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Midwife issues

post #1 of 9
Thread Starter 
I'm having some midwife issues that I'm not sure how to figure out. We have two collectives in my area, and you pretty much have to get in as soon as conception since they're high in demand. I'm roughly 4 months so switching would be very difficult.

Anyhow, my collective has several. I have my primary, our first visit was preliminary, finding out my health issues, basically 20 questions. She seemed nice and everything was fine. My second visit was a blood test, blood pressure, trying to find the baby's heartbeat, pee test etc. Anyhow the second visit I was kept waiting for 40 minutes, no real biggie, but there was no apology or explanation (she was in the office, not delivering). Anyhow, my midwife was then absent for much of the visit. Her student who is very nice, but on her first placement and in second year, did much of the exam, without any supervision. After that we ended up talking for about 20 more minutes, while waiting on the midwife. When she came in, she somewhat chewed out her student for not getting enough vials for the blood test in front of me. She wasn't very warm and seemed hurried (it was the end of the day, and we all have families to get to, but it's not my fault she's behind). Anyhow, I went to go give a urine sample and when I came back, she spent another 10 minutes chit chatting with the receptionist while I sat there looking at the student. So I ended up calling my mom to give her instructions for feeding my kids, and as I was wrapping up that call, she came in and seemed very annoyed. So she tried to listen for the baby, didn't hear anything, said not to worry it's normal, I told her that I am going to worry and she just dismissed it for our visit the next month and sent me on my way. That night, I rented a doppler and found the HB the next day, within 5 minutes.

Flash forward to this month and I get her back up. We immediately hit it off, we had a great talk, she was warm, unrushed, relaxed. She immediately put me at ease. It took 10 minutes to find the baby's heartbeat (I'm fat and baby is Houdini), and she just took her time and kept me calm (I was trying not to freak). We talked about birth choices and all that wonderful stuff, she asked me where I'd prefer to get my 20 week u/s as some offices require full bladders where mine does not. I just felt so great coming from that appointment. Cloud nine really! The receptionist booked me in for another appointment with her and I did not correct her.

My DH is not 100% on board with the midwife thing. I wanted to do a homebirth and he's not at all interested in that, so fine, hospital. He was not impressed hearing what he did with my second appointment with my primary at all, so that didn't help my cause. He's been pretty silent on the issue, which is stressing me out. He feels that his role won't be respected and that the midwife is not as attentive to detail as our doctor would be (and with the second visit, I would agree with him).

I do want med free, but I don't know if I can accomplish that with my primary. She just seemed so inattentive, hurried, uninterested and her irritation with her student in front of me bothered me, and I know if I'm in labour, I'm likely to snap at someone for that kind of thing. I also don't necessarily know if the primary midwife will be very supportive of my husband being my main support and how much I value him as a birth partner. Not so much for any reason than, she seems to like to run the show.

So I don't know what to do, do I chalk up my primary's behaviour as a bad day and give it another shot. I will be seeing the backup in April, so should I make my case for using her? The thing is though, even if I do and she's busy, my primary would be her backup. My other option is hiring a doula, I have a friend who is one and I think she would be a great option, but still, I would like back up midwife as my primary.

Really, I'm at the point where if I see my primary once more and I'm not getting a good vibe, I will go crawling back to my doctor begging for her to take me or for an OB referral. I'm also pretty lousy at asserting myself (unless I'm cranky), so any tips would be so appreciated.

Anyhow, sorry for the novel, I just wanted to get some other POV on this subject. My friends are pretty mainstream so here I am.
post #2 of 9
If you really feel that you won't get along with your current primary, call the clinic and request to have your second switched to your primary. I'm in Ontario as well, and this was what my niece had to do with her midwives. They didn't have a problem with it at all. Sometimes the match-ups aren't a good fit, I think they understand that.
My midwife was very attentive - once you have the right match, your husband will see how much time your midwife will spend with you. They usually set aside 45 minutes for each appointment, much longer than an obstetrician.
post #3 of 9
Well, you really don't know what triggered her bad day... granted professionals should be able to be professional about their job, they are also human and humans have their limits...

So whatever you decide, dont feel bad about the decision because even if she ends up being the back up and attending the birth, Im sure she is MUCH more professional in that situation than she was that day in her office (of course asking other moms who have had her as a midwife may give you more insight?)
post #4 of 9
Can you talk to the backup and get her to be your primary?

Here we have teams of three. I'm on my second team, as the team were rude and unproffessional. So now I'm kind of in a similar situation and not sure what to do. With my new team, the midwife I like will be on vacation, one I don't like and one I haven't met. Of #2 and #3 one doesn't support hbac and won't attend so that leaves me with choice of one.

Why can't this just all be sunshine and roses? Midwives are supposed to be lovely supportive women. Pregnancy can be stressful enough without our care providers making things worse.

Definitely hire a doula that you click with. If I hadn't had a doula supporting me last time around I probably would have kicked my midwife out of my house and went unattended. She was horrible to everyone there. I got my vbac because I had an awesome doula. A doula can help balance out a crappy midwife but an awesome midwife would be great as well.
post #5 of 9
I'm in Ontario as well.

I ended up switching clinics totally at around the 4 month mark. It did suck, as I'd been with the original clinic for my previous two births and one of the mws on my team was someone who I really loved, but I couldn't pick my primary, it would depend who was on call when I went into labour. It wasn't easy, but I'm glad I did it. I had a very similar appointment to what you described, and honestly, I was rubbed the wrong way and that was it for me. Bad day or not, if I had wanted that kind of treatment I would have gone to an OB.
post #6 of 9
I'm in Ontario as well. Last time I had to give my permission to have a student involved and was given a sheet of information outlining her level of schooling and what that would mean in terms of the care she was able to provide supervised/unsupervised.
I also had the ability to request my primary midwife and as a returning client they do their best to meet that request.
I'm also not overly assertive, but have found I've been able to be much more vocal about my wants this time around (although that is probably related to the fact that I already have a good relationship with my primary). I would reccomend that you request for your secondary to be your primary and just be honest that you feel that she is a better fit for you.
post #7 of 9
Thread Starter 
Thank you for your responses. It was great to get some local replies to boot. I'm going to call this morning and see if there is a possibility that I might be able to switch. I asked a very local forum and they all said not to wait to ask, so I'm going to give it a shot, at least then if they say no, I can start planning my next step.

I honestly didn't expect a lot of stress over this. My past two kids were cared for by my GP (we have a great relationship as I've been her client for over 10 years and she's cared for 4 generations of our family and community), unfortunately she is not well so I was out of luck there.

I guess I had this stereotype of a much warmer caring environment with a midwife than I would get if I were referred to another doctor. I used to work in womens shelters, so I guess I kind of based it on that experience. But then on the other hand, my experience with the secondary midwife, totally completed that vision.
post #8 of 9
I agree with everyone else. Get your backup switched to primary! Also, get your DH to come to a visit with you (make sure you see the "good" MW that day). I bet that will help him feel better.

Good luck!
post #9 of 9
Are you planning to have a doula? If you're not feeling 100% about your midwife, it may be good to have another support person there.
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