Post # 1
…what do you do if you become no longer low risk during your pregnancy?
I see a CNM for well woman care, and plan on using her once I get pregnant. But what happens if I develop complications and need to be referred to an OB? It’s my understanding OB’s don’t like taking patients in the middle of a pregnancy, so I’m really curious how this works.
What about something that pops up right at the very end? How do you call a hospital and say “I was planning on delivering in a birthing center and can’t do that now and need to deliver in your hospital probably next week”?
Or am I just overthinking things? I just know 9 months is a lot of time for things to change, healthwise.
Post # 3
I’m in Canada, so things may be a little different here, but if we no longer fall into the low risk category, we’ll be transferred to an OB. I agree that it’s probably not preferable for the OB, but I’m sure it’s happened many times before!
We don’t have birthing centres here, you have a choice of a hospital or homebirth with your midwife. We’re talking about a home birth, but we’re still registering at the hospital in case I change my mind or we do wind up needing to be there. Do you have a birthing centre that’s attached to a hospital near where you are? One of my best friends is in the US and that’s what she’s chosen for the exact reasons you said!
Post # 4
A friend of mine recently gave birth at a hospital at the last minute after her home birth wasn’t going as planned. Her midwife just made a few calls to different hospitals to see who had a bed available and then they were on their way.
Post # 5
@babybuzz: No, the birthing center we’re thinking of (actually the only one in the area) is freestanding. But I’m not too terribly worried about things going wrong during labor – because yeah, she’d just call and get me somewhre, more of like preeclampsia or GD or something earlier.
I guess I just won’t worry about it until it happens. I mean, not ever OB in town can turn me away, right? I hope?
Post # 6
If it happens before labor, your midwife will transfer you to the care of an OB. Many times, midwives are in a partnership with an OBGYN; that way if health problems arise, there aren’t any problems. During your next visit, just ask your Midwife what her normal plan of action is in those cases.
If something happened during labor, you will be transported to the hospital, and you would give birth there.
Hospitals/ER’s have to take you, period.