(Closed) ob/gyns, midwives, and birthing centers

posted 7 years ago in Babies
Post # 3
Member
6009 posts
Bee Keeper
  • Wedding: May 2009

It sounds like you have a few different options, based on your wants.  One thing to consider is that if you through a certified midwifery or birthing centers, your healthcare professional will take care of all of your pre-natal and post-natal care, meaning you would not have to see an OBGYN.  Certified birthing centers should also have the capabilities to transfer you to a hospital if you ever need urgent care.  In fact some birthing centers actually have an OBGYN on staff, which is kinda the best of both worlds!  Also, depending on your comfort level, many family doctors or general practitioners do women’s care, as well.  My FP does my annual gynecological exam at the same time I have my yearly physical, which makes everything way more convenient.  So there are other options besides automatically switching back to an OBGYN, after birth.  Finally, its always possible you may find an OBGYN in your area who shares your birthing philosophy, if you feel more comfortable with a doctor over another medical professional.  Certainly they exist, and it seems more and more doctors are becoming supportive to natural birthing.

My advice on making this decision is to first find out what is available in your area.  Is there a birthing center close by or is the closest one a couple hours away?  Are there any birthing centers or midwives that are connected to your local hospital?  Once you find out what is available, it’ll be easier to narrow down which choice best suits your needs.

Post # 5
Member
9029 posts
Buzzing Beekeeper
  • Wedding: June 2011

It all depends on the hospitals in your area and the experience of the OB. There are OBs and hospitals that are very tolerant of mothers who want to have natural med-free birth, and then some of them are not more pro meds. I think you would have to do research in your area and talk to different OBs to see which ones are more respectful of your birth plans

Post # 6
Member
6009 posts
Bee Keeper
  • Wedding: May 2009

@mvp_bride:   Hmmm, you might be able to find out more by interviewing both the OBGYN practice and the birthing center.  Certainly there are legitimate reasons why a doctor’s office would have high c-section rates (e.g. if they take on a lot of high risk pregnancies, or if the hospital they deliver at has a policy against VBACs, for example), but you wouldn’t really know, unless you talked to them in person.  Another option might be to ask new moms in your area.  Have you made any friends in your new area yet?  Personal recommendations are fantastic, if you know any pregnant/new mom co-workers, neighbors, etc…

Post # 8
Member
6009 posts
Bee Keeper
  • Wedding: May 2009

@mvp_bride:  Sure!  I’m a bit of planner, too, so I totally understand.  ๐Ÿ™‚  You can just tell them you’re starting to TTC now, and you want to have a good idea about what your options are.  Good luck!

Post # 9
Member
5654 posts
Bee Keeper
  • Wedding: April 2011

I have a friend that just delivered her 2nd with a midwife at home there in Austin. I know her midwife births at a birthing center as well so I can get the info for ya! I delivered my son there in Austin, with a doctor that “supported” my natural birthing wants, but the hospitals there are kinda the other way, sadly. A free standing birthing center is your best bet (aside from home) on a completely natural birth, bc often when a birthing center is connected to a hospital they are regulated by the same policies & can have a pretty similar intervention & c-section rate. If I had known then what I know now, I’d have had a home birth with my first as opposed to being in the hospital….. Buuuuut I didn’t so hospital, intervention, c-section with DS & home birth this time. Just be upfront in your interviewing & find a doctor that you know wants the same thing for you…. & don’t be scared to switch. And let me know if you would like that midwife info ๐Ÿ™‚

Post # 10
Member
1835 posts
Buzzing bee
  • Wedding: December 2010

I went with a free-standing birth center with a team of midwives for DD’s birth. All prenatal, postpartum and well woman care are done right there in the center – it has been a wonderful experience.

PM me if you want more detsils, I started my prenatal care with an OB and made the switch to midwives, so I got to experience both sides.

Post # 11
Member
389 posts
Helper bee
  • Wedding: April 2010

I’ve really enjoyed my experience going to a practice with midwives and OBs on staff. The midwives are great, and I had to switch from seeing the midwives to the OBs, I didn’t notice any difference in care. (I went from being low-risk to high-risk, and the midwives can only oversee low risk pregnancies.) If you can find a practice that has both on staff, I’d recommend it.— It seems the real difference comes in at delivery, so maybe I’ll have something else to say then.

Also– I’d look into your insurance too, and that may help you make some decisions. Mine covers midwives & OBs, hospitals & birth centers… even home birth is covered if you are low risk, etc. etc. But not everyone’s insurance will be that flexible.

Post # 15
Member
1835 posts
Buzzing bee
  • Wedding: December 2010

@mvp_bride: Insurance was our first worry as well! So glad yours is covered. 

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