I wanted to share something I learned from my medicare advocate.
MW/OB practices can bump me to the 1 and oly high risk practice in the area at anytime.
MW/OB practices can drop me at anytime before 30 weeks. No OB/MW practice will take me after 30 weeks.
From 30-40 weeks they can not drop me. I could sue them for abandonment if they did.
After 40 weeks, they can drop me for refusing to be induced (or any reason really.)
I found all of this out becuase I had to ask her what my rights were as a medicare patient. I have been having a really rough time at my practice. I have abasicly been treated as a giant lab rat that is only there to have labs drawn. Any test I question or refuse has gotten me lots of crap. Despite no real evidence for needing to do so (only the fact that I am 40 and had a 10 lb baby 8 years ago) I have been tested for diabetes at every visit. One of the tree midwives told me I was diabetic and did not know it even though my labs have all come back fine, low risk range for diabetes.
I have had all of the testing i felt I needed for peace of mind alrady. I know I am only growing 1 baby, who has all the right parts in all the right places. No soft markers for genetic problems, no heart defect (I have a child with down syndrom so I was a little worried, but not enough to do any definitive gentic testing.)
I would like to have some back up, mostly to do non stress tests in case I go over due 3 weeks again. I worry about a premie and transverse lie (for no particular reason).
But honestly, the amount of tress, the amount of sleep I have issed beacuse of the stress I have had worring about how I've been treted at this practice is not worth it. My only option for switching care is to go to the high risk doc, who I had an appointment with for an anatomy scan at 20 weeks and it was not a good visit.
I worry about not having standard prenatal care and being treated badly shoud I go to the hospital for needed care. I am very concerned about feeling birth trama/birth rape/PTSD/postpartum depression from a negative experience. I am already feeling like I don't have any say over my body with this practice. I told my husband I feel like I'm signing up for a date rape. (So sorry if I am offending anyone that has been through a sexual assault. I just don't know how else to describe the intense feelings I am having.)
I don't see any hospital situation in this area being any better. Florida is a sucky place for OBs. Malpractice is a big issue and I think that OBs are practicing defensivly. This area is also hostile to homebirth and midwifery in general. Every homebirth midwife and birth center practice I interviewed scared me with lack of knowledge/ability to treat because of laws or had such narrow ideas of normal that I didn't stand a chance of not being transfered in the end.
I worry about the baby being held unessisarily and being treated badly because of not having standard prenatal care. Slightly less so on the baby's part becuase my family and I are well known at the children's hospital. My son has lukemia so we are there a lot, have been in and out of the emergnacy room and OR, dealt with the lactation folks and the milk bank, and know the social workers there. They know we are good, reponsable parents. I feel confident i could call in tones of folks as caracter witnesses if anyone wanted to make trouble for the baby.
So here I am up in the middle of the night contimplating canceling my next appointment and just doing self care and continuing to work long distance with my out-of-state midwife who will travel for my birth or even having a UC. I am contiplating playing along until 30 weeks and then not going back so that I can have access to testing if I need it. But it does seem crazy on some level to do this. I do not trust this paractice one bit right now. I think I could be better off just going to the ER if there is a problem. Or should I just switch to the high risk practice since that's were I'm bound to end up?
My DH told me to stop going to the MW/OB. He also told me he would be comfortable with a UC if it meant staying far away from the hospital for a normal birth. This is a huge change in his attitude from our last birth. I wanted to concider a UC and he was very against it.
We both would idealy like to have our dear friend and trusted out-of-state midwife here. She is amazing and we feel so safe with her. She helped me have a wonderful, healing labor and birth with my son. Her massage in active labor alone made her worth her weight in gold. She was gentle and sheperded us through the early days of dealing with having a baby with down syndrom, not an experience anyone else I know had with their SN baby's birth. She came to us to help us through the early days of my son's lukemia diagnosis, again showering us with love and emotional healing. She was there to save my life after a PPH with my daughter (first birth).