(Closed) Struggling with OB vs Midwife

posted 7 years ago in Babies
Post # 3
Member
2821 posts
Sugar bee

You could always call some midwives in your area or look up reviews for them so you at least know your options and if you like any of the midwives around.  There’s no midwife within an hour of where I live so it wasn’t an option for us. 

Post # 5
Member
2538 posts
Sugar bee
  • Wedding: July 2010

Please be careful with this. I felt the same way with Moose, even met with some midwives. The problem is that a lot of midwives don’t have any medical training, yet call themselves midwives. The ones I met had certifications, but when I started asking questions, no one had infant CPR certifications. There are nurse midwives out there who do home births. Also, my doctors’ office has 2 doctors and 2 midwives who have PhDs. When I asked one of the widwives at the doctors’ office about home delivery midwives, she was very informative and said, if I hadn’t had a “fetal demise,” she has a nurse midwife she recommends. She even told me she used to do them before she came to the doctor.

Be really careful. I’m not saying don’t do it. Just be REALLY well read and ask a lot of questions.

Post # 7
Member
407 posts
Helper bee
  • Wedding: January 2011

I’m thinking about the same thing. There’s a birthing center near me that I’m really curious about and will likely go visit to see if the idea is worth pursuing further. I had my first appointment at my Ob’s office today and was really impressed with what a warm environment it was, so I’d feel a litlte guilty leaving. But my plan is to visit the hospital I’d give birth in if I continue with their care, and then like I mentioned check out the birthing center and then go with my instincts. As much as I’d feel like a jerk ditching my Ob, you’ve got to do what you feel is best for both you and baby.

Good luck!

Post # 8
Member
121 posts
Blushing bee
  • Wedding: September 2009

How about a birthing center? Is there one in your area? They will provide the midwifery services that you want.  I’m going for a natural birth with a midwife myself. I have to say that so far I am very happy with the decision. I have found my midwives to be incredibly emotionally supportive and they spend ample time with me during all of my visits. 

 

Post # 10
Member
165 posts
Blushing bee

Are there any OB offices near you that have CNMs as part of their practice?  If so, you’d have the opportunity to be seen by both physicians and midwives during your pregnancy to “test out” their approaches and philosophies.  One of the nice things about these types of practices is you can choose the midwife route for delivery, but if there are complications in delivery and a physician is required, you’re already familiar with the physicians who will be called in.  I’d also go on a tour of the hospital and birthing center you’re considering.  That may help to calm your fears about a hospital delivery with a physician/CNM or help you decide if a birthing center with an independent CNM is more what you want.  Good luck with your decision.

Post # 11
Member
1820 posts
Buzzing bee
  • Wedding: August 2010

I don’t know where you live, but it is becoming increasingly popular for midwives to have practices at hospitals (they often share office space and support staff with the OB/Gyn practice of the hospital).  For me (if/when), a hospital-based midwifery practice makes the most sense – you have all the security of being in a hospital and can make the switch to a doctor at any time, yet you have a primary caregiver who is committed to helping you have a natural, vaginal birth – an OB will only step in if requested by you/the midwife.  Given the frustratingly high (and growing!) C-section rates nationwide (and especially where I live), the quickness with which most of my friends have been pushed to have an epidural, and the limitations many doctors place on the number sof hours you can labor before a C-section is mandatory, a hopsital-based midwifery practice is worth checking out.

Post # 12
Member
3866 posts
Honey bee
  • Wedding: April 2012

@TheFutureMcBride: Agree completely.

Also, don’t forget to take into considerations of what might happen in an emergency.  It isn’t UNcommon for the umbilical cord to be wrapped around the neck, or a breach birth, or other problems that can and do occur.

Now, I’m not saying it WILL happen, I’m saying there is ALWAYS a chance it COULD happen.  That is why hospitals are recommended and why home births, though increasingly popular, are also dangerous.

Remember: at a hospital, you CAN REFUSE medications and you can also say what you do and don’t want.  Don’t forget to have your husband/FI/SO or whoever is going to be there with you (I recommend your husband or who has the right to take over if you aren’t able to decide what medical decision to make) to MAKE the medical decisions that you otherwise wouldn’t be able to.

If you’re undecided, I highly recommend a practice with midwives AND doctors for the reason the midwife can call in the doctor if the delivery requires an emergency c-section or other help the midwife can not give.

It’s impossible to know if you’ll need a c-section or not or if you unborn will end up in fetal distress for any reason or not.  This is NOT to scare you, but to let you know it can happen.  

Talk it over with your obgyn.  Ask if she has a midwife she can recommend.  

If you decide to go with the birthing center, ask questions about what happens in an emergency.  Prolapsed umbilical cord (where it’s wrapped around their neck), labor isn’t progressing, or if the unborn baby starts having fetal distress, and any other emergency where a c-section will be required.  

There are lots and lots of problems that can occur, but they don’t always occur.  The Boy Scouts motto is a great thing to live by: Always be Prepared.  

A great book to read is “What to Expect When You’re Expecting”.  It’s a great book and often given out in the little gift bags you get at your obgyn.  At least, that’s what I got with both my kids… along with coupons.

And ALWAYS asks lots and lots of questions and don’t be afraid to argue with your doctors.  

 

Good luck! 

Post # 14
Member
3866 posts
Honey bee
  • Wedding: April 2012

@firsttimemom: 🙂  

If it helps here are two different scenarios:

My SIL ended up needing a c-section due to my nephew’s umbilical cord being wrapped around his neck 3 times.  My SIL had a normal, problem-free pregnancy, too and her first son was born normally without problems (at a hospital).  

I know a girl who has had two kids, and one was a home birth, I believe.  From what I know, (I don’t talk to her much, so this was read on her facebook page) both were normal, typical, births and pregnancies with no problems.  So, not everyone has problem births.  🙂  

Hopefully you’ll have a problem free pregnancy and birth!  You could also look into local birthing groups around you and talk to the moms there.  

And also, talk to your insurance.  They might not even cover home births!!!   

Post # 15
Member
681 posts
Busy bee
  • Wedding: May 2009

you might want to research whether there are any midwives in your area that deliver at hospitals. i think most people – myself included – tend to think that midwives only deliver at free-standing birthing centers and home births. but in my area (atlanta) i came across two practices with midwives that deliver at area hospitals. so, the midwife i am planning to start seeing works in a practice with one other midwife and an OB and their office is located down the street from the hospital. you have all your visits and ultrasounds with the midwives, but your insurance gets billed through the OB since it is technically her practice. then one of the midwives delivers your baby – unless there is an emergency, then the OB will step in. i like this set-up cause they are extremely supportive of natural childbirth and are one of the only hospitals in the whole state (georgia) that does water birth, but you’re still in a hospital in case of emergency.

Post # 15
Member
681 posts
Busy bee
  • Wedding: May 2009

you might want to research whether there are any midwives in your area that deliver at hospitals. i think most people – myself included – tend to think that midwives only deliver at free-standing birthing centers and home births. but in my area (atlanta) i came across two practices with midwives that deliver at area hospitals. so, the midwife i am planning to start seeing works in a practice with one other midwife and an OB and their office is located down the street from the hospital. you have all your visits and ultrasounds with the midwives, but your insurance gets billed through the OB since it is technically her practice. then one of the midwives delivers your baby – unless there is an emergency, then the OB will step in. i like this set-up cause they are extremely supportive of natural childbirth and are one of the only hospitals in the whole state (georgia) that does water birth, but you’re still in a hospital in case of emergency.

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