Originally Posted by SweetLana
Thank you, guys for sharing such helpful information. I'll do my best!
I can't get one thing though - do you have to have OBGYN anyway if you choose a midwife (for hospital birth). If not, then how about all these tests and consultations during pregnancy? Does a midwife do it all instead of regular OBGYN?
I used a CNM for my my DS's birth and I'll give you a rundown of how it worked in my case- I was clueless about midwifery, too, and when I was first pg and a friend of mine suggested using a midwife- her mom was one- I quickly discounted it bc I thought for sure that my insurance wouldn't cover it (military insurance Tricare), you know, because midwives aren't "real" medical professionsals. I've come a long way in 4 years
(though most of my education happened while I was pg with DS, just not soon enough). Ah well, we're all evolving aren't we? I'll have a HB if I get pregnant again and all is going as expected.
My midwife was a CNM in a very mainstream OB practice. I went to the OB office for all the appointments with my midwife. She ran all the medical tests that the OB practice had access to (or didn't run them, depending on my wishes, I suggest you educate yourself on all tests available...utilizing both mainstream medical and midwifery texts). I met with each of the OBs in case for some crazy reason my midwife ended up not be able to be at my birth and one of them attended my labor (ugh!)- like in case her head had spontaneously combusted or something, bc that's about the only thing that would have kept her from being there. I used a doula that worked frequently with my widwife, so they both were on the same page regarding interventions, expectations of each other, etc etc. My doula had over 20 years experience as an OB nurse, had delivered 6 kids of her own, and was totally invaluable to me.
If I'd used an OB I can pretty much guarantee that I'd have ended up with a c section. I pushed for three hours, not making much progress for a lot of that time. My midwife never, ever rushed me, she acted like she could have stayed there all day- even though she'd been up for over 24 hours (well, ok she had a 2 hr nap from 2-4 am) and was assisting in other deliveries at the same time- though I think I took precedence because I was largely unmedicated (I did have a nubain nap for two hours, and while I wish I hadn't, it is what it is and if I hadn't I might not have been able to push for three hours because I'd been up for days and days, so I guess it all worked out. That's the thing with being a parent, you gotta roll with the punches).
Keep in mind that no matter the personal beliefs of a CMN, she is required to follow certain protocol set up by the mainstream medical establishment (aka the AMA etc), the hospital, and possibly the OB office she is associated with (if any). This can give you less freedom over your birth choices, so make sure you discuss with her each of your assumptions regarding what exactly will happen during labor, afterward, your expectations for both, her role as birth attendant, options, etc. HTH. GL!