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Old 06-21-2008, 01:41 PM   #1 (permalink)
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Default Midwife vs. OB... can anyone help with this

I am looking into going to see a midwife. I have seen one before, and liked her (it was for basic gyn stuff though)

I don't know if i know the difference between how the two work? has anyone seen a midwife through pg and been very happy! or not...

Thanks ladies!
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Old 06-21-2008, 09:09 PM   #2 (permalink)
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I was seeing a midwife for the past year and was then recommended to my current RE due to my PCOS. Midwives generally see "healthy women" who will little complication during pregnancy. I myself, hope that once I am prego I will be able to go back to seeing my midwife. But not sure. So anyway, I've heard that seeing a midwife thru a PG, there are less sonograms. But you are given the necessary ones. I've heard that regular OBGYN's order a lot of sonograms and tests to make more money. Another difference is the doctors' ability to intervene surgically when necessary, and to deal with complications that arise. Midwives can't perform C-sections and some can't administer drugs or anesthesia. If you feel more comfortable having those options immediately available, a doctor may be the right choice for you. But like with my group of midwives, there maternity/delivery wing is at the hospital and they work with a group of doctors, my RE being one of them, so if there are any complications during delivery, a DR is right there on hand. But midwives are totally trained to recognize signs of trouble. I personally would like to go back to my midwife, b/c I just feel with midwives there are fewer medical interventions and have more of a natural approach, which is in line with my own approch to everying in my life! )
Hope this helps and good luck to you. If you do decide to see a midwife, just make sure they have an agreement with a doctor.
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Old 06-22-2008, 11:53 AM   #3 (permalink)
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I currently see an OB/GYN who specializes in infertility, but as soon as we're pregnant, we're switching over to a Certified Nurse Midwife for a home birth. If I didn't have problems with my PCOS, I'd just use a midwife for my well woman care, but at the moment, I need the care of my OB/GYN. Luckily, my OB/GYN is extremely progressive and encourages her patients with low risk factors to seek the treatment of midwives if it makes them more comfortable.

Also, you may want to look into your insurance coverage. Our insurance, Humana, will cover all the services of a Certified Nurse Midwife but will not cover a Certified Midwife or Lay Midwife (i.e. midwife without a nursing degree.)

As for pregnancies, well, all of my close friends and family who have had OB deliveries in the hospital have had seriously crap experiences, including a number of "pushed" births. The three friends who delivered at home or at birthing centers with midwives had wonderful experiences. Again, everyone is different. Some women need the added security of an OB. Others want to go the most natural route possible.

I hope this helps a bit!
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Old 06-23-2008, 11:10 PM   #4 (permalink)
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I recommend you rent "The Business of Being Born". Mothering magazine has a good message board with lots of natural birth info. Baby Catcher by Peggy Vincent is a great, fun book about a midwife's experiences.

I guess it depends on what level of intervention you want. I'm going to go to midwife as long as I don't develop any complications. Most midwives have an OB they work with in case you do need to transfer care.

I have a few reasons. I'm not completely sure about the safety of ultrasounds, so I am not going to get any unless there is a medical reason. This won't go over well with an OB. I want a natural birth with no induction, laying on my back to push, or any of that, and hopefully a home birth or at a birth center. I'm also hoping for more personal care with midwife.
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Old 06-29-2008, 01:46 AM   #5 (permalink)
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I cannot speak for everyone, but I can say in my experience with a midwife through pregnancy and during birth it was not a positive one. I'm sure for many people it is, but I had a hard birth and my midwife let me tear, and said it wasn't bad enough to have stitches because it was internal, I am now going next week to have surgery to repair this. Also, my daughter has had some issues because of how long my midwife let her crown without an episiotomy, or any other assistance, she has been through physical therapy, some developmental delays. Alot of this has been contributed to the midwifes choices during birth, mind you my daughter is a healthy, happy, and getting better with her speech everyday two year old! lol...
As stated above midwives usually see healthy women, which I was through pregnancy, other than being nauseous for most of the pregnancy, but at no point during labor was any intervention offered by an OB even when me and DH asked. So, I think it's safe to say, everyones experience and opinion is different. Good luck!
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