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want to uc vs. cpm attended birth... am i making the right decision??

post #1 of 6
Thread Starter 
Ok, I WANT to listen to the little voice I've had all along about wanting to UC but I'm still holding back a little. I've been seeing a CPM, I've seen her 4 times and I'm 37 1/2 weeks with dd2... it took me a long time to find her. My husband has come SO FAR during the course of this pregnancy from saying he didn't want to be there if I didn't have an epidural to now feeling like he'd rather we UC than anything else.

Neither of us are very comfortable with the midwife or her 2 assistants. They are very experienced and I have several friends using her as well but we are just not meshing on a personal level... none of us. I feel very awkward and my husband even more so. Every question I've asked her she has lined up just how I wanted for philosophy but there's just something missing.

She doesn't want to be paid until the birth so we've been paying for prenatals but that's all to this point. She charges $1500 and has 7 other moms due in February... I have another appt this week, how do I bring up the option of just having her be a backup if needed? (I also have a very supportive back up OB who lives 2 hrs closer if something really came up). I know that usually even if a midwife doesn't make it to a birth it is still etiquette to pay her but she has quite a few other moms and if we still use her for prenatal visits until birth and postpartum care do you think its fair to ask for a discounted rate if we decide on a UC instead? I know it is late at 37 weeks but I haven't been with her very long either....

How do you know that you are ready for a UC? I feel like I've done my research, I can answer any question I can think of, I've worked hard on educating my husband and he's done a lot of research on his own. I feel like the only things holding me back are guilt about how to talk about it to my midwife and not feeling like I'm screwing her over and how to talk about it to family/friends after the birth.... I'm thinking I'll probably just say it was an ooops...

I need help sorting out my feelings on this... I've had a totally uncomplicated easy peasy pregnancy and feel like my head and others reactions are the only thing holding me back... words of wisdom/advice??
post #2 of 6
if your only reasons for not UCing are because you're going to disappoint someone else (family member, friend, midwife), then decide to UC and work through those feelings.
post #3 of 6
Kinda curious, in what situations do people pay a midwife for a birth that she doesn't attend? I thought that was the whole point. Especially $1500.... I wouldn't hesitate to tell her that you want to continue using her prenatal services (if you want to) but aren't wanting to have an attendant at the birth itself.
In an emergency having a backup OB for stitches or what not sounds like a good idea to me, esp if they are 2 hours closer.

I haven't ever done a UC, we want to eventually though, but in any labor and birth I think it causes more harm than good to have people there that you don't want there, or don't get along with well.

Also, imagining that out of the 7 women in Feb, 2 go in January, and 2 in March, there are three left that could go all at once.
post #4 of 6
Thread Starter 

good to hear feedback

zoebird: thank you, i guess i just needed to hear it from someone else

ObliviousAnnette: I have read several threads on MDC where it seems to be "etiquette" for lack of a better term that if you plan to have a midwife attend your birth and she doesn't make it even though you've called her when you're in labor you should still pay her bc she made the effort to be there and was planning on the money to support herself. However I think most of the midwives in the threads I've read about had only a couple mamas due in a month and didn't take on more clients bc they didn't want to miss a birth.

I actually only found out at my last appointment that she had that many women due in February... when I first talked to her in Nov. she only had 3 other mamas and I was comfortable with that. And it is 8 not 7 as of talking to her yesterday, spread over 3 states.... and there's 2 January mamas that have not gone yet. That alone makes me feel like there's a good chance she could miss my birth anyways.

Maybe having my husband there at the next appointment (if he's able to get off work) will help... I'm just kind of... intimidated by her. And that's really not a vibe I want present when I'm trying to have a baby!
post #5 of 6
Quote:
Originally Posted by lilmamabrown View Post
Maybe having my husband there at the next appointment (if he's able to get off work) will help... I'm just kind of... intimidated by her. And that's really not a vibe I want present when I'm trying to have a baby!
Absolutely not!! I would not call her to your birth if you feel intimidated by her. The only people that should be at your birth are people that you trust to keep your best intentions in mind while you labor and birth. I'm not saying that she won't, but if you don't feel 100% comfortable with her, then you won't trust her completely.

It sounds like you and your husband will do fine. :-) Many blessings for a smooth and easy birth.
post #6 of 6
Ditto to what was already said here! You and I are a lot alike in the sense that you seem like a people pleaser as I am. I was in your shoes (seeing a CPM, but wanting a UC [which I had ]), only I was much earlier on.

Here is what I wrote her via email:

Quote:
Hello Kate,

I've been intending on writing you for the past two to three weeks. I suppose I kept putting it off because I wasn't sure exactly what to say. To be straight forward, Jason and I have decided (after much consideration!) that a completely unassisted birth is what best meets our needs and wants. For a time, this was a very difficult decision to make. As time passed, I realized more and more each day how confident and enthused I was about doing this on my own. There have been a lot of changes in my life and in the way I view things in life and in this world. I believe that this new change has brought me even closer to God. I feel as though God is with me in this. This birth is something I must do on my own with only God's guidance. I feel safe and protected.

I want to let you know that you are a very special person. The work you do is a blessing. If only everyone could see and understand the reality of what birth is all about. (A lot of OB's would have no jobs, LOL) But seriously, you have have so much to offer so many women. You have been an inspiration to me and positively influenced some of the new ideas I now hold about birth related issues. Thank you for everything you have done!

I will keep you updated on how the birth goes. Tell Keesha (Spelling? Sorry.) that I think she will make an awesome midwife. After all, she's learning from one of the best

Love,

Erica
Feel free to use my words if they suit you and help you "break the news" to her.
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