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Old 02-13-2012, 03:45 PM   #11
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Re: How did you choose between midwife or OB?

With my first 3, I had an OBGYN. I was told when to push, when do do this or that. dr made all the decisions. But, I thought midwives were not as educated, so I never went with them. Then, I became an LPN. I got a job working for 2 midwives and an obgyn, and a np. I saw a huge difference in the care given to the patients with the midwives. It was amazing. so when I got preggo with #4, I chose the mw I worked for, and what a difference! I chose how to labor, how long to labor, no meds, and she only checked me twice in my entire labor, and told me whenever i had the need to push, then i should push. I pushed my baby out in 4 minutes. what a difference.

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Old 02-13-2012, 03:58 PM   #12
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Re: How did you choose between midwife or OB?

Interesting experiences! Keep em coming.
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Old 02-13-2012, 04:02 PM   #13
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Re: How did you choose between midwife or OB?

There is no choice for me, we don't have midwives in my province. And we don't get a regular OB where I live (unless you're high risk or something), there are like 7 that work in rotation at the hospital and office, you see whoever is available for your weekly appts after 36 weeks (up to 36 weeks you just see your GP) and you get whoever is at the hospital when you deliver.
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Old 02-13-2012, 04:14 PM   #14
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Re: How did you choose between midwife or OB?

In Ontario our provincial healthcare pays for either Midwives or OB's. I went with Midwives with my first. I did need to be induced and ended up with a C-Section which required the on-call OB to sign off on everything. I did everything up to the C-section without pain meds. They gave me something to calm me down after telling me I had to have a c-section and help relieve the contractions.

I "HAD" to see an OB according to my GP which I learned was not true and before getting in with the midwives I ended up seeing her twice. All in all I waited about 12.5 hours for those two appointments. I saw her for about 5 minutes the first time because she did a pelvic/breast exam. The 2nd time I saw her for less than a minute. She ordered all kinds of blood work and tests without informing me WHAT they were, and the nurse/receptionist was new and couldn't tell me either.

My first appointment with Midwives lasted well over an hour. And they were never less than that. I was cared for by a team of 3 midwives, one of the three is always on clinic duty, another is on hospital duty/homebirths, and the 3rd does well baby check-ups for recent post partum mamas & babies. I had 6 weeks post partum care with them and ended up with one appt. with the OB that delivered DD. Again I spent 2 minutes with him. My midwife care was hands down the best choice we made in my pregnancy they guided me through a number of complications and referrals to specialists and guided us through the process of seeing the OB's at the regional hospital (whom I also didn't like).

In my city there are 5 OB's. I think currently only 3 have hospital privileges at the moment due to insurance issues/open investigations after numerous complaints etc. They are terribly impersonal, push interventions without question and do not listen.

I say midwives, but that is VERY much my opinion based on my experiences.

Sorry for the novel Mama. Good luck choosing!
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Old 02-13-2012, 04:31 PM   #15
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Re: How did you choose between midwife or OB?

I was introduced to my OB practice when I asked for advice from my regular doctor when I first found out I was pregnant with DD1. There are about 10 OBs and 3 MW on staff, so you rotate throughout mostly everyone when you go to your appointments and get whoever is on call when you go into labor. It's nice because you are likely to not get someone you haven't met when you go into labor. They've been great, and haven't been pushy with the meds. Really, I found the labor nurses to be a little more pushy. I did end up with a c section with my first, and attributed it to maybe being because of the OB being a little surgery-happy. They were AWESOME when I went for my VBAC with DD2. Everyone was very supportive and when the time came, my OB was so positive and awesome and I had my VBAC.

I thought about going to a local birthing center for this pregnancy because I really wanted to try a non-hospital birth. However, the back-up hospital for the center does not allow VBACs, so I'm nervous about not having that in my favor. In the end, I decided that since I love the hospital that I delivered at and felt well taken care of by my OBs, it's best to just stay with them. I really would like to try going pain-med free this time at least, so I just need to make a bigger stink to the nurses to not push me meds, because I always end up with an epidural once it gets bad! Which will probably happen again, but I'm still going to try to go natural
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Old 02-13-2012, 04:40 PM   #16
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Re: How did you choose between midwife or OB?

A part of me is leaning towards MW b/c I kind of want the TLC this time around, kwim? But I'm not 100% decided.
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Old 02-13-2012, 07:02 PM   #17
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Re: How did you choose between midwife or OB?

With my first two children I went with an OB... because I really had no idea there was any other way to do it! My second was a csection- it was a true emergency (not like the majority of csections). It was by far the scariest moment of my life, but I won't go into details. My OB made it a point to tell me that just because I had had a cesarean did NOT mean I would have to have one in the future. He was very very clear and really drilled home that I could go on to have a vaginal birth.... well, fast forward 8 years and apparently quite a bit had changed. LOL! I very quickly learned what a dirty work VBAC was and spent my 3rd pregnancy desperately searching for someone who didn't want to automatically cut me open. I found MWs. I ended up successfully birthing my 3rd DD vaginally thanks to my MW, BUT I didn't manage to do it unmedicated (I was still pressured into an epi- literally, the Dr.s were audibly laughing at me and taunting me) and I found being in the hospital very very uncomfortable. They required me to be on a monitor the ENTIRE time. I HAD to have IVs and when my body starting slowing down (because I was exhausted after 24hours of labor!) they pressured me into pitocin. It's not the experience I want to have again. SO this time I will have my baby at home Where I can be free to move, labor in water, sleep when I want/need to and when I cry out in pain I'll have someone there to rub my back NOT offer me drugs.

IME, MWs who work at hospitals are only SLIGHTLY different than OBs. They spend more time with you, tend to have more experience with alternative pain management and inductions... but all in all they still have to abide by the policies of the hospital- which may or may not be something your are comfortable with.

I totally don't mean to sound negative. I LOVED my first birth. And I LOVED being in the hospital for a few days with my newbie (I even opted to stay the extra day!)- I liked having the nurses to feed me and help me learn how to care for my precious newbie... but I've grown and changed and I now like the comfort and freedom of my own home. <3

Wow, this was long! Lol!

ETA: I have to pay for my HBMW out of pocket. I think it's about 3K in total... ouch. If I wasn't a VBAC, and therefore required to be subjected to constant monitoring- and nervous Dr.s looking over my MWs shoulder my entire labor- I might think twice about paying that.

OH and they also required me to have a meeting with an OB to go over the "risks" of me choosing a VBAC, I was required to sign a waiver. Sigh. Needless to say they do a very very good job terrifying VBAC moms. :'( I find it horribly insulting that they make darn sure you know EXACTLY what your chances of uterine rupture are with a VBAC, but don't go over the very real risks associated with cesareans!! ***Pet peeve***
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Old 02-13-2012, 09:22 PM   #18
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Re: How did you choose between midwife or OB?

I agree w/ Sheena that midwives that work in hospitals are closer to OB/GYNs. I think they kind of have to be to be able to work in that environment.

I went w/ a midwife for my first pregnancy and loved her. She had a masters in nursing. I like to be midway between western and natural medicine. I think both worlds have so much to offer, in the right context, and I think advocates of both ways of thinking go overboard sometimes.

My MW worked with another one that I did NOT like. She was a fruitcake. I did NOT feel confident in her. It was a crap shoot as to who I got at the time I gave birth and thankfully I got the one I like.

The thing w/ hospital births is that the nurses also make a huge difference and that is totally out of your control. The nurse is who's going to be with you for most of the labor. The doc (or whichever one is doing rounds) comes in to stick their fingers up your hoo-haw to see how you're "progressing" (something I am going to discuss w/ my obgyn at my first visit ... ) and then only come back if there's a problem or to catch the baby.

I did not like the nurse I had. That kind of sucked. She was just blah. The nurse I had for the first 30 minutes, before her shift changed, was AWESOME.

Oh well, I am really que sera sera about this one. Been there done that, kwim? I know subsequent pregnancies and births can be very different, but at least I know what to expect in general. If we had the money, I'd hire a doula and go w/ my ob.
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Old 02-13-2012, 09:34 PM   #19
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Re: How did you choose between midwife or OB?

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I agree w/ Sheena that midwives that work in hospitals are closer to OB/GYNs. I think they kind of have to be to be able to work in that environment.

I went w/ a midwife for my first pregnancy and loved her. She had a masters in nursing. I like to be midway between western and natural medicine. I think both worlds have so much to offer, in the right context, and I think advocates of both ways of thinking go overboard sometimes.

My MW worked with another one that I did NOT like. She was a fruitcake. I did NOT feel confident in her. It was a crap shoot as to who I got at the time I gave birth and thankfully I got the one I like.

The thing w/ hospital births is that the nurses also make a huge difference and that is totally out of your control. The nurse is who's going to be with you for most of the labor. The doc (or whichever one is doing rounds) comes in to stick their fingers up your hoo-haw to see how you're "progressing" (something I am going to discuss w/ my obgyn at my first visit ... ) and then only come back if there's a problem or to catch the baby.

I did not like the nurse I had. That kind of sucked. She was just blah. The nurse I had for the first 30 minutes, before her shift changed, was AWESOME.

Oh well, I am really que sera sera about this one. Been there done that, kwim? I know subsequent pregnancies and births can be very different, but at least I know what to expect in general. If we had the money, I'd hire a doula and go w/ my ob.
This is another good point. MWs don't generally do the whole checking on "progress" thing. Which I am a huge fan of. AND MWs generally stay with you and support you throughout labor- home birth MWs more so. You don't even need doula if you have a home birth because the MW does everything a doula would do and then some.... including laundry, no joke.
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Old 02-14-2012, 08:40 AM   #20
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Re: How did you choose between midwife or OB?

I would have to agree about the nurses...with my first, the nurse didn't massage my uterus very well after the birth (but I didn't know the difference). I ended up back in the ER 48 hours later with heavy bleeding, which led to medications (that they told me I couldn't breastfeed with, but I found out the next morning it was okay) and the vaginal ultrasound that tore out my stitches...but didn't know so I walked around for a week in extreme pain, inability to urinate, led to a false diagnosis of a UTI, and finally infection... but in the end it is probably all b/c of that nurse. (I did manage to breastfeed through all of it though! It was a ped nurse that told me that I wasn't being diagnosed properly and to get my butt back in the clinic).

I could tell with my second that the nurse massaged the HECK out of my uterus, and squeezed everything she could out...and I didn't have any problems.

Too bad you can't pick out your nurses. But I think that maybe if I had a MW she would make sure my uterus got massaged?? Even in a hospital setting, they would be a little more hands on than an OB wouldn't they?
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