This is my second pregnancy, and this time, I'm with an HMO (Kaiser), so I have to go to one of their facilities, which is not as conveniently located as my last doctor in my last pregnancy. They have the option of going with a midwife, but I think those are just glorified nurses and essentially follow all the same protocols as the doctors, just at a lower cost to the HMO. I don't think they're very crunchy midwives.
I'm kind of inclined to not go in as often as they would want. They don't do anything in the prenatal appointments. When I did have awful morning sickness / debilitating nausea, they couldn't really help me (prescribing prescription meds, which didn't work - the only thing that does work is completely cutting out all acid out of my diet). At this point, they don't even measure you, and even if they did, that's highly inaccurate. I don't do weigh-ins, I self-report. They just check urine and blood pressure. I had my 20 week ultrasound which showed that my placenta is low-lying, which I think is not uncommon, but I'll go back at 28 weeks to check again.
I don't intend to do a glucose screening. I'd rather get a glucose meter and check my levels periodically with what I actually eat.
I'm not doing quad screens or amnio.
When I go there, I feel like I'm in a factory and nobody would dare to deviate from the standard advice that you can find anywhere on mainstream websites.
I just want to be left alone as much as possible until I give birth. (At which point I'll go the hospital and get an epidural, because I'm a chicken, and it worked out great for me that way last time. :))