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Help me with some midwife issues. (long, sorry)

post #1 of 7
Thread Starter 
I have been seeing a homebirth CNM for this pregnancy, I am 22 weeks now. She is friendly and seems to have a love for birth and midwifery. She is very popular and came highly recommended. She is the closest to me, her house is about a 30 minute drive from mine. FWIW (not too much) she is also covered by my insurance. Now for the negatives, she is very very busy (I hear she has NINE women due in September with me) and she practices alone. She doesn't seem to remember anything about me from one appointment to the next. Our appointments are short and impersonal in her office. And here is the big one, for me, she offered to break my water at 38 weeks. The reasoning behind this is that I have had two very fast births and I never realize that I am in labor until I am pushing, my dh is always the one to say we need to call the midwife and I am always the one to tell him he's being ridiculous and my dh will not be around for this birth, also so far my children have been born 1-3 weeks before my due date. I would not consider allowing her to break my water at 38 weeks and I feel that it would be irresponsible for her to do. After hearing (and this is just hearsay, she has never told me this) that she has 9 women due in my month I think that has something to do with it too.

I have spoken with another midwife, I like her a lot. She is really laid back and I think she is a much better fit for me. She does work with another midwife who I have not met yet, I hear great things about her but obviously what I hear from other people doesn't mean a whole lot. My only real issue with her is that she lives a little over an hour away and the other MW she works with is even farther, though not much, probably just about an hour and a half or a little less. Given my history, I feel like I would like someone closer.

It sort of feels, to me, like I am probably choosing between a midwife I don't particularly like who would probably arrive in time and a midwife that I do like a lot that would probably not arrive in time. And then again, I think, it is very possible that neither would arrive in time because it probably wouldn't occur to me to even call until it was too late, so what does it matter?

For reference, my last birth I had just gotten home from the grocery store an hour away and was making lunch when my dh told me I needed to call the midwife. I thought it was ridiculous because I was barely having contractions and I had been having contractions like this (or more regular and "labor like") for weeks. I called because he really wanted me to but I told her just to swing by when it was convenient. She came right away and I told her to check me and go home and I was 9cm. Baby was born very soon after. My second birth I woke up feeling a little bit sick and once again dh was insistant that we call the MW, baby was born less than 2 hours from the time I woke up feeling sick. #3 was a little longer, but I was pushing by the time my MW arrived and I had been really irritated with my dh for calling her when he did about 45 minutes earlier. Somehow he just "knows" and somehow I just have no idea.

I know this is really long but I am really not sure which way I should go.
post #2 of 7
Congrats on your pregnancy!

You have some time ahead of you before you are do so it is good for you to be thoughtful and mindful about the situation.

Here is what I might do...

I would talk with my dh about it and see what he thinks. Given that he also has pristine instincts, I would see how he feels about the midwife an hour away, etc.

I would also talk, and foster your relationship, with your current midwife and ask her how many women are due around the same time as you. Talk with her about your labors and your fears. Let her know that you are struggling with your experience of her and how it seems she does not remember you. I would also gently ask her what would happen if she cannot make it to your birth if she is, in fact, attending another labouring woman.

I would then talk with my dh again.

I would meet the second midwife's partners and talk with them about your quick labors, etc.

I would then take time to think about all the information, interactions and your husband and your instincts.

You are fortunate to have some time. I hope your current midwife is open to your questions and struggles.

Oh, and FWIW, there was an emergency childbirth book that my husband read in the event our midwife could not arrive in time. She was an hour away for one of my singleton's birth and 3+ hours away for my twins' birth. My husband read that book and some additional information on twin births just in case she did not arrive in time. I will try to dig up the name of that book. I think it was written specifically to men.

post #3 of 7
Quote:
Originally Posted by hotmamacita View Post
I will try to dig up the name of that book. I think it was written specifically to men.
My husband would like to read that book. I'm awaiting your reply as well....
post #4 of 7
I found this. Scroll down and view the .pdf titled Emergency Childbirth.

http://www.naturalbirthandbabycare.c...gency-disaster.

I think the link below is the book he initially read. http://www.amazon.com/Birth-Partner-.../dp/1558321950
post #5 of 7
When I have a client who lives far from me and has a history of quick labors, I will often suggest bringing in an assistant who lives close to her -- someone who could go and be with her while I'm getting there, communicate calmly with me, and help get additional help if I can't get there in time. It has worked out just fine for me in the past.
post #6 of 7
I have really quick births and for my last birth I initially chose the closest midwife to my house (like 6 minutes away). I liked her fine, but as time went on, my vision of my babys birth was not even close to hers...I switched at 39 weeks to a midwife who was 2 and a half hours away. I assumed that she would not make it, but guess what, as the Lord provides, she made it right before I started pushing. She was there maybe 10 or 15 minutes before my babe was born.

I paid really close attention to my body and I called her that morning just to tell her that I was a little crampy and told her not to get too excited. About 15 minutes later my water broke and I called and she said she was already on her way. She got there in about and hour and a half...

Anyway, i would never choose a midwife again based on distance from my house and I have had births in under an hour....
post #7 of 7
Thread Starter 
Thank you for your insignt, ladies.

My dh will deployed for the birth, I think this would all be much easier to figure out if he would be home.

hotmamacita, thank you especially. I will definitely take what you said to heart.
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