I am currently planning a homebirth. Since about 35 weeks (and I will be 40 weeks on Thursday) I have been making my Midwife nervous. Since 36 weeks she has said, maybe you will go into labor before the next appointment so we don't have to worry. (My youngest was born at 35 weeks and 100% ready so she was not worried about him not being ready if he came on his own at 36-37 weeks.
Every week my blood pressure is borderline. I have had a trace of protein in my urine at 35 weeks only since then there is no hint of protein. Now I am having severe swelling. I am gaining/losing 4-10lbs a DAY! That is making my already nervous midwife even more nervous. The good thing is my blood pressure is actually coming DOWN instead of going up. It has been 130-135 over 87-90. Now it has been as low as 110/70! However averaging 125/80 for the last week. I even went to 2 stores to check my blood pressure today because I was worried maybe my blood pressure cuff was not working right. I got similar results at both stores as I was getting at home. So I feel like what I have been getting at home is accurate.
The main issue is that my midwife wants me to go to the ER if I get a headache. Well I have had one all day today. I haven't gone in because my blood pressure is fine and my swelling is actually gone today. My thought is that last time I was pregnant and had symptoms worse than this and the ER brushed me off and I had insurance. That time I had a severe headache, I was severely swollen and my blood pressure was up. I forget how high but it was really high. Also I was having blurred vision. They told me it wasn't pregnancy related and gave me morphine and was going to send me home even though my homebirth midwife sent me in. However while they were writing up my discharge papers I went into labor and was sent to Labor and Delivery. I was only 35 weeks along that time so going home to deliver was not an option even though my blood pressure had dropped.
So what happens if my midwife says go in because of the headache or swelling. I live in a state where homebirth midwives are not recognized so they can't send the records over with me. I know that if I transfer during labor they have to deal with me, because of federal law but what if I go in not in labor but needing treatment or induced?
I am getting so nervous. I am also hoping that if I go to the University Hospital (which my Midwife says is a good place to transfer to) I can ask for and get an attending that was my favorite OB. I never dreamed of having a homebirth when I had her as an OB because she was so wonderful. However after she went from my local hospital to the University hospital I was told I could see her but they didn't take my insurance and I would have to pay 100% out of pocket at my first appointment to see her. So that was why I had a CNMW for the next birth. When I was told I couldn't have the CNMW for the next baby because I refused to let her induce at 37 weeks (like her supervising OB wanted) I switched to homebirth.
I figure I am wanting to much to have my favorite OB. However because they insisted for 100% payment up front I was wondering what they will do if I come in as a transfer.
I know this is a novel and I am thankful you took the time to read my post. I am just so worried about this and I know that worrying about it will only increase the chance I will risk out. Of course I have worried about risking out of homebirth this entire pregnancy and yet here I am almost 40 weeks. I qualify for medicaid but they have denied me 3 times for BS reasons. Like first my proof of pregnancy was from a clinic not an OB. So then I got a proof of pregnancy from an OB (at cost to me), then they said I didn't supply proof of assets. They wanted proof of my private health insurance that I DON'T Have and denied me because I didn't have proof of something that doesn't exist. This time they denied me because my proof of pregnancy is too old. So I am just out of luck. If I end up at the ER I can try to apply a 4th time but I still show up as having no insurance when I go in and no assurance I will be approved for medicaid when I try again.