather than real solutions to various problems. So, as far as you don’t need anything but vitamines, ultrasounds and advice o breastfeeding – midwives are great, if you have any real problems or need medical information, go to the doctor.
Post # 22
I’malso an l&d nurse and I think you gotten really good advice here, just wanted to add a couple of things. Like previous posters said that midwifes are well trained in the uncomplicated healthy pregnancy and gynecological care. They see women with low risk pregnancy and know what to watch out for when to refer you to a doctor if needed. They practice under an MD supervision, and usually work closely with the doctors. (unless it’s a stand alone midwife home birth kinda place, i wouldn’t really recommend) it sounds like the office that you have been going to gives you a good option for your care. You get the wonderful full experinance of a usually more attentive and personable midwife but if problems arise they have their doctors to make the final and most necessary dicisions. If I was you I would go to the midwives and I would feel very safe. You want your pregnancy and delivery to Be a warm and happy experience.
Post # 23
If you have the option to see a midwife, and switch to an OB in the same office if you end up high risk or with complications, you are one lucky chica! Midwives have a nursing background, and while some nurses can be just as impersonable as a doc, and some docs are as personable as a nurse, nurses do a great job at looking at the patient as a whole with compassionate care. If you like the midwife better, I would stick with her. Her training was complete and she is probably just as knowledgable as the doctor, but her scope of practice is different. If you end up outside that scope, like with preeclampsia, preterm labor, or baby is in peril and you need a section asap, etc, she will be able to make the call and get you seen by a physician.
Post # 24
I started out with an OB as I couldn’t get a midwife. Each visit was about 5 minutes and completely impersonal. Then we moved and I got a midwife, the experience was totally different. Both my husband and I was welcomed to attend the appointments and we would get around 1 hour with her each time. When time came for delivery she came and checked me until I was at 4 cm, then she stayed with me until we transferred to hospital. It was such a huge comfort to have her with us! In the end I needed an OB to deliver our baby, but she was there for the entire thing and it made it way less scary.
If we were to have another baby I really hope I would qualify for midwifery care once again!
Post # 25
So, it really comes down to what you believe the birth process is or should be. I’m in midwifery school and the model of care that midwives practice under is that birth is a natural physiological process and we are trained to support women through it and not treat it like a disease which the medical model tends to do. The medical model is also more likely to have way more interventions that are probably unnecessary, where midwives focus on less interventions and a more natural approach.
That being said, midwives are trained to know what to do when a complication arises and to get an OB if needed. From what I hear, most women who have had midwives swear that they won’t go back to an OB because the care is much more personalized. Just my 2 cents!
Post # 27
I disagree that a standalone midwife is a bad option (all the time). There are bad midwives out there, just like there are bad doctors. I am using a midwife team (there are 2) and they are absolutely wonderful. I recently had some blood work come back abnormal, and they referred me to their “back-up doc” for consult/antibiotics (since they can’t prescribe). It was also cool that the back-up doc is the head of OB at the hospital I’m going to be giving birth at (one of my midwives is a licensed nurse midwife and is the only one in our area that has privileges at this hospital). Only 12 weeks, but so far its been a great experience.
Post # 28
I am 17 weeks pregnant and have chosen an OB because: A) I’m considered ‘high risk’ due to a blood clotting disorder; and B) I’m one of those people who prefers to be in a hospital with quick access to medical intervention should I need it (Unlike my sister who had a midwife and wanted to stay at home during labour for as long as possible).
I would probably choose an OB even if I wasn’t high risk. I am aiming for a ‘natural’ birth – we’ll see if it happens!