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Anyone NOT have a great mw story?

post #1 of 13
Thread Starter 
I was reading the thread about 'What do you wish you would have known beforehand?' It is a really great thread, but it got me thinking about stuff I wish I had known about my mw. I ended up with not a great mw and I kinda feel like I'm the only one. I know most hb mw are really wonderful dedicated ladies but mine.....well....was a different story.

my birth was different than most, let me just say that. So this is probably just one HUGE VENT. My mw was TOTALLY out of it. She really should have called her backup. She told me prenatally that she had births 2 weeks prior and post to mine and that she has never had 2 come so close she couldn't make it (should have been a red flag). She came to my birth directly from another, had to have her husband deliver and setup the birthpool (only because dh INSISTED on her making good on her commitment) and had another birth two days later. When I needed her in that postpartum week I really had to force her to show up. I only asked her to come once, but it was a pain. And now that I'm expecting #2 I hear through the grapevine that she is doing 3-4 births a month! I know the backup she had on call for my birth is taking a sabatical. I feel really bad for her current clients. I've heard one mom had asked her to come to her birth, cried for an hour when she refused, said she wasn't really in labor yet, and finally showed up after another call barely in time. In my mind this is scarey and doesn't help the birth climate in our area one bit.

We went with her because she is by far the most experienced mw around (there aren't a bunch of choices either). I totally attribute our transport to her sleeping through my labor and missing out on early signs. I ended up with a distended bladder and she couldn't cath me. My friend ( who used to be a nurse) said she should have tried another size cath. When I got to the hospital and they cathed me I filled the bag! You just can't push out a baby with a huge bladder! So of course, I ended up with a ton of interventions that IMHO we a direct result of my mw sleeping on the job and missing little stuff that ended up as big stuff. I was hands and knees for the majority of the 18hours prior to transport and they were killing me. I asked for pillows but she said I wouldn't want to get blood on them, so no pillows. I asked for a rebozo to help with baby descending/engaging, she had me do that on hands and knees and just jiggled me. Maybe over the door would have helped ds get in a really great position. I asked if baby was in a good position and she said it can be hard to tell. I tried to be compliant with changing position but there was one that was OMG horrible. Like a train running over me (not a nice amtrak, but 100+ freight cars loaded with coal train @ 70mph). She just kept saying I was 'gonna have to go there'. She kept turning OFF the hypnobabies cd because I was too relaxed. I guess she wanted to hear me scream. She only charted fht twice in 18hours. I don't think that impeded labor but it just seems like poor management particularly when you chart the reason for transport was fht. She told me we were transporting because she didn't want ME to get to tired eventhough I kept telling her I felt great. It just didn't feel like she was with it. I've since heard that she can be a really great mw, but it is the luck of the draw if you get her when she is ON.

Once we got to the hospital she went home to sleep but did not tell me or DH directly, she'd tell our friend. I understand she was tired, but come on, I'm the client, tell me yourself. Once she was better rested she did some great perineal massage, like actually helping the bones to open up, until the nurse had a cow. Too bad she didn't do it before we transported. She really didn't take the doula roll like she said she would, she just hung out and held up the wall. She didn't say anything about turning down the epidural so I could actually feel the pushing. Ended up I couldn't tell if I was pushing or just holding my breath. I pushed for about 3 hours right on my tailbone, exactly what I thought mws were suppose to advocate against (she suggested the position). DS was born via VE, gray with severe bruising, shoulder distocia (I'm sure from my position) and a broken clavicle. It was heartbreaking to know that ds was afraid to nurse because of the pain it caused him.

In hindsight, I can now see that our mw answered our questions but didn't provide any additional info. Like pros/cons in a given situation so we could make well informed decisions. This was very frustrating, sometimes you just don't know what questions you should be asking and you need a mw to be forthcoming with their knowledge. I thought we were well educated but you hire a mw for their expertise. She did tell me though she learned alot when they stitched me up. I'm glad it was a good learning experience for her. At my postpartum at her office she was relaying an interesting story of a mw from another country who has moved here to her assistant. She was in disbelief that that mw could do so many births and not get burned out. It was eerie for me to hear that at the time. Only later and after the 'everything is wonderful' baby hormones were gone did I realize that my mw was burned out.

Again, I'm sure that most mws are amazing at their job and most hbs are a beautiful and gratifying experience. But, our experienced mw did not equal an amazing mw. It was mediocre at best and came with some life long scars for our son.

We will having a homebirth this time around with a different midwife. I think she is a good fit and we have been having some great conversations about expectations and how to handle things. Boy, dh really did grill her at our first meeting. I feel bad in a way, but she did beautifully and it really boosted our confidence in her. I have also been seeing a counselor and it is helping some. I do apologize this is such a negative post when most everyone here tries so hard to remain positive. Honestly, I'm hoping this post and your replies will help the healing process. Thanks for reading such a book.
post #2 of 13
Wow, you had a terrible experience there! I'm so sorry for that.

My MW wasn't great, but she wasn't nearly as bad as yours. First, she was crazy spacy. She'd forget appointments, show up hours late, or think they were scheduled for the next day.

During my labor, she insisted on checking me even though I declined. I knew I was in transition (I was throwing up and thinking good thoughts about an epidural ), but when I declined her checking me (b/c it was so uncomfortable during contractions), she got really snippy with me until I consented.

Then, it turns out that her meds were expired. That would've been a deal breaker for me if I'd have known. She told me she had them at our initial interview but didn't elaborate any further. Who thinks their midwife is carrying around expired pit and such??

She didn't stitch my tear and it didn't heal right, leading me to have to get it fixed 9 weeks PP (although I have a hard time really blaming her for that b/c from what I've read most tears really do heal fine w/o stitches).

And my PP care was kind of crappy.

Needless to say, I really don't want to use her again. Unfortunately, she seems to be the only HB midwife in my area that will do HBACs, so I feel stuck between a rock and a hard place this time.
post #3 of 13
I had a very highly recommended (famous) midwife for the birth of my son... it turned out everything she said she NEVER does, she did.

My son was born at home but then needed to transfer to the NICU for an intercranial bleed. He now has cerebral palsy and is not walking at almost 5. Nobody from the birth team came with us to the hospital. I had just had a baby and was bleeding all over myself and trying to seem like I was making responsible, informed decisions at the hospital.

I still feel angry about it if I really think about it so I can relate to your post. I am certain that particular midwife was completely overworked and burned out but really there is NO excuse for that. All midwives should know to take the time they need. If their personal life is a mess for whatever reasons it should never carry over to their work. I realize they are only human but they need to be superhuman for the brevity of responsibility their job holds.

I do believe a CPM can hold a high number of clients due to birth in a particular month, however, I don't think they can sustain that for months on end.
post #4 of 13
The first MW I had with my daughter was horrible & I heard horror stories about her after the fact. She was a HBMW & also ran a freestanding birth center. We went to the birthcenter, and in the 18 hours I was there she only came in the room once. When she did I had been dilated only to 4 still so she recommended transfer to the hospital for no other reason. I was only 18 at the time so I went along with it. Got to the hospital & the OB there took one look at me and said "Your having a 10-12lb baby, you need a c-section", again, young & naive I trusted the Dr & my 8lb daughter was ripped from me in a botched c-section where they cut me from hip to hip & my incision didn't heal for a year! Anyway onto the MW, she went into the OR with me, but I never saw her after, until years later when I attended a class at the birth center being held by another MW. I heard other stories after my birth about her being incopetent, not showing up for births at the center & at homes, one person delivered in the parking lot at the birth center. Needless to say, she isn't practicing anymore. I think she went on to go back to OB nursing.
post #5 of 13
Thread Starter 
Quote:
Originally Posted by LynnE73 View Post
All midwives should know to take the time they need. If their personal life is a mess for whatever reasons it should never carry over to their work. I realize they are only human but they need to be superhuman for the brevity of responsibility their job holds.
I TOTALLY agree with this.

I feel really bad that there are others out there who had a crappy mw experience. It does make me feel not so alone though. Sometimes when you read how great other peoples' mws were rainbows and kittens you start questioning if your expectations were too high. Thanks for letting me know I'm not alone.
post #6 of 13
I personally have had only excellent home birth midwives, and I've run into some true emergencies during birth (shoulder dystocias and post partum bleeds) that were handled extremely well at home. HOWEVER, I also interviewed a lot of different midwives, and there were definitely some with whom I would absolutely not give birth. And I would absolutely choose a hospital birth with a provider I trusted over being at home with a provider I didn't think was up to the job. I truly believe that safety in birth largely depends on having a care provider whose judgment you can rely on completely, *especially* if you are choosing to birth outside of a hospital. There are situations that require urgent transfer, and if the midwife misses those signs, you can easily have a baby whose health and life are jeopardized.

I think part of the problem here is just one of supply and demand. In a lot of areas, there are only a few or even just one home birth midwife if there are any. So, it can be difficult to say "this home birth provider just doesn't know her stuff enough for me to feel like it's safe to birth with her." I was really lucky in that the birth center I used in TX has a wait list that can run years long for an apprenticeship, and they are very selective about who they train. Birth is normal the overwhelming majority of the time, but there are any number of very serious complications that can strike, and mom and baby's safety depends on someone picking up that something is off. I've been in the 5% where something serious an unexpected comes up, and my daughter survived serious cord compression during a shoulder dystocia because my midwives knew what they were doing.

I've had wonderful home births, and am planning for another this Spring. I have two friends who had issues with their home birth midwives who were just not competent to be practicing midwifery and who were harmed in their care. Midwifery is awesome, but I feel like it requires a very high level of skill, education and excellent judgment. There are bad midwives, and they can be extremely dangerous because you can't very easily fire a midwife in labor and have a different home birth midwife come through your front door. In a hospital, there are more people, which in and of itself gives you some more options and a greater buffer in case you run into someone incompetent or discover incompetence during birth itself.

So, I've got great midwife stories, but I've seen a lot online and IRL to know that there are a lot of midwives who are just nowhere near good enough. It's part of why I care so much about licensing, so that there is recourse if a midwife really isn't up to the requirements of the job she is signing up to do.

I am so so sorry you went through all of that! Best of luck for your upcoming home birth!
post #7 of 13
Oh yeah mine were bad and I've posted about it here before. Here you get a team of three.

With my first birth I got Midwife A. All of them were pleasant and supportive during appointments. Planned homebirth. When she got to my house after several hours of labor, she said I was 3-4cm and that the baby felt huge. She didn't think I'd be able to do it without pain relief as it was a posterior babe and I was having really bad back labor. Absolutely no suggestions for relieving the pain any other way, just a "let's go to the hospital".

Once there she was pretty much not around while I got every drug on the planet including pit (which I didn't consent to). Ended up in c-section after a nasty showdown with the on call ob.

So mainly she just wasn't present and unsupportive.

Pregnancy 2 was the real baddy. Midwives in Ontario have to support a women's choice in birthplace as long as it fits their rules. A homebirth after one vbac fits that but the community in my city do not support hbac.

At first my team was all pleasant about it, saying they would support my decision but during the last month of pregnancy a lot of underhanded comments were thrown my way in order to sway my decision.

I had a doula that time and she showed up at my house straight away, with the Midwife B showing up several hours later. Labor was exactly the same as the previous. Posterior baby, didn't drop until right before pushing, back labor. We were doing great until the midwife showed up. 6cms. She showed up during a contraction, slammed her bag down and demanded that I verbally verify that I was homebirthing against medical advice. Obviously I didn't answer, I was a little busy. She got pissy and raised her voice, asking the question again.

She then proceeded to stomp around bitching at the student midwife and loudly whispering to her about how it was obvious that I wouldn't be able to give birth vaginally. Needless to say labor stalled. My doula took me back to my bedroom to refocus away the midwife. Things carried along nicely until transition where everything gets intense and the midwife increased her fearmongering. I was begging for drugs at 9cm and my midwife took this as her moment to push a transfer. Of I consented.

I had a horrible transfer by ambulance. My doula took her car and was totally pissed about how this was going. I arrived at the hospital ready to push and of course no drugs.

Two hours later baby was born and I checked myself in for an overnight stay because I tore really badly and couldn't really move. Before she left my midwife came in to say that she stood by her OPINION that the best place for me was in the hospital.

Here I am in baby #3 and I switched teams. The hbac supportive team isn't available. Two our of three of my team are supportive the third is to paranoid to be able to give me supportive care. Of the two supportive only one is available to attend.

They still aren't sure what to do. They are afraid of the community backlash if something happens. They actually suggested the option of me laboring at home until as late as possible and then calling them to catch. So it's okay if I rupture at home as long as they aren't there to witness it.

At this point I don't know what to do. I don't really care about homebirthing so much as I want to avoid hospital interventions but the principle behind the entire issue is pissing me off and making me stubborn.

So yeah, shitty midwives are definitely out there.
post #8 of 13
Limette... Where are you from? I am in Ontario and with midwives in London ontario. I would hate to be on board with the midwives you had such a horrible experience with.
post #9 of 13
I'm in Northwestern Ontario.

The team I'm with now is not the same team from the last two pregnancies. They are a little more honest and supportive but still fearful of the community backlash against hbac.

There's no one else. None of the ob's here are supportive at all (they all thought I was crazy last go around) and generally only take high risk pregnancies.

So it's either attempt another homebirth and hope they step up to the plate or plan a hospital birth and cross my fingers for no interventions.

On a good note, my doula is awesome, so there's that.
post #10 of 13

i thank gosh got out before

I thank gosh had gotten out of a situation that would of been bad for me my baby my birth my mind my family and soul. I had a great midwife apprentice but her teacher was a nightmare. I had to finally stand up and say this is not good for me and it was scary but now i have the pefect fit with a midwife and i will have a great birth and i am 35 week and at peace. if you see signs right away listen to those signs.
post #11 of 13
I have only had great HBs with MWs. However, a very good friend had an awful experience with her first MW, to the point that it was neglectful. My friend thought she was hemorrhaging at 35 weeks, so she called the MW, who told her (rightly, IMO) to go to the hospital, and she would meet friend there. She never showed up, and never provided any sort of post-partum follow-up. My friend had to call her several times to even make contact with her to get some basic breastfeeding and post-partum care questions answered. I think she found *me* more helpful, which is sad, because my experience is not enough to rely on for a major issue, IMO. Plus, she had already paid the MW's full fee. She had felt like they had a good rapport during the pregnancy, were a good fit, etc., and enjoyed her visits with the woman. Unfortunately, she (the MW) turned out to be a real dud.

My SIL had a birth center birth with MWs. They were very unsupportive of her, more like Drs. in their care. She has a history of very fast births (like under 2 hours), but they wouldn't even let her come to the birth center until they opened (like 2 hours after her call to them that her water broke), because they didn't really believe she would labor that fast. They were disrespectful of her wrt her payment, demanding more than the contract stated, denying she had made payments on the bill, despite SIL's records to the contrary. They weren't very helpful at all to her when she had problems with breastfeeding and latch issues. She actually had much better care and support in the hospital with her OB. I felt truly badly that she had managed to get such awful MWs.

Overall, I think most MWs are terrific, and do their job very well. However, I think it's like every other profession: there are some that just really should not be in business. Unfortunately, you may not find out that yours is one of them until you are in the heat of the moment. OP, I hope that your next birth is fantastic! You certainly deserve it!
post #12 of 13
Mine is not awful like many of these - I had acceptable care, but my midwife was out of town and I had backup midwives. They really annoyed the crap out of me in labor and I didn't feel particularly supported. The bad part was that they withheld information from us regarding the situation and did not tell us until after we made the decision to transfer. That pisses me off the most, because that is the exact opposite of what I expect from midwifery - being a part of my own care. If they had been honest, our situation would have been very different, and so, so much better. Still a Cesarean, but a much better one. It took a long time for me to forgive them in my heart for how things turned out.
post #13 of 13
You're not alone. There were little signs I should have acted on in prenatal care, but which blossomed into conflict and bad advice during labor. Part of it may have been over-booking and MW fatigue, some a bad match of MW and mother, and some of the problem was that my MW didn't have the IV I ended up needing.

Fortunately for me, my MW had to leave and her back-up was AMAZING. What would have ended in transport and a near certain c/s, ended instead with a beautiful homebirth.

It makes me humble about recommending HB. In a hospital you generally know what you're going to get. There's a wider range at home, and it's sometime hard to know before labor.
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