Triciabn,
I am so sad to hear that. I DO understand where you are coming from though. Birth Care has gone from being two crunchy hands off midwives to being four+ midwives with several dozen births a month and a wider spectrum of individual care practices and personalities. Know too, that some of the mws see this and wish it could be different as well.
I just attended a birth with Valerie and it went great and she was wonderful again, as she has always been. It was in the hospital. I've attended MANY births with those mws and have very few complaints overall.
The great thing is that there are so many options for women out there. If someone is looking for a really crunchy hands off birth, then there are great CPMs --Kate Fawley Aseron, Christy Santoro, Meredith Klein, and more. But for the vast majority, Birth Care is the option that would appeal to them, as they can do birth center, home AND hospital. The last birth with them the mom wanted to be home and dad wanted to be in hospital. We labored at home until complete and pushing, got to the hospital and had a baby 15 minutes later. They left a few hours later an early discharge. Not for every mom, but it all worked for this one.
The other really great thing about Birth Care is that these mws have seen A LOT! Experience level with out of hospital birth can't be matched, even with the homebirth CPMs. And while many of us (myself included) know that the chances of something happening is so slim, a lot of mothers/fathers are reassured by this. They've seen prolapsed cords, placenta issues, congenital anomalies, etc. If a transport becomes necessary they can follow you, unlike the CPMs in the area. Some of the CPMs only take 6-10 births a month, while Birth Care had upwards of 50 last month. (And yes, this is unfortunately what makes it a less personal practice.)
So, I guess that even though I totally agree with you on the changes to Birth Care, I still feel an obligation to defend them as a great option for most women. You'll be happy to know that I heard that Michelle,the new mw, is pretty hands off too, and probably more what some moms are looking for.
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